Include the following on the plat after the "Acknowledgement Statement":
| ________________________ | (Notary Signature in archival quality black ink) |
| Notary signature | |
| ____________________________ | (printed name of Notary Public) |
| NOTARY PUBLIC - OREGON | |
| COMMISSION No. _______________ | (Notary's Commission number) |
| MY COMMISSION EXPIRES __________ | (Month by name [not abbreviated], two-digit date and complete year, i.e., January 03, 2002) |
| (NOTE: text in parenthesis above should not appear on plat) |