FORM 4: NOTARY

Before me the undersigned Notary Public in and for said County and State, personally appeared _________________________ and acknowledged the execution of the foregoing instrument as his voluntary act and deed, for the purpose therein expressed.

Witness my hand and Notary Seal this ________ day of ____________, 20___

____________________________________ Resident of _______________ County

Notary Public (signature)

____________________________________

Notary Public (printed)

(Ord. 6-2002, passed 3-4-02)

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