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<br /> STATE OF-----Nebraska_ ----------) ��--rL Qn_this__..�.----._da o November ' --------, 197-�---, be ore me, a
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<br /> ,;) ss. gerceral notary public duly eommissioned and��qualified for said County,
<br /> ' _ Ad�tts _.: CountyJ personally came .�arence_Anderson,..Priesident_.____ '
<br /> ` the duly authorized representative or representatives of_________ ________ ...__._._._.__.__.._
<br /> ' The Nary Lannin�__Ho��ital Trust�._a corporation
<br /> - -- -- --------- --------------�-------
<br /> to nce known tq be said du;ly aµtlaorized.;re.presentative or repr2sentatives and tlae
<br /> identical person or persons who s:igned the foregoing instrurrtent .and tzc:knowledged
<br /> the execution thereo j to be his, her or tkeir.voluntary act and deed. and the
<br /> voluntary act ed of said cozporation.
<br /> WITNES �.a�c arial Seal the da and year last above written.
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<br /> :'�� D 0 N •�.
<br /> ; AN0ERS0N ---:--- ---- - --- - -----------•--- ----------------------------
<br /> ----------------
<br /> ' : (;�MF:IS�IJk : Notary Public '
<br /> :a<:. EXriRES . ; *
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<br /> ` . My commi ioh ez�����._.�---- ' Y f
<br /> � •--.. a o ----� 19--------•
<br /> -•----------------------••--•------•-------...
<br /> s�.. 1916 ;;'!
<br /> �
<br /> J�9rf.of •NEB��S
<br /> STATE OF------------•---------------------------� On this.---------------daY ��-------------_--------------•--•-•--•-------------• 19-----=--, before me, a
<br /> ) ss. general notary public duly co�nrnissioned and qualified for said Couacy,
<br /> -----------------------------=-•--=----------• County� personally came.-------------••--•---•--•:.--••-----••--------------------•---------------=--------------------------
<br /> ' ---------•-•------------------------•-•-•-------------•....._.._..-•------------------------------------------------------------------------------------
<br /> � the duly authorized represent¢tive or representatives o�_.___.__.__'___..,_____._____________________._
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<br /> ----•-----••----------• ----------------------•------•----------------------------------•-•-•-•- -••----•-----•----------••--•----•----�--------
<br /> ,� s to me known to be s¢id duly authorized representative or representattves aad the
<br /> ?� � identical person or persons who signed the �oregoing instrument arcd acknowledged
<br /> 1'` the execution thereo�to be his, her or their volun�ary act and deed.
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<br /> � ci._ `" WITNESS my haad and Notarial Seal the day and year last above written.
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<br /> G ' O� Z�" ��� � a Notary Public � __,
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<br /> i h� �Ecomnaission expires the----------------dgY of- , �
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