Sworn to and subscribed before me this __ day of_____, A by 39Fxi9

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									Instructions:
Please copy and paste and use this notary affirmation for documents signed by someone
other than you (for example: employment letters, bank letter, HS documents and etc).




Sworn to and subscribed before me this __ day of_____, A.D. 2010, personally appeared _name
of the person signing the document________, __title____of ___name of the company______
who is personally known to me, whose identity was established and authority was confirmed.

Notary public _________________________
State _________________________ County ___________________
My commission expires ____________________________

								
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