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IN WITNESS WHEREOF, the parties hereto have executed this Second Amendment as of <br />the day and year first above written. <br />MAYFIELD VILLAGE, OHIO <br />Brenda Bodnar, Mayor <br />Step en chuff, Council President <br />Director <br />11 <br />C; <br />J. <br />TO FORM: <br />GEORGIAN MEDICAL ARTS II, LLC <br />Dr. Yoram Moyal, Managing Member <br />