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State of i 3-+ - A / <br />County of 11 * L <br />The foregoing ins ent was acknowledged before me on 40 C v / 1 .Z / <br />Chad Rolfes R ( - fill in marital status) <br />State of r 4,4./t <br />County of / A-L C_ <br />The foregoing ins ru ent was acknowledged before me on <br />Lori Rolfes �� Alt R t <br />STATE OF <br />County of <br />Seal <br />By Deputy <br />GENERAL NOTARY - State of Nebraska <br />ALVIN A. AVERY <br />*Ceram. Exp. Jan. 11, 2014 <br />tary Public <br />QILI / &f2 <br />(fill in marital status) <br />Reg. of Deeds <br />201305143 <br />by <br />by <br />Entered on numerical index and filed for record in the Register of Deeds Office of said County <br />the day of , , at o'clock and minutes <br />M.,and recorded in Book of at page <br />