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Last modified
11/17/2016 3:11:02 PM
Creation date
11/13/2016 10:16:42 PM
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Box 038
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MASSACHUSETTS JURAT Gov.Exec.Ord.1455(03-13),§5(e) <br /> Commonwealth of Massachusetts 1 <br /> County of 2LAW\U-t1 } ss. <br /> On this the I(D day of eCl3r'VKV )-c ( oZUt` before me, <br /> Day Month Year <br /> �I,C\ne\\f_ W\CNeH'_�N the undersigned Notary Public, <br /> Name of Notary Publi - <br /> w <br /> personally appeared iDfy\v.\ V\(\Qe <br /> Name(s)of Signer(s) <br /> proved to me through satisfactory evidence of identity, which was/were <br /> '021cSUY�4\�u �,G(\OWY1 , <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 /> r <br /> Signature of Notary Public <br /> f1/1ic!helle I< Wlef� Pel�r <br /> Primed Name of Notary <br /> MICHELLE K EELY <br /> Nwety Public <br /> CImmllmweaflh d Massadttrselb <br /> Place Notary Seal and/or Any Stamp Above My Commission Ex C cllaekfn E7 ifBs Algust t3,2Q21 <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 f� <br /> Title or Type of Document: 0� IMCJ`nptf <br /> `CC.\\00S S i e Or to tM <br /> Document Date: q1 Ck 1` Number of Pages: <br /> Signer(s) Other Than Named Above: N()Y\ <br /> t� ©2004 National Notary Association•9350 De Soto Ave., P.O. Box 2402•Chatsworth, CA 91313-2402•www.NationalNotary.org <br /> Item No.5952 Reorder: Call Toll-Free 1-800-US NOTARY(1-800-876-6827) <br />
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