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ACKNOWLEDGMENT <br /> STATE OF ) <br /> ) SS. <br /> COUNTY OF ) <br /> On this day of , 2003 <br /> , before me, the undersigned, a Notary Public, appeared , who <br /> being before me duly sworn did say that he is the of <br /> [name of project architect/engineer], a <br /> , and that said instrument was authorized by and signed on <br /> behalf of said , and said acknowledged said instrument <br /> to be executed for the purposes therein stated and as the free act and deed of said <br /> IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal, the day and <br /> year last above written. <br /> Printed Name: <br /> Notary Public in and for said State <br /> Commissioned in County <br /> (SEAL) <br /> My commission expires: <br /> 23 <br />