STATE OF ALASKA )
______________ JUDICIAL DISTRICT )
On this ___________ day of __________ , 20 _______ , before me the undersigned, a Notary Public in and for the State of Alaska, duly commissioned and sworn personally appeared _________________________ , to me known to be the individual______________________ described in and who executed the foregoing instrument, and acknowledged to me that __ he __ signed and sealed the said instrument as _________ free and voluntary act and deed for the uses and purposes therein mentioned.
WITNESS my hand and official seal hereto affixed the day and year in this certificate above written.
____________________________________ Notary Public in and for the State of Alaska My commission expires: _________________
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