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State of California, <br />ss. <br />County of--------- <br />14 <br />On this ......... :'2.. l.day of._. <br />before me, ........ J.'I�l . <br />the said County of ........... �P`� State of <br />r <br />ally appeared ......... <br />Y........ in the year nineteen hundred and...Q . ............. A. D., <br />=---•------------------------------------------------------- ---------------------------•----------------------- a Notary Pi( in and for <br />�rnia, residing therein, duly commissioned and sworn, perso - <br />_.. . --. V.............................................................. <br />ersonally <br />---------------------••------...----•---------••--•-•---•-•---•-----••--••------....-•------.....---------------•--------------•------ p <br />known to me to be the person whose ne_.__A---------- subscribed to the within <br />instrument, and acknowledged to me that .......... he ............ executed the same. <br />IN WITNESS WHEREOF, I have hereunto set my nd and affixed my official <br />seal in said County the day and ye i this certificate r t ritten. <br />Notary Public in and for_______________ ___ f{g,�.,.-.._...._ bunty, S e of California. <br />(GENERAL) <br />GRIMES-STASSFORTN STATIONERY CO. <br />FORM NO. 6 <br />