Sample License And Indemnity Agreement - City Of Cape Girardeau Page 4

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STATE OF MISSOURI
)
) ss.
COUNTY OF CAPE GIRARDEAU
)
On this
day of
, 20___, before me appeared _______________, to me
personally known, who, being by me duly sworn, did say that he is the City Manager of the
City of Cape Girardeau, Missouri, a Municipal Corporation of the State of Missouri, and that
the seal affixed to the foregoing instrument is the seal of said City and that the said instrument
was signed and sealed on behalf of said City by authority of its City Council and acknowledged
said instrument to be the free act and deed of said City.
IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed my official
seal, at my office in Cape Girardeau, Missouri, the day and year first above written.
_________________________________
Notary Public
My Commission Expires:
-4-

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