§200.ILLUSTRATION E. Corporate Acknowledgment

STATE OF		)	SS
		)
COUNTY OF		)

 

On this

day of

,

, before me

the undersigned officer, personally appeared

and

, known personally to me to be the

President

and

Secretary, respectively, of the above named corporation, and that

they, as such officers, being authorized so to do, executed the foregoing instrument for the purpose therein contained, by signing the name of the corporation by themselves as such officer.

IN WITNESS WHEREOF I have hereunto set my hand and official seal.

(Notarial Seal)

Notary Public

My commission Expires:

 

(Source:  Amended at 23 Ill. Reg. 11561, effective September 7, 1999)