has executed this Agreement as of the day and year first 
above written. 
UNITED STATES OF AMERICA 
By 
Title 
(GRANTEE) 
(Corporate Seal) B y 
Title 
CERTIFICATE 
I, , certify that I 
am the secretary of 
named above; that , 
who signed this Agreement on behalf of said corporation was 
then of said corporation? and 
that this Agreement wa3 duly signed for and in behalf of said 
corporation by authority of its governing body and is within 
the scope of its corporate powers. 
Witness ray hand and the seal of said corporation this 
day of , 19 . 
(Corporate seal) By 
11-12 
[ 42 ] 
