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08/21/2018
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08/21/2018
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2/12/2019 9:46:23 AM
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Marriage License
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Agreement No. ' ' BK1347-002 <br /> • Effective (NTP) Date 7/17/2018 <br /> Supplement Amount $3,498.95 <br /> Total Agreement Amount iSit $30,454.46 <br /> IN WITNESS WHEREOF, the Parties hereby execute this Supplemental Agreement <br /> pursuant to lawful authority as of the date signed by each party. Further, the Parties, by signing <br /> this Supplemental Agreement, attest and affirm the truth of each and every certification and <br /> representation set out herein. <br /> EXECUTED by Consultant this day of , 2018. <br /> FELSBURG HOLT & ULLEVIG <br /> Kyle A. Anderson, P.E. <br /> I <br /> Principal <br /> STATE OF NEBRASKA ) <br /> )ss. <br /> DOUGKAS COUNTY ) <br /> SUBSCRIBED AND SWORN to before me this day of , 2018. <br /> I <br /> Notary Public <br /> EXECUTED by LPA this ca/ day of ti 5 la c.A , 2018. <br /> HALL COUNTY <br /> Jane Richardson <br /> 1p ir, Board of S pervisors <br /> Subscribed and sworn to before me this ! day of <br /> ket <br /> el 4 s c , 2018. <br /> ler Itaft;aglizt <br /> STATE OF NEBRASKA <br /> DEPARTMENT OF ROADS <br /> Form of Agreement Approved for <br /> Federal Funding Eligibility: <br /> Date <br /> Project No. BRO-7040(25) <br /> Control No. 42322 <br /> Grand Island Northwest Page 3 of 3 <br /> Template T-AGR-1S Revised 3-9-16 AGREEMENT# BK1347 Sup #2 <br />
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