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201901173 <br />STATE OF NEBRASKA <br />) ss. <br />COUNTY OF V\ o,A\ <br />On this 2.V' day of �r.>o, - , 2019, before me, the undersigned, a Notary <br />Public in and for said County in said State, per nally appeared Thomas F. Werner, M.D., to me <br />personally known, who, being by me duly sworn, did say that he is the Authorized <br />Representative of GI Hospital Real Estate, LLC, a Nebraska limited liability company, and that <br />such instrument was signed on behalf of GI Hospital Real Estate, LLC by authority of its <br />members, and such officer acknowledged said instrument to be executed for the purposes therein <br />stated and as the voluntary act and deed of Thomas F. Werner, M.D. <br />IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal <br />the day and year last above written. <br />(SEAL) <br />A GENERAL NOTARY - State of Nebraska <br />KATHRYN A. MILLER <br />rem4,6k..mv My Comm. Exp. Dec. 15, 2019 <br />[Signature Page to Acknowledgment of Deed of Trust (GI Hospital Real Estate, LLC)] <br />