Document Date
Meeting Description
Document Type
Meeting Date
Page Number
446
An Individual
Name (typed or printed):
By: (SEAL)
(individual's Signature)
Doing business as:
Business address:
Phone No.: Fax No.:
A Partnership
Partnership Name: (SEAL)
Date and State of Organization
Names of Current General Partners
Name Title
Type of Partnership
[] General [] Publicly Traded
[] Limited [[) Other (describe):
By:
(Signature of General Partner ~ attach evidence of authority to sign)
Name (typed or printed):
Business address:
Phone No.: Fax No.:
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