State/Republic of [Notary.State]
County/City of [Notary.City]
SUBSCRIBED AND SWORN TO BEFORE ME, a NOTARY PUBLIC from [Notary.State][Notary.City], this [Document.CreatedDate] personally appeared bearing the government identification with details provided below, to wit;
Name ID Type/Number Date/Place of Issuance
[Sender.FirstName][Sender.LastName] (Insert Sender ID) + (Insert Place of Issuance)
[Employee.FirstName][Employee.LastName] (Insert Employee ID) + (Insert Place of Issuance)
Known to me and known to be the same persons who executed the foregoing instrument consisting of four (4) pages including the page where this acknowledgment is written, and they acknowledged that the same is their own free and voluntary act and deed and that of the corporations represented.
IN WITNESS WHEREOF, I have hereunto set my hand and the notarial seal on the date and in the place herein above written.
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____;