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1 <br />STATE OF MINNESOTA <br />COUNTY OF HENNEPIN <br />On this day of 20 __. <br />personally appeared before me, <br />____ who is personally known to me <br />____ whose identity I proved on the basis of <br />whose identity I proved on the oath/afTirmation <br />wimess <br />, a credible <br />and who executed the foregoing instrument, and acknowledged that he/she'they executed the <br />same as his/her/their free act and deed. <br />Notar>' Public <br />STATE OF MINNESOTA <br />COUNTY OF HENNEPIN <br />On this dav of ,20 <br />personally appeared before me, <br />____ who is personally known to me <br />____ whose identity I proved on the basis of, <br />whose identity I proved on the oath/affirmation <br />witness <br />,a credible <br />and who executed the foregoing instrument, and acknowledged that he/she/they executed the <br />same as his/her/their free act and deed. <br />Notary Public <br />Page 5 of 5