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<br />..... . <br /> <br />OWNER'S CERTIFICATE SIGNATURES <br /> <br />W AUNAKEE AREA EMERGENCY MEDICAL <br />SERVICE DISTRICT <br />'J ,. . <br />B.j-;~i~ >!;:~ <br />'J Chairperson <br /> <br />BY~~ <br /> <br />Treasurer <br /> <br /> <br />By <br /> <br />~lnJ~ <br />i Clerk <br /> <br />lJ/J.5/()9 <br />Dated <br /> <br />WAUNAKEE AREA EMERGEN~Y :MEDICAL <br />SERVICE DISTRICT <br />By (j~/-4 -r ~ <br />~ b ~ A.'T L ~ c.. i , Chairperson <br /> <br />By ~ j Nu:t <br />, L I <br />/II 1~f\4 -L' :f. u..",1-t I J Treasurer <br /> <br />Subscribed and sworn to before me <br />this cJ.s- day of ::r 0<.-L , 2009. <br /> <br />Notary lie, tate ofwisconsiiiJ' "'~ <br />My commission expires:.s...rlO - J,L <br /> <br /> <br />By <br /> <br /> <br />~J;''5/f}9 <br />Dated . <br /> <br />Ok /... <br /> <br /> <br />By ~~~e,~=Clerk <br /> <br />Subscribed and sworn to before me <br />this J..:)dayof :JVJ{f-r,2009. <br /> <br />; <br /> <br />'i <br />I <br />I <br />! <br />I <br />i <br /> <br />Not bli , State ofWisconsin~' M.AJ$I)~ <br />My commission expires: .....'i=AP --I J- <br /> <br /> <br />fNames of persons signing in any eapacity must be typed or printed below th~rr signature. <br /> <br />H:\DOCS\Ol6t26\OOO3I 3\OO328JIU.DOCX <br />051]091356 <br />