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201607620
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Last modified
7/3/2017 5:40:47 PM
Creation date
11/14/2016 4:18:38 PM
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DEEDS
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201607620
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STATE OF <br />• <br />I further certify that to my knowledge: <br />Agent's Name: Jane Ambroz <br />Agent's Address: 2719 W 24 Street # 15 <br />Kearney, NE 68845 <br />GENERAL NOTARY • State of Nebraska <br />CARINA MORENO -P 3 0 <br />My Comm. Exp. April <br />Record And Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY 6 6 <br />AND AGENT'S AUTHORITY <br />O A D COUNTY OF y ) SS: <br />I, Jane Ambroz, Agent, certify under penalty of perjury that Julie Ambroz, Principal, granted me <br />authority as an agent or successor agent in a power of attorney dated October 4, 2016 which is <br />attached hereto. <br />(1)The Principal is alive and has not revoked the Power of Attorney and my authority to act <br />under the Power of Attorney and the Power of Attorney have not terminated; <br />(2)If the power of Attorney was drafted to become effective upon the happening of an event or <br />contingency, the event or contingency has occurred; <br />(3)If I was named as a successor agent, the prior agent(s) is /are no longer able or willing to <br />serve; <br />(4)The Agent is conveying Principal's interest in the following described real estate: <br />The Southerly One Half (S1/2) of Fractional Lot Five (5), in <br />Fractional Block Thirteen (13), in Rollins Addition and its <br />complement, to -wit: Fractional Lot Five (5), in Fractional Block <br />Twenty -Three (23), in Wallich's Addition, both being Additions to <br />the City of Grand Island, Hall County, Nebraska. <br />(5) Other relevant statements, if any , are as follows: <br />Dated: 1 a , 20_11/2_. <br />Janie Ambroz <br />The foregoing instrument was acknowledged before me on 1 <br />by Jane Ambroz. <br />icg.Wb <br />(seal) Notary Public <br />My commission expires: <br />CLI <br />CT) <br />C7' <br />6 cnk ,2016 <br />
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