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STATE OF NEBRASKA <br />) ss. <br />COUNTY OF <br />CONTRACTING OWNER <br />GI HOSPITAL BUILDING, LLC <br />By: <br />Name: Thomas F. Werner, M.D. <br />Title: Authorized Representative <br />201901175 <br />On this 2.1 *day of 4�Qrttik°'-'�''� , 2019, before me, the undersigned, a Notary <br />Public in and for said County in said State, persdnally appeared Thomas F. Werner, M.D., to me <br />personally known, who, being by me duly sworn, did say that he is the Authorized Representative <br />of GI Hospital Building, LLC, a Nebraska limited liability company, and that such instrument was <br />signed on behalf of GI Hospital Building, LLC by authority of its members, and such officer <br />acknowledged said instrument to be executed for the purposes therein stated and as the voluntary <br />act and deed of Thomas F. Werner, M.D. <br />IN WITNESS WHEREOF, I have hereunto set my hand and affixed my notarial seal the <br />day and year last above written. <br />(SEAL) <br />GENERAL NOTARY - State of Nebraska I <br />NR KATHRYN A. MILLER <br />r My Comm. Exp. Dec. 15, 2019 <br />[Signature Page to Notice of Commencement] <br />