Ill. Admin. Code tit. 14 , J, Appendix A, ILLUSTRATION M
STATE OF | ) |
) | SS |
COUNTY OF | ) |
On this _____ day of , ______________, before me the undersigned officer, personally appeared ________ and ___________ to me known personally to be the authorized representative(s) of _________, a joint venture undertaking, whose name(s) is signed to the foregoing instrument, and that he (they), as such representative(s), being authorized to do so, executed the foregoing instrument for the purposes therein contained, by signing the name of the joint venture by himself (themselves) as such authorized representative(s).
IN WITNESS WHEREOF I have hereunto set my hand and official seal.
________________________________
Notary Public
(Notarial Seal)
My Commission expires:__________________
Ill. Admin. Code tit. 14 , J, Appendix A, ILLUSTRATION M