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Last modified
11/17/2016 3:11:02 PM
Creation date
11/13/2016 10:16:34 PM
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Box 038
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i <br /> i <br /> MASSACHUSETTS JURAT Gov.Exec.Ord.1455(03-13),§5(e) <br /> CommonwealthMassachusetts <br /> County of 7 ss. <br /> • On this the 2 day of 6/ �) , before me, <br /> Da Month Year <br /> x <br /> the undersigned Notary Public, <br /> Name Of Noq+ary Publ' ,� n <br /> personally appea ed �t141 ,/1/(�' <br /> Name(s)of Signer(s) <br /> proved toa thrMai(ough n/Isatisfactory evidence of identity, which was/were <br /> ai , <br /> Description of Evidence of Identity <br /> to be the person(s) whose name(s) was/were <br /> signed on the preceding or attached document <br /> in my presence, and who swore or affirmed to <br /> me that the contents of the document are <br /> truthful and accurate to the best of his/her/their <br /> knowledge and belief. <br /> Signature of Nno fry Public <br /> WMee of NLONE <br /> ol Notary Public <br /> ommonwealth of Massachusetts <br /> Commission Expires April 9,2015 <br /> Place Notary Seal and/or Any Stamp Above My Commission Expires <br /> OPTIONAL <br /> Although the information in this section is not required by law, it may prove valuable to persons <br /> relying on the document and could prevent fraudulent removal and reattachment of this form to <br /> another document. <br /> Top of thumb here <br /> Description of Attached Document <br /> Title or Type of Documentl<'/ /g//� /�'1 t�f/iDiLZ� <br /> a ��� /,� 1 <br /> Document Date:_��1sL Number of Pages: <br /> • Signer(s) Other Than Named Above: <br /> • C 2004 National Notary Association•9350 De Soto Ave., P.O. Box 2402•Chatsworth, CA 91313-2402•wwmNationalNotary.org ` <br /> Item No. 5952 Reorder:Call Toll-Free 1-800-US NOTARY(1-600-876-6827) <br />
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