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201901175 <br />GI HOSPITAL REAL ESTATE, LLC <br />By: <br />Name: Thomas F. Werner, M.D. <br />Title: Authorized Representative <br />STATE OF NEBRASKA ) <br />) ss. <br />COUNTY OF <br />On this Z 1k"day of 4,t3LnLA. , 2019, before me, the undersigned, a Notary <br />Public in and for said County in said State, per onally 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 Real Estate, LLC, a Nebraska limited liability company, and that such instrument <br />was signed on behalf of GI Hospital Real Estate, LLC by authority of its members, and such <br />officer acknowledged said instrument to be executed for the purposes therein stated and as the <br />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 the <br />day and year last above written. <br />(SEAL) <br />tGENERAL NOTARY - State of Nebraska <br />KATHRYN A. MILLER <br />LP MyComm. Exp. Dec. 15, 2019 <br />°z:"j•-)-A411--- <br />ry Public <br />[Signature Page to Notice of Commencement] <br />