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1-1 <br />0 <br />u <br />u <br />u <br />4 <br />4' <br />L <br />ti <br />w <br />G <br />(signature) <br />-if Aq <br />STATE OF (date) <br />'t Ci� ur <br />COUNTY OF <br />PERSONALLY APPEARED BEFORE MME, the undersigned authority, who, <br />(Ikj ICf after first being (name of individual signing)swom by me, <br />off Geld his er signature in the space provided above on this �' I `� _ day of <br />".� <br />r ROTARY PUBUC <br />• r <br />pr�;Fjr`ly�.•.�� L 1 0. co) Q,4 <br />My commission expires. <br />"rr+l <br />tilt IIIM, <br />ti'° <br />STATEMENT OF PUBLIC ENTITY CRINES <br />G-3 <br />