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5. OPEN FORUM HANDOUTS 03-20-2017
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5. OPEN FORUM HANDOUTS 03-20-2017
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3/21/2017 11:57:06 AM
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NOTARY ACKNOWLEDGMENT <br />STATE OF MINNESOTA ) <br />} SS. <br />COUNTY OF SHERBURNE } <br />The Affiant, David S Larson, being duly sworn, on oath deposes and says that s/he is the Lien <br />Claimant and that s/he has read the foregoing claim for the lien and knows the contents thereof, <br />and that all statements therein contained are true and correct to the best of his/her belief and <br />knowledge. <br />Subscribed and sworn to before me on 71l Z l/� <br />*my <br />CON5(ANCE Q4]iRAMNOTARY PUBLICMINNESOTA <br />GOttxnission biros Ja��. 31, 2020 <br />a <br />(Notary Signature) <br />Co YN-,s4 a nc- Q- Ou .(-a YNIX <br />{Notary Printed Name} <br />David S Larson <br />18629 Simonet Dr <br />Elk River Minnesota 55330 <br />(Signature) <br />(Date) <br />13 j z 1(' <br />My commission expires on: Z13 I 2 0 2 Cj _ <br />
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