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Release--Provision--Independent Of Representations



RELEASE-PROVISION-INDEPENDENT OF REPRESENTATIONS

Releasor warrants that no promise or inducement has been offered or made except as herein set forth; that this release is executed without reliance on any statement or representation by releasee or by any agents or physicians of releasee concerning the nature and extent of the injuries and damages, or either of them, or the legal liability therefor. Releasor is of legal age, is legally competent to execute this release and is legally competent to accept the full responsibility therefor.