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I ITNESS WHEREOF, the Owner has hereon set his had and seal, or if <br />corporate, has caused this instrument to be signed in its corporate name by its <br />duly authorized officers and its seal to be hereunto affixed by authority of its <br />Board of Directors, the day and year first above written. <br />(Corporate Name) <br />By: <br />(President) <br />Attest: <br />Secretary) <br />(Corporate Seal) <br />SEAL-STAMP NORTH CAROLINA, COUNTY OF <br />I, <br />(Owner <br />(SEAL) <br />a notary public of said <br />county, do hereby certify that Owner(s) <br />personally appeared before me this day and acknowledged the <br />execution of the foregoing Instrument. Witness my hard and <br />official stamp or seal, this _ day of , 19 <br />My Commission expires <br />(Date) <br />Notary Public <br />SEAL-STAMP NORTH CAROLINA, COUNTY OF <br />I, , notary public of the <br />County and State aforesaid, certify that <br />personally came before me this day and acknowledged that <br />he/she is Secretary of a North <br />Carolina corporation, and that by authority duly given and as <br />the act of the corporation, the foregoing instrument was <br />signed in its name by its President, <br />sealed with its corporate seal and attested by <br />as its <br />Secr'etary. <br />Witness my hand and official stamp or seal, this _ day of <br />19 <br />My Comnission expires: <br />NORTH Cq UXr / <br />far <br />/ O <br />r In <br />Nelhe W A OWN dD"* . <br />(SEAL) <br />(Owner) <br />(SEAL) <br />(Owner) <br />(SEAL) <br />(Owner) <br />Notary Public <br />