Ill. Admin. Code tit. 35, pt. 811, subpt. G, app A, ILLUSTRATION B
CERTIFICATE OF ACKNOWLEDGMENT
State of __________________________)
) SS
County of _________________________)
On this _________ day of ________, __________ before me personally came _______________________________ (operator) to me known, who, being by me duly sworn, did depose and say that she/he resides at ______________________________________ (address), that she/he is ____________________________________________ (title) of __________________ (corporation), the corporation described in and ________________________________________________________________________________ which executed the above instrument; that she/he knows the seal of said corporation; that the seal affixed to such instrument is such corporate seal; that it was so affixed by order of the Board of Directors of said corporation, and that she/he signed her/his name thereto by like order.
___________________________________ Notary Public
My Commission Expires ________________
Ill. Admin. Code tit. 35, pt. 811, subpt. G, app A, ILLUSTRATION B