State of California .ca.gov

A notary public or other officer completing this

State

of California

certificate

verifies only the identity of the individual

County

of _______________

who signed

the document to which this certificate

Subscribed

(or affirmed)accuracy,

before meoron this _____

is attached,and

andsworn

not thetotruthfulness,

day

of ____________,

20__, by________________________,

validity

of that document.

proved to me on the basis of satisfactory evidence to be the

person(s)

who appeared before me.

State of California

(Seal)

CountySignature_______________________

of _______________

Subscribed and sworn to (or affirmed) before me on this ______

day of _____________, 20___, by _______________________

___________________________________________________,

proved to me on the basis of satisfactory evidence to be the

person(s) who appeared before me.

(Seal)

Signature_______________________

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