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Reference is made to a certain contract by and between the undersigned parties, said agreement being dated ______, 20 __.
(Contract).
BE IT KNOWN, that for good consideration the parties made the following additions or changes a part of said contract as if contained therein:
All other terms and provisions of said contract shall remain in full force and effect.
Signed this _______ day of _______, 20 __, In the presence of:
_____________________________
Witness:
____________________________
First Party:
Second Party: