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Georgia, Columbia County To the Honorable Cindy Mason, Clerk of Columbia County Superior Court: I, the undersigned, in making this application for a Notary Public Commission, do hereby state that: (1) (a) I reside in this county at the address shown above; or (b) (1) I am a resident of a state bordering on the State of Georgia; and (2) (I) carry on a business or profession in the State of Georgia in this county or (II) am regularly employed at such business in this county, at the address.

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