Discharge Of Claim Of Lien Page 2
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1
2
3Exhibit 11
STATE OF MICHIGAN
)
) SS
COUNTY OF ____________ )
On this ________ day of ___________________, 20____, before me appeared (name of
person executing document), on behalf of (company name), a (insert state) corporation, and
acknowledged said instrument to be the free act and deed of the corporation.
(signature of notary public)
Notary Public,
County, Michigan
Acting in
County
My Commission Expires:
Prepared by and when recorded return to:
(insert preparer’s address/telephone number)
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