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(print) <br />STATE OF FLORIDA <br />COUNTY OF SEMINOLE <br />Mayflower Retirement Center, Inc. <br />Print name: 4-cve A - <br />Title: <br />The foregoing instrument was acknowledged before me this day of <br />G(I, 2018, by 5 �vw 4 f-c,w,e� (check one) r who is personally <br />known tome or ❑ who produced as identification. <br />AoY?yg?; ARLENE E. LOWRY' ' <br />MY COMMISSION # GG 183450 Notary Public — State of Flori <br />';rPa EXPIRES: March 10, 2022 Print Name: <br />;� •..OF Fti,.�, Bonded Thru Notary Public Underwritore . , <br />My Commission expires: /-/�a r 0/ D �� <br />