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forma- _ __ __ - _ - _ ___ __ _ _ <br />- ---- <br />State of Cali <br />County of Alameda ) <br />On , 20 ,before me, , (here insert name and title of the <br />officer), personally appeared ,who proved to me on the basis <br />of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and <br />acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and <br />that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature <br />(Seal) <br />State of California <br />County of Alameda <br />On , 20 ,before me, , (here insert name and title of the <br />officer), personally appeared ,who proved to me on the basis <br />of satisfactory evidence to be the person(s) whose name(s) is/are subscribed to the within instrument and <br />acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and <br />that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the <br />person(s) acted, executed the instrument. <br />I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing <br />paragraph is true and correct. <br />WITNESS my hand and official seal. <br />Signature (Seal) <br />1137220-3 <br />