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L <br /> STATE OF CALIFORNIA ) <br /> COUNTY OF ) <br /> On 19 before me, the undersigned, a <br /> Notary Public in and for said state, personally appeared <br /> personally known to me or proved to me on <br /> the basis of satisfactory evidence to be the person who executed <br /> the within instrument as , of the Department <br /> of Health Services, the agency that executed the within instrument, <br /> and acknowledged to me that such agency executed the same. <br /> WITNESS my hand and official seal. <br /> Notary Public in and for said <br /> County and State <br /> 9 <br />