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IN WITNESS WHEREOF, the above bound parties executed this instrument under their several <br />seals, this day of , 20 the name and corporate <br />seal of each corporate party being hereto affixed and these presents duly signed by its <br />undersigned representative, pursuant to authority of its governing body. <br />WHEN THE PRINCIPAL IS A CORPORATION: <br />Attest: <br />Secretary Name of Corporation <br />BY: <br />(Affix Corporate SEAL) <br />Printed Name <br />Official Title <br />CERTIFICATE AS TO CORPORATE PRINCIPAL <br />' certify that I am the Secretary of the corporation named as Principal <br />in the within bond; that who signed the said bond on behalf of the <br />Principal was then of said corporation: that I know his <br />signature, and his signature thereto is genuine; and that said Bond was duly signed, sealed and <br />attested for and on behalf of Said corporation by authority of Its governing body. <br />Secretary <br />00612-3 <br />(SEAL) <br />