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�o Xa „Elizabeth Hernandez Chacon <br />407 West 6th <br />Grand Island, Nebraska 68801 <br />STATE OF */,(444,61 ,, <br />COUNTY OF iii <br />Date <br />NOTARY STATEMENT <br />) SS: <br />201607378 <br />Before me, a Notary Public, in and for said County and State, personally appeared the <br />above mentioned, who acknowledge that they did sign the foregoing instrument and same is <br />his/her /its free act and deed. <br />IN TESTIMONY WHEREOF, I have hereunto se my hand and official seal at <br />9 .Lare'.7...611 d ,j t�i this ds day of d! l�e , 20, <br />�� .A.f( (1 % /,i/t ' <br />NOTARY PUBLIC <br />This ” ' strument prepared. "by: <br />' GENERAL NOTARY - State of Nebraska <br />PATRICIA A. RAUERT <br />p My Comm. Exp. February 18, 2018 <br />6 <br />