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(Prom ‘his Deed of Donation made and ected by he. (donating rgantaton/nty) hers roprserted by (ele oe representa) (ame of the representative) » wih fice sateen ot Terence ONO Infmorof “he DEPARTMENT OF EDUCATION arn roprsonted ye (ie of the ofc, Cpe of the Offa) with ofr adoress at herincale the DONE ‘hat for ad in consideration ofa dese to conte share for the cue ofthe education ot Fp lamers trough the Adopt Sebo! Program ofthe Dapartmant of Eoueaton, the DONOR has ‘tet and veurtary gen, anserred and coneyed byway of donation tothe DONEE, ts sucess and aslo tee and dea fan and al len nd encumbrances whatsoever a ight rest ond ‘eon deseption of donation) IN WITNESS WHEREOF, the DONOR has hereto subscribed herself ins ths __ day of PUBLIC OFTHE PALPINES) as. eroRE ME Taal personaly appeared: wr Teved ont cre sued ona nom to mand te me trown to be the same pesons who excited the foregoing instrument and {hey acnowledge to me thatthe same see and vlunay ata ded, nuding Wat of he ented Ts inten refers to Deed of Donation tat costs of two page inhaling ths where tis ‘knowedgement is witen, and which signed by the parties concerned on each and every page ere WETNESS My HAND ANO NOTARIAL SEAL, on dite a the place et writen above, SookNo Series of eto oF ACCEPTANCE (Prooena) The DONEE, for and in behal of the schol, hereby accepts the donations from DONOR} compote of folowing For and in Bea ofthe schol, the DONEE expresses Ns mast sncteepprection for the In wness where the OONEE har set his hinds the dy of __, 2013 in (oleh. ‘DONE ‘SIGNED INTHE PRESENCE OF ‘Baraare oe Pntea Rane) FREPUBUCOF THE PLAINES) ‘Barone MES _—_—— Tate personaly appeared Tauedon/at sued oat. Known to mean te me brown to Be the same persons who executed the Forgoinglsrumect 2nd they acknowledge to me that the same re ond voluntary at and ded, incudng tat ofthe eed that hey revert ‘his Instrument refers to Deed of Donation tet casts of two page inching this whereon this fcknooedgement i wien, and which is signed by the parties concerned on 03 and erry ade thereat WITNESS MY HAND AND NOTARIAL SEAL on date athe place fst wrten above, NoraRy puaLc Page to.

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