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NOTE: This document serves to prove that notice of the special meeting of Shareholders was

mailed. The document must be notarized.

AFFIDAVIT OF MAILING OF NOTICE OF


SPECIAL MEETING OF SHARHOLDERS OF

__________________<Company Name>____________________

State of: _______________________________

County of: _______________________________

<Name of Secretary> being duly sworn according to law deposes and says:

I am the Secretary of <Company Name>. On <Date>, I personally deposited in a post office box
in the City of <City>, County of <County>, copies of the attached notice of special meeting of
Shareholders, each enclosed in a sealed postage paid envelope. A notice was addressed to each
person whose name appears on the list of Shareholders, and to their respective post office
addresses as therein set forth.

Sworn to before me this day of <Date>.

_____________________
Secretary

_____________________
Notary Signature

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