On this ____ day of _______________, ____, before me personally came __________________,
to me known, who, being by me duly sworn, did depose and say that he (she) is the __________
_____________ of _______________________________________, the corporation described
in and which executed the foregoing instrument; that he (she) executed said instrument on behalf
of said corporation by authority of its board of directors or pursuant to its by-laws and that the
same is the free act and deed by said corporation.
IN WITNESS WHEREOF, I have hereunto set my hand and affirmed my official seat the day
and year in this certificate first above written.
My commission expires: