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NEBRASKA <br />Good Life. Great Journey. <br />DEPARTMENT OF TRANSPORTATION <br />Aso,J /YI r YE/2--- <br />is true and accurate to the best of my knowledge: <br />201904411 RETURN <br />STATE OF NEBRASKA <br />DEPARTMENT OF TRANSPORTATION <br />Affidavit <br />, the undersigned, swear or affirm that the following <br />)6e P(Z S kNT cARG u i �c, suPPL ( C i JOKI1 <br />1. I am the for , A <br />(title) (name of organization) <br />organized in accordance with the laws of the State of Dd k.itiu+:tt__ and/ or <br />lawfully operating in the State of Nebraska; and <br />2. n that capaci bion of the N!A <br />(governing body) <br />dated %U/ , I am authorized to sign any and all documentation on behalf <br />of the above named entity regarding the sale or use of property rights in general or specifically <br />with the State of Nebraska - Department of Transportation project as noted at the close of this page. <br />Dated this 21 day of "1"1E- , 20 (1 . <br />State of Minnesota <br />County of Hennepi n <br />ss <br />Signature <br />A5op MEyt12 <br />Print Name <br />Subscribed and sworn before me this 21st day of June , 2019 • <br />KATHERINE ELIZABETH ALEXANDER <br />'is <br />.i;,E Notary Public -Minnesota <br />`. My Commission .Tones WI; -. 2024 <br />Project No.: 30-4(161) <br />Project Name: Gibbon - Shelton (TK) <br />Control Number: 42781 <br />Tract No.: 7 <br />