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AFFIDAVIT OF AUTHENTICITY
I. Frederick A,. Si:1:i'r'1ons, !..IA dn hp'(pby 8tt.)~~3:-;cj affirm thp fo:low:nc:
A. : am a Licenser; Archi:ect i., the State of Inrl'ona (Registered #3135),
B. I am the Prcject Architect for the Pr'oject !<r,~wn as Dr. Hathaway (SI. Vincent - rJlidli!lan
Rd.).
C. The Origin8.1 Orawinys datod ~ 05~01/06_ [,'e the same drawings sumnltied tn thH lnrii::)ll;J
Dr;p~i1~T:'3'-:t G~' Fi:f! &. 81;i!d'"p!.: Ser.liCef: f:)t' 1~,:'tJ;ning g, Ce~}jqr', 'l(3:f~8Sc; d;~:f:d _.21!1.:s/tjf.L_~,
(SBG _#31809.!?t
Date:
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Fred i A. Simmons, AlA
Indiana Registered Architect
Simmons Archi"crs, LLC . 30i East New York Street. Indianopolis, Indiana 46,04. Phone 317.6i6.3iOO Fax 31Hi6.3iOl