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NEBRASKA <br />Good Life. Great Journey. <br />DEPARTMENT OF TRANSPORTATION <br />e and accurate to the best of my knowledge: <br />201904412 <br />STATE OF NEBRASKA <br />DEPARTMENT OF TRANSPORTATION <br />Affidavit <br />, the undersigned, swear or affirm that the following <br />1. I am the Pre. 54 01-V for 2-0D t't i1, D Bct e 56 L. <br />(title (name,of organization) <br />organized in accordance with the laws of the State of /C/,. 4f%/A- and/ or <br />lawfully operating in the State of Nebraska; and <br />2. In that capacity or by resolution of the <br />(governing body) <br />dated , 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 /6 day of <br />State of <br />County of %t,,,t,t <br />ss <br />Subscribed and sworn before me this % day of <br />,20 / . <br />Prin ame <br />,20/ . <br />GENERAL JE NOTARY- SJ. <br />ateW I TAKER <br />JEFFREY WHITAKER <br />y ` My Comm. Exp. January 24, 2022 <br />Project No.: 30-4(162) <br />Project Name: In Grand Island Bridges (TK) <br />Control Number: 42776 <br />Tract No.: 4 <br />