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21 <br /> <br /> <br /> <br />EmPOWERment, Inc. <br /> <br />_________________________________ <br /> <br /> _________________________________ <br /> Printed Name and Title <br /> <br />ATTEST: ____________________________ <br /> ___________________, Secretary <br /> <br /> <br />NORTH CAROLINA <br />_________ COUNTY <br /> I, _________________________, Notary Public in and for the above named County and <br />State, do hereby certify that on this day personally appeared before me _____________ with <br />whom I am personally acquainted, who, being by me duly sworn, says that he is Secretary and <br />that _____________ is President of EmPOWERment, Inc., a North Carolina corporation, and <br />that by authority duly given and as the act of the corporation, the foregoing instrument was <br />signed in its name by its President and attested to by its Secretary. <br /> <br /> Witness my hand and notarial seal, this the _________day of _______________20____. <br /> <br /> _________________________________ <br /> Notary Public <br /> <br />My commission expires: ___________________ <br /> <br /> <br /> <br />DocuSign Envelope ID: FDEBA80C-B05F-4BF1-B91C-624A1EA2F697