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PROMISSORY NOTE
PROMISSORY NOTE $(1)___ ____(2), (3) (4), 19_(5)_ FOR VALUE RECEIVED, the undersigned, promise to pay to the order of (6), (hereinafter referred to as "Payee"; Payee together with any subsequent holder hereof or any interest herein being hereinafter referred to as "Holder") at___________(7), or at such other place as the Holder may from time to time designate in writing, without grace, except as may be otherwise expressly provided for herein, the principal sum (8) ($), together with interest from the date hereof at a rate of (

 
$ 4.95
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