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EXECUTED UNDER THE PAINS AND PENALTIES OF PERJURY ON THE DATE WRITTEN BELOW <br /> AFFIANT NO. 1 2 WITNESSES <br /> Signature: Signature: ArA44---k-- 4). (--a":14-r <br /> Print Name: 74 /�( � (�!k Print Name: 15ama rL ) . \AI r-,G,hr <br /> Date: 1) ( ,;Z ( o 17 — d <br /> Title: (circle one) Member, Partner, Director, Shareholder I11rustee <br /> Percentage Ownership or Voting Interest: 7N2 % Signature: <br /> Print Name: Cr -) e f <br /> WITNESS AND ACKNOWLEDGEMENT <br /> State/Commonwealth of c.4 <br /> County of yyJ $,-•v /L) <br /> On this ..2/ day of rr, � , 201 7 , before me, Ne_15 • k'0 Y <br /> the undersigned Notary Public, personally appeared J/15. ) E. cher%xjA/ <br /> who proved to me on the basis of satisfactory evidence)to be the person(s)whose name(s)is/are subscribed <br /> to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their <br /> authorized capacity(ies), and that by his/her/their signature(s) on the instrument,the person(s) or the entity <br /> upon which the person(s)acted, executed the instrument. <br /> WITNESS my hand and official seal. <br /> 7�� +: +r. DORIS E ROY <br /> N t'Public , ,. MY COMMISSION•FF 192337 <br /> tar <br /> •-' EXPIRES:Manch 12,2019 <br /> Print Name: 611-2_15 E E. Q Q y 14,10„ ' Bonded Thru Notary Public Undo rs <br /> My commission expires: lwc lay .r?11 j <br /> Site No:370764 <br /> Site Name:Vero Beach Ring, FL <br />