|
��14�155�
<br /> �.��o���������
<br /> a'
<br /> � �r s�� ...��....�j� ��.J' +s
<br /> f �:::� �. .._..��..�F:.....
<br /> �ta�e� w, � §
<br /> §
<br /> Caunt�af �.. -� � � §
<br /> �.�..:
<br /> � �4 �� Y� �.: a�� � ,6+ �.
<br /> '� ? .�, �7 f' / „'�� r�'� r::;.:.:.r��9
<br /> The foregaing ins��-u�nent v►�as acknawledged beforc xne on -�`��..�,.�i�,���. .��.� �� � � bY
<br /> �EN��E'�TII E 11�IURRI�S.
<br /> �`y'. �� �'3� .....—, 1 r
<br /> i ^•�� J 5,,' � � ot
<br /> � ;� � �,,..,4 � .� f's.} �:° �j
<br /> 't� �3 g�y,rn'E,y r'�4�.�d'e���`�..�... �'.
<br /> �a,�..:<.,�-•���_•� �'i.c k.,.� �'-•. ....qR�w �
<br /> S��natu�•e of P��-son Tak�n�Acknawled�men�
<br /> �.,.,e y7.9 ��,!��,....... � 3 !^ ��..
<br /> � r � Y�
<br /> � �.���;-�_.�'�.��a.� ,�' ��.. ��... �.', �.��...<�..� �,�J._ •��.�
<br /> ��—�..��;� - � .,_
<br /> ���., •�t��e�fl�N�b�ask� Prz�ated Name
<br /> :� ��i�������'������K ��.�:�
<br /> �:. �� �_��:.:...
<br /> �+F.7Y r RC� ����a�p�,�Ya�.`��!L���. r .��.,. ..� � � �.'m..:��� �
<br /> I
<br /> , . .. . Ti��c o�-Rank �
<br /> 5eria�I�umbe�-,if any:
<br /> ���. �� � �.A;�
<br /> �Seal� My Cam�n�ssion Expires: ���..�._...� �`N�........ �
<br /> �� �yf
<br /> A�I��U,'L�'LED G-M�N T
<br /> Sta�e of .��=�,��:�����..��;���-� �
<br /> {� ��....�..� ,
<br /> �
<br /> ,
<br /> �01.1#`���U� . �.,�. _r �
<br /> � �-�.._:��
<br /> ,
<br /> ��� �`� �� .� ,�•:�
<br /> The foregoing inst�ume��t tiva� acknov�r�edged b�fore ��Ze an �.� ������;:•`��� ���,.�_ �.,u����� by P.AMELA► L
<br /> �
<br /> �I�I[�RRI��.
<br />` �� tF S.�'s� /' r i� ..E
<br /> �. .�.�_ �'�`: �-�w..� :� l -���'....�;;..�:.�:.-��`_
<br /> Signatu��of.Pe�son Tal�ing Acknov�ledgment,
<br /> �� d _..,._ � �:�• � ''
<br /> :��� S��yof��b r�s�a ..._ aF,.�r� �:�.. .�����:��::E.� ��:� �?-�:.�.��Y:...
<br /> �_ �����L.ST�I�V���C� Prin�ed�Na�ne �. ,, P
<br /> .�:,�.�r�� � ����3.�](�.�1Li �� ����. ���-�� ;��� ;.,•����.�`-��.� �.,..
<br /> � �• , �:
<br /> Titie o�•Rank
<br /> Serial Numbet•,if any:
<br /> �.... �z= ��.�.��
<br /> �Seal) My Commissit�n�E,xp��•es: ��-n--�, �; `�-�� �
<br /> �ri�ina�o�'Company:�REST�I��VI�RT�A�E��]RP�I�.A�7�'I��,�M�S I�77:�915
<br /> �rigina�c�r Name:R�BERT PY�LR,NI�'IL�II�:915647
<br /> Nebraska Ueed of T�•us�Sin�le Fam�ty---Tannie MaelFreddie IVIac Uni�'orm Instrument Fax•rn 3028 11�T
<br /> IVIERS Madif�ed
<br /> The�ompliance 5nurce,�nc. Page 1�vf�4 Madified by Camp�iance 5ource 143p�.NE 481D�Rev.44113
<br /> �vww.compliancc�ource.�om ozaoo-ZU13,The Compliance Source,Y��c.
<br /> � � €] � � � 5 C3 8 5 g3 5 �- L� C7 A D �- '1 4 -�- 1 � �
<br />
|