Bill Of Sale For Dog Page 4

Certificate of Acknowledgment of Notary Public

State of _______________________________

)

County of _____________________________

)

On _____________________, before me, ______________________________, a notary

public in and for said state, personally appeared ___________________

________________________, personally known to me (or proved to me on the basis of

satisfactory evidence) to be the person whose name is subscribed to the within

instrument, and acknowledged to me that he or she executed the same in his or her

authorized capacity and that by his or her signature on the instrument, the person, or the

entity upon behalf of which the person acted, executed the instrument.

WITNESS my hand and official seal.

_____________________________________

Notary Public for the State of ______________

My commission expires __________________

[NOTARY SEAL]

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Parent category: Business