Amendment 1 To Lease Agreement Page 4

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Tenant
Relax Grill at Lake Eola, LLC, a Florida limited
liability company
By:
Name: Ivy Crowell
Title: Manager
Executed on ____________________, 2009.
Witnesses:
(1) Sign:
Print Name:
(2) Sign:
Print Name:
STATE OF FLORIDA
COUNTY OF ORANGE
The foregoing instrument was acknowledged before me this _______day of __________,
2009, by
, the Manager of Relax Grill at Lake Eola, LLC, a Florida
limited liability company. He/she is personally known to me or has produced a valid
Driver's License as identification.
__________________________________
Notary Public:
Commission Expires:
(SEAL)
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