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201400842
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Last modified
8/19/2014 2:25:28 PM
Creation date
2/13/2014 2:27:06 PM
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DEEDS
Inst Number
201400842
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NOTARY CERTIFICATION FOR CLAIM OF LIEN <br />State of / v e sgvc,.s <br />20 1400842 <br />County of /94-1 G. <br />On ,� I, , 13 p? of $/ (date) G 1l 'c h (name of claimant), came <br />before me personally and duly sworn on oath and under penalty of perjury, stated that he or she is the <br />claimant described in the above claim of lien and that he or she has read the foregoing claim of lien and <br />has knowledge of and personally knows the foregoing statement of claim of lien which he or she <br />subscribed is true and correct and is not frivolous, nor clearly excessive, and is made with reasonable <br />cause. Subscribed and sworn to before me on the above noted date by the above noted claimant, and <br />proved to me on the basis of satisfactory evidence to be the person who appeared before me. <br />otary Signature) <br />Notary Public, In and for the County of / 4 <br />State of `ye,iv int <br />My commission expires: ......__......._.__ Seal <br />EMf tAt1101AAy State of Nebra <br />DIANNE L SCHULTE <br />Comm 6p. Nix 14, 2017 <br />
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