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�a����2�� <br />Acknowledgment by Individual <br />State of <br />� <br />County of <br />On this_�day of �/� 1J �VYI ��� 20 �. before me, �� Y� l� 1� � hYYte 1' <br />Name of Notary Public <br />the undersigned Notary Public, personally appeared <br />Name of Signer(s) <br />C.� Proved to me on the oath of <br />G Personally known to me <br />� Proved to me on the basis of satisfactory evidence �� �Y l—.�' G'' Cg �/�� ��O���J <br />(Description of ID) <br />to be the person(s) whose name(s) is/are subscribed to the within instrument, and acknowledged that he/she/they executed it. <br />WITNESS my hand and official seal. <br />GENERAL NOTARY - State of Nebraska <br />PATRICIA SCHMIT <br />� My Comm. Exp. May 5, 2013 <br />Notary Seal <br />Description of Attached Document <br />(Signature of Notary Public) <br />My commission expires �� � <br />Type or Title of Document <br />P �� �j �J'j _ <br />Document Date Number of Pages <br />� 1 - z - �z__ <br />Signer(s) Other Than Named Above <br />S�anner Fmbled Stares shovld scan thts form <br />Manual Subm6slon Route to Deposh OperaNam <br />uws3so n-n) <br />_ � _-1- <br />FO01-OOOOODSG5350-01 <br />Optlonal: A thumbprintis <br />only needed if state statutes <br />require a thumprint. <br />