ODOT LPA RE 833 C Corporations LLC ACK for Contracts Rev 06 08 FULL LEGAL NAME OF CORPOR by mlw20723

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									ODOT LPA RE 833-C                                                       Corporations & LLC ACK for Contracts
Rev. 06/08


                                                *FULL LEGAL NAME OF CORPORATION*



                                          By: *NAME OF AUTHORIZED SIGNER*
                                               *Office with Corp or Member, Manager, or Office with
                                               LLC*
                                         Date:

STATE OF OHIO, COUNTY OF *COUNTY* ss:
          BE IT REMEMBERED, that on the _____ day of __________________ , 20________ , before me
the subscriber, a Notary Public in and for said state and county, personally came the above named
*Name of Authorized Signer*, who acknowledged being the *Office with Corp or Member, Manager, or
Office with LLC* and duly authorized agent of *Full Legal Name of Corporation or LLC*, and who
signed or acknowledged the signing of the foregoing instrument to be the voluntary act and deed of said
entity.
          IN TESTIMONY WHEREOF, I have hereunto subscribed my name and affixed my official seal on
the day and year last aforesaid.




                                                NOTARY PUBLIC
                                                My Commission expires:

								
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