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STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF HENNEPIN ) <br />On this __ day of _________ , 200_ before me a Notary Public within and <br />for said county, personally appeared ____________________ _ <br />known to me to be the person(s) described in and who executed the foregoing instrument,and <br />acknowledged that he (they) executed the same as his (their) free act and deed. <br />Notary Public <br />STATE OF MINNESOTA ) <br />) ss. <br />COUNTY OF HENNEPIN ) <br />On this __ day of _________ , 200_ before me a Notary Public within and <br />for said county, personally appeared ____________________ _ <br />known to me to be the person(s) described in and who executed the foregoing instrument, and <br />acknowledged that he (they) executed the same as his (their) free act and deed. <br />Notary Public <br />Page 5 of 6