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STATE OF (Individual Acknowledgment) <br />) <br />SS: <br />COUNTY OF <br />Before me, a Notary Public in and for said County and State, personally appeared <br />0 5 U s CrovrS..aQ c7 , Owner(s) of the real estate described above who <br />acknowledged the execution of the foregoing instrument and who, having been duly sworn, <br />stated that any representations therein contained are true. <br />Witness my hand and Notarial Seal this <br />1. �yY;�d�� pAii(Y TQRRES <br />My Commission�Expires <br />January7,2017 <br />County of Residence_ <br />1 °1 day of -ZVI <br />Signature <br />Printed Dek.% YIV Ic *rr S <br />My Commission expires: j Q va V r- 'r 2Z 17 <br />(Organization Acknowledgment) <br />STATE OF <br />SS: <br />COUNTY OF <br />Before me, a Notary Public in and for said County and State, personally appeared <br />the of <br />a(n) , Owner(s) of <br />the real estate described above who acknowledged the execution of the foregoing instrument in <br />such capacity and who, having been duly sworn, stated that any representations therein contained <br />are true. <br />Witness my hand and Notarial Seal this . day of , <br />Signature, <br />Printed <br />County of Residence, <br />My Commission expires: <br />This instrument was prepared by <br />Filed In _ : �!)f lce <br />MAY 9^- <br />Q13 <br />46� <br />CITY Cl. h BEND, IN <br />Ord. No.: 9495 -04 <br />