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Return To: <br />Heritage Bank <br />PO Box 5138 1333 N Webb Road <br />Grand Island, NE 68802 <br />2. General Description of Property: <br />3. Name of Borrower(s): <br />R & G Real Estate, LLC <br />Address of Borrower(s): <br />21250 Pawnee Road, Gibbon, NE 68840 <br />Notice of Commencement -NE <br />VMP ® Bankers Systems TM <br />Wolters Kluwer Financial Services ® 2005, 2011 <br />Notice of Commencement <br />Parcel Identifier Number Permit No: <br />4. Borrower(s) Interest in Property: <br />5. Name & Address of Fee Simple Titleholder (if other than Borrower): <br />6. Builder's Name: <br />Builder's Address: <br />The undersigned, after being first duly sworn, states as follows and verifies that the information set forth in this <br />Notice of Commencement is true to the best of the undersigned's knowledge, information and belief: <br />1. Description of Property (legal and street address): <br />Lots One (1), Two (2), Three (3), and Four (4), Block Three (3), in West North Lawn Second Addition to the City of Wood River, Hall County, <br />Nebraska <br />VMP1310(NE) (11061.00 <br />Page 1 of 4 <br />Pnl <br />m <br />O t'1"f <br />GO ty <br />co co <br />—J <br />C <br />U1 Z <br />Z <br />0 <br />