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Indemnification Agreement











INDEMNIFICATION AGREEMENT


FOR VALUE RECEIVED, receipt of which is hereby

acknowledged, and for other good and valuable consideration, the

undersigned hereby agrees forever to indemnify and hold harmless

____________________ from and against any and all claims, suits,

damage or damages and/or loss or losses and/or action or actions

of any kind as the result of and arising out of

_________________________________________________________________

___________________________________________.

Dated:


______________________________ _____________________________
Witness


Form 615






 
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