City Of Raleigh - Sample Grant Contract Notary Page

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STATE OF NORTH CAROLINA
WAKE COUNTY
This is to certify that on the_____day of _______, 20______, personally came before me
________________________
, with whom I am personally acquainted, who being by me duly
sworn, says that J. Russell Allen is the City Manager and Gail Smith is the Clerk of the City of
X
Raleigh, the municipal corporation named within and which executed the foregoing instrument; that
he/she knows the common seal of said municipal corporation; that the seal affixed to said instrument
is said corporate seal; that the name of the municipal corporation was subscribed thereto by the said
City Manager and that the said City Clerk subscribed their names thereto and said common seal
affixed, all by order of the City Council of the City of Raleigh, and that the said instrument is the act
and deed of said municipal
corporation.
Witness my hand and official seal this _______ day of ___________________, 20______.
___________________________________________
Notary Public
(SEAL)
SAMPLE
My Commission Expires: ___________________________________________
**********************************************************************
STATE OF NORTH CAROLINA
COUNTY OF WAKE
I, the undersigned Notary Public in and for the said County and State, do hereby certify that on
this day personally appeared before me JANE C. SECRETARIA , who, being by me first duly sworn,
says that he/she is the xxxxxxxxxxxxxxxxxxxxx_/(Assistant) Secretary and that
ROBERT P. BOARDPRES is xxxxxxxxxxxxxxxxxxxxx /(Vice) President of THE AGENCY NAME
INC . a corporation, named within and which executed the foregoing instrument; that the seal affixed
to said instrument is said common seal; that the name of the corporation was subscribed thereto by
the said xxxxxxxxxxxxx /(Vice) President and that the xxxxxxxxxxxxx_/(Assistant) Secretary
subscribed their names thereto and said common seal affixed, all by order of its Board of Directors
duly given; and that the said instrument is the act and deed of said corporation.
Witness my hand and official seal this __25__ day of ___OCTOBER_______,20___.
Irene M. Weaver
___
________
Notary Public
(SEAL)
My Commission Expires: ________October 26, 2000______________

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