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Please Print. OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE OF ASSIGNEE the within Debenture and all rights thereunder, hereby irrevocably constituting and appointing _______________________________________________________________________________.

Please Print. Renter: Mailing Address: Daytime Phone: Date of Birth: Drivers License Number Date of Shelter Use: Time of Shelter Use: Banquet Hall Seating Capacity – 86 Outdoor Seating Capacity – 48 The Renter must sign this Rental Agreement in the space provided below. By doing so, the Renter agrees to adhere to the following requirements; unless special arrangements have been noted by City Staff on this Rental Agreement and agrees to accept the consequences for their failure to do so. I hereby acknowledge that I have received a Clean-Up Check List and a copy of the Ordinance related to the consumption of alcohol at Veterans Park. Renter’s Signature Date City Approval Date ⮚ Oven & Stove ⮚ Microwave ⮚ Refrigerator ⮚ Double Sink ⮚ Counters ⮚ Electrical Outlets ⮚ Restrooms ⮚ Playground Equipment ⮚ Charcoal Grills ⮚ 6 – Picnic Tables ⮚ 1 – Volleyball Court & Net ⮚ 11 – 8’ Folding Tables (Blue – Office Copy, White – Customer Copy) ⮚ Folding Chairs ⮚ Boat Access To Lake Koronis ⮚ Walking/Biking Trail System ⮚ Swimming Beach ⮚ Fishing Pier

Please Print. OR TYPEWRITE NAME AND ADDRESS OF TRANSFEREE) [●] nominal amount of the Instruments represented by this Global Certificate, and all rights under them. Dated ........................................................ Signed ..........................................

Please Print. OR TYPEWRITE NAME AND ADDRESS INCLUDING POSTAL ZIP CODE OF ASSIGNEE

Please Print. Date: Name: Street Address: City, State, & Zip: Phone Number: Email: For good and valuable consideration, the exchange, receipt, and sufficiency of which the parties hereto hereby acknowledge, Pace University agrees to grant the above-named person (“You”) access to Pace University School of Law Library in accordance with the following terms and conditions (“Bar Review Access Contract”): General: Bar Review Access may be purchased by individuals who are not graduates of Pace University, and who are studying to take the February or July administration of the bar exam. Seekers of Bar Review Access must show proof acceptable to Pace University in its sole and confidential discretion that such seekers are studying for the February or July Bar Exam at the time of purchase. Acceptable forms of proof are: bar exam registration receipt, or the receipt or ID issued by a commercial bar preparation course. The access granted by this Bar Review Access Contract is granted to you alone and is accordingly nontransferable. You may not assign or otherwise transfer this Bar Review Access Contract or its rights or responsibilities to any other person or entity. You hereby acknowledge that your failure to comply with any Law Library or University rules, regulations, or procedures or with directives of authorized University personnel may subject the noncompliant individual to immediate ejection from University property and termination of this Bar Review Access Contract, without refund. You must reshelve any and all materials you use. A complete set of Law Library rules is available at ▇▇▇▇://▇▇▇.▇▇▇▇.▇▇▇.

Please Print. Name(s): Address: City/Town: Province: Postal Code: Home Phone Number: Cell Phone Number: E-mail Address:

Please Print. OR TYPEWRITE NAME AND ADDRESS, INCLUDING POSTAL ZIP CODE OF ASSIGNEE the within Series A Senior Note and all rights thereunder, hereby irrevocably constituting and appointing agent to transfer said Series A Senior Note on the books of the Company, with full power of substitution in the premises. Dated: ,

Please Print. Clearly Or Type: Mailing Address Phone Number E-Mail Address

Please Print. Name: Date: City: Zip Code: Phone: ( ) Caregiver signature (if applicable):