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RETURN TO: Arend R. Baack <br />- P.O. Box 790 <br />Grand Island, NE 68802 -0790 <br />SPACE ABOVE RESERVED FOR REGISTER OF DEEDS OFFICE RECORDING INFORMATION <br />TITLE OF DOCUMENT: CERTIFIED DEATH CERTIFICATE FOR DEEDS <br />44 <br />[ ] Transfer on Death Deed [ ] Joint Tenancy <br />[ ] Life Estate [ ] Other <br />DEED RECORDED: <br />June 18, 2010 <br />DATE(S) <br />GRANTOR: State of Nebraska Department of Health <br />Lloyd E . Romine (Deceased Person's Name) <br />GRANTEE: <br />Lloyd E. Romine <br />Phyllis M. Romine <br />FULL & COMPLETE LEGAL DESCRIPTION: <br />- 0201004436 <br />RECORDING INFORMATION <br />Last Vesting Deed(s) , <br />Unit Three (3) The Village Condominiums, a Condominium, <br />in the City of Grand Island, Hall County, Nebraska. <br />t • <br />r <br />en <br />-a <br />n - 11 rn <br />r-) r.. CI] -t <br />P c -1 <br />cn m z <br />rn <br />w (I) <br />p r ..c 7c <br />Cia 40 <br />(INCLUDE LEGAL DESCRIPTION ABOVE OR ATTACH LEGAL DESCRIPTION ON PAGE 2) <br />(Deceased Person's Name) <br />(Surviving Grantees <br />Listed on Recorded Deed) <br />c6 <br />