FOR VALUE RECEIVED, the undersigned does hereby sell, 
        transfer, assign and set over to ________________________ all his 
        right, title and interest in and to a certain contract dated 
        __________,19__ by and between the undersigned and ___________, 

        a copy of which is annexed hereto.

                This assignment is made without warranty, representation 
        and recourse.

        Dated:                          _____________________________

                Accepted:               _____________________________

                Approved:               _____________________________

                                                        Form 210


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