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ACKNOWLEOOMENT FOR INDIVIDUAL
STATE OF PENNSYI.V ANIA
COUNTY OF ct JMTIP.RI.ANI>
On thill, tho day of
before mo tho undcnlgned officer, pcnonally appeared
known 10 me (or aatiafactorily proven) to be the pcraon(WI) whose namc(s) Ware subscribed to the
within inalnJmcnt and acknowlcdgcd thatthcy exccuted tho same for tho pwposea therein
contained.
In witnC81 whereof, I hereunto set my hand and official seal.
Notary Public
Soal
ACKNOWLEDGMENT FOR CORPORATION
ST Am OF PENNSYI.V ANIA :
COUNIY OF CUMBERLAND
Onthia, the 23lW day of Sh'P1'JiMHlIR, /996 beJOrc mo a Notary Public, pcnonaIIy appeared
ROBERT G, DERRICKSON
known 10 me 10 be the pcraon(s) whose namc(s) Ware subscribed as ROHERT H. UERRlCKSON
and who acknowledges himself to bo the PRESIUENT of R..OIili CON"IRACTINO, INC.
corporation and thai hI: 1IlI such }'RESIDENT, being authorized to do 90, exccuted the foregoing
statement for the pUrpolleS therein contained by signing the name of tho corporation by himself as
PRESIDENT,
In wiblCM whereof, I have hereunto llet my hand and notarialllCaI.
NOlarla' Soal I'Lb7/ .,j ~.i.~,
Sharon L. ,....er, Nolary Publlo Notary }'u~' Seal
Corllole Boro, Cumbafland Counly
My Commllllon Explru May 11. 1 YJ<IL.
M.mbar, Pennovlvanla A'DOclallon 01 NblliUtt LA 110N AGAINST UENS
Owner: APPOLINE CONNER
257 PINE GROVE ROAD
OARDNERS, PA 17324
Contractor: R.OEE CONTRACTING, INe,
3 RIClILAND LANE, slJI'm 101
CAMP Hllj~ PA 17011
1-111\1>
Date
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