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<br /> <br />00300 - 22/26 <br />Signed, sealed and delivered <br />In the presence of: <br /> <br />____________________________ By: _______________________ <br />Witness <br /> <br /> <br />_____________________________ __________________________ <br />Witness (Print Name) <br /> <br /> <br /> __________________________ <br /> (Title) <br /> <br />ACKNOWLEDGEMENT <br /> <br /> <br />STATE OF _________________ ) <br /> ) SS: <br />COUNTY OF _______________ ) <br /> <br /> <br /> BEFORE ME, the undersigned authority, personally appeared <br />______________________________ to me well known and known by me to be the person described <br />herein and who executed the foregoing Affidavit and acknowledged to and before me that <br />__________________________________________ executed said Affidavit for the purpose therein <br />expressed. <br /> <br /> WITNESS, my hand and official seal this ________ day of ____________________, 20___. <br /> <br />By: <br /> <br /> <br /> <br />_______________________________ (Title) <br />NOTARY PUBLIC <br />State of Florida-at-Large <br /> <br /> <br /> <br />My Commission Expires: <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />