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201900347
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1/16/2019 3:34:56 PM
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1/16/2019 3:34:56 PM
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201900347
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LiE0061.0Z <br />101/211SSY '1'0 <br />Record and Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />G'y <br />N <br />0 <br />t--4 <br />,1 <br />cJ <br />CO <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY <br />AND AGENT'S AUTHORITY <br />I, David E. Burnham, certify under penalty of perjury Amy L. Burnham, granted me authority as <br />an agent or successor agent in a power of attorney dated January 11, 2019, which is attached <br />hereto. <br />I further certify that to my knowledge: <br />The Principal is alive and has not revoked the Power of Attorney and my authority to act under the <br />Power of Attorney and the Power of Attorney has not terminated; <br />(1) If the power of Attorney was drafted to become effective upon the happening of an <br />event or contingency, the event or contingency has occurred; <br />(2) If I was named as a successor agent, the prior agent(s) is/are no longer able or willing <br />to serve; <br />(3) The Agent is conveying Principal's interest in the following described real estate: <br />(4) Other relevant statements, if any, are as follows: <br />Lot Twelve (12), Sunset Subdivision, in the City of Grand Island, Hall County, <br />Nebraska. <br />Dated: <br />, 2019. <br />David E. Burnham <br />Agent's Name: David E. Burnham <br />Agent's Address: 3720 State St #1111 <br />Grand Island, NE 68803 <br />Agent's Phone: 308-381-9546 <br />STATE OF <br />COUNTY OF <br />The foregoing instrument was acknowledged before me on <br />by David E. Burnham. <br />GENERAL NOTARY - State of Nebraska <br />MARNIE SCHAGER SUNDERMEIER <br />My Comm. Exp. September 8, 2019 <br />iUL <br />11 <br />hi All& <br />• <br />(seal) Notary Pu <br />1805424 <br />c <br />/✓ ,2019 <br />ON 1N3WH1SN <br />
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