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<br /> <br />REPRESENTATIVE ACKNOWLEDGEMENT <br />STATE OF <br />COUNTY OF <br /> <br /> On this day of , 20__, I certify that <br />personally appeared before me, acknowledged that he/she signed this instrument, on oath stated <br />that he/she was authorized to execute this instrument, and acknowledged it as the <br />_________________________ Chairman of the Kittitas County Board of County Commissioners <br />to be the free and voluntary act and deed of such party for the uses and purposes mentioned in the <br />instrument. <br />__________________________________________ <br />Notary Public in and for the State of Washington <br />Residing at ________________________________ <br />My appointment expires _____________________ <br />