STATE OF ______________________________________
(PARISH)(COUNTY) OF ___________________________
BEFORE ME, the undersigned, a Notary Public in and for the aforesaid State and (Parish)(County), this day personally appeared, ____________________________ appearing herein in his capacity as the duly authorized ________________ of _____________________ (the "Corporation"), to me personally known to be the identical person whose name is subscribed to the foregoing instrument representing the Corporation, and acknowledged to me in the presence of _______________________ and _________________________, competent witnesses, that (he)(she) executed the same on the date thereof on behalf of the Corporation, and that it was executed for the uses, purposes and considerations therein expressed by authority of the Board of Directors of the Corporation, as the free act and deed of the Corporation.
THUS DONE AND PASSED in my office in the State and (Parish) (County) aforesaid on this ____ day of _____________, 20_____, after due reading of the whole.
WITNESSES:
__________________________________
__________________________________
__________________________________
__________________________________
NOTARY PUBLIC
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