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State of 1,6k,
Acknowledgment by Individual
County of d1/
On this 7th day of fritiviZe&
before me,
rr Public
L 2330 East 7000 00 Daniels S
2 oul
1 30 00 OUIh
Salt Lake City, Utah 84121
t `°�Y ls� My Commission 're*
September 25, 2603 1
State of Utah j
eal,
a.„‘ 1446
of Notary Public
the undersigned Notary Public, personally appeared
13zr id t Q /ei'742
Name of Siguer(s)
Proved to me on the oath of
Personally known to me
Proved to me on the basis of satisfactory evidence
to be the person(s) whose name(s) is/are subscribed to the within instrument, and
acknowledged that he /she /they executed it.
WITNESS my hand and official seal.
My commission expires
OPTIONAL
ature of Notary Public)
Though the information in this section is not required by law, it may prevent fraudulent removal and reattachment of this form
to another document and could prove valuable to persons relying on the document.
Description of Attached Document
Type or Title of Document: g
Document Date:
Signer tither Than Named Above:
�v. 4/98)
2 Il /the,7
(Description of ID)
Number of Pages:
4
G38
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