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Name of Affiliate <br />Name of County Commissioner Relationship <br />or entity or employee <br />_ STATE OF <br />COUNTY OFS : e <br />(Yoz. <br />C •r nature) <br />3.30- ao/P <br />(Date) <br />The foregoing instrument was acknowledged before me this `jC) day of \3 \�sj , 20 \C> by <br />-A2X-252 , who is personally known to me or who has produced <br />as identification. <br />, h''. STELLA M. HUNTER ' <br />to= M i COMMISSION # DD 630775 <br />A'• EXPIRES: January 23, 20,1 <br />Bonded Thru Notary Pubhc Undo-. a e <br />NOTARY PUBLIC <br />SIGN: <br />PRINT: Ste\\1 VN\ . <br />Notary Public, State at large <br />My Commission Expires: <br />(Seal) <br />