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• 201605865 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />Subscribed and sworn to before me on <br />(Notary Printed Name) <br />My commission expires on: <br />NOTARY ACKNOWLEDGMENT <br />(Si <br />ss. <br />The Affiant, Jeremy Jakubowski, being duly sworn, on oath deposes and says that s/he is the Lien Claimant <br />and that s/he has read the foregoing claim for the lien and knows the contents thereof, and that all <br />statements therein contained are true and correct to the best of his /her belief and knowledge. <br />Jeremy Jakubowski <br />3112 Brentwood Circle <br />Grand Island Nebraska, 801 <br />ature <br />9 <br />(Date) <br />H o <br />jii GENERAL NOTARY - State of Nebraska <br />DEBRA R. MITTEIS <br />By Comm. Exp. January 3, 2019 <br />