ID Acknowledgment-Corporation 1

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ID Acknowledgment-Corporation 1

Form Document
09/16/2005
V 1

State of

ss.

County of

On this _______ day of ______________, ________, before me, the undersigned, a Notary Public, in and for said State, personally appeared ____________________

_________________________________________________________________

__________________________, known to me, or identified to me on the basis of satisfactory evidence, to be the __________________________________________, of the corporation that executed the instrument and that the foregoing instrument was signed on behalf of said corporation by authority of a resolution of it's board of directors and acknowledged to me that such corporation executed the same.

WITNESS MY HAND AND OFFICIAL SEAL. (SEAL)

_______________________________________

Notary Public

Residing at:

Commission Expires:

No guidelines are available for this form at this time.