Fill and Sign the Board of Education of Toledo City School Dist V Form

AUTHORITY TO CANCEL TO THE ____________ CLERK OF ____________ COUNTY, MISSISSIPPI: You are hereby authorized and requested to enter satisfaction of and cancel of record that certain Judgment against __________________, d/b/a __________________, enrolled in your office pursuant to a Judgment entered ____________ , _____, from the circuit court of ____________ County at ____________, Mississippi. A copy of this Judgment is attached hereto as Exhibit "A" and made a part hereof. This instrument is being made by the undersigned as attorney of record for __________________ of Mississippi in Cause No. ____________ of the ____________ Court of the ____________ Judicial District of ____________ County, Mississippi. This the _____ day of ____________, _____. ______________________________________________________, Attorney of Record for __________________Corporation of Mississippi STATE OF MISSISSIPPI COUNTY OF ____________Personally appeared before me, the undersigned authority at law in and for the jurisdiction aforesaid, the within-named __________________, attorney of record for __________________ of Mississippi, who acknowledged that he signed, executed and delivered the above and foregoing instrument of writing on the day and in the year therein stated and for the purposes therein mentioned, being duly authorized so to do. GIVEN under my hand and official seal of office, this the _____ day of ____________, _____. ____________________________NOTARY PUBLIC My Commission Expires: _____________________