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Get MD A-081407

Hereby certify that on this _______ day of _______________, I hereby certify that on this _______ day of _____________________, 20___, the above-named, ______________________________, personally appeared before me and made oath in due form of the law that the foregoing facts are true and correct to the best of their knowledge, information, and belief, under penalty of perjury. 20____, the above-named, ___________________________________, personally appeared before me and made oath in due form.

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