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08 <br />PM <br />CERTIFICATE OF ACKNOWLEDGMENT BY PRINCIPAL <br />•� (For use where Contractor is individual or partnership) <br />STATE OF MINNESOTA ) <br />) SS. <br />COUNTY OF ) <br />On this day of 19 before me personally appeared <br />to me known tc be the person <br />described in and who executed the foregoing bond, and acknowledged that <br />he executed the same as free act and deed. <br />,s <br />4$ <br />to <br />(Notarial Seal) <br />Notary Public <br />CERTIFICATE OF ACKNOWLEDGMENT <br />(For use where Contractor is a corporation) <br />STATE OF MINNESOTA ) <br />SS. <br />COUNTY OF ) <br />On this day of , 19 , before me personally appeared <br />and , <br />to me personally known who, being by me duly sworn, did say that they are re- <br />spectively the of , <br />that the seal affixed to the foregoing instrument is the corporate seal of <br />said corporation, and that said instrument was executed in behalf of the <br />corporation by authority of its Board of Directors, and said <br />and acknowledged the <br />instrument to be the free act and deed of said corporation. <br />Notary Public <br />(Notarial Seal) <br />Full Name of Surety Company Home Office Address <br />Full Name of surety Co. Name of Local Agency Address of Local Agency <br />If this bond is executed outside of the State of Minnesota, it must be counter- <br />signed on the Performance Bond by a Minnesota resident agent of the Surety <br />Company. <br />Name of Agent affixing countersignature Address <br />MEMORANDUM: Affix here Power of Attornev and Acknowledgment of Corporate Sure- <br />ty. <br />55 - <br />39788 <br />�o <br />