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_____________________________
AC K N OWLE D G M E NT
Republic of the ____________)
City of_________
) SS.
BEFORE ME, a Notary Public for and in the above jurisdiction, personally appeared
this _________________________________________ day of ____________________, 200_.
NAME
________________
PASSPORT#
__________________
DATE/PLACE ISSUE
_____________________
known to me to be the same persons who executed the foregoing instrument and each of the
acknowledge to me that the same is his/her own free and voluntary act and deed.
WITNESS MY HAND AND NOTARIAL SEAL, on the date and at the place first above
written.
Doc. No.;
Page No.;
Book No.;
SERIES of 2009
NOTARY PUBLIC