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N <br />0 s <br />CO <br />CS) <br />• <br />00 • <br />CO <br />Return To: <br />Heritage Bank <br />PO Box 3 <br />Hastin <br />W Third Street 1.Ot Z Q <br />8902 �.J�nY0.1t Lo48'Ff?-63zq <br />Notice of Commencement <br />nn <br />rn N k:_.)--1 <br />n 2 c_ <br />Tz —4 <br />`O r -71__I rTI <br />:::1 -.7c CD —< <br />I e1 :T) <br />11 . -fl <br />L') --1 T <br />-H S C) <br />ni <- 's I> CD <br />C.) <br />CD <br />N <br />CD <br />Parcel Identifier Number <br />Permit No: <br />The undersigned, after being first duly sworn, states as follows and verifies that the information set forth in this <br />Notice of Commencement is true to the best of the undersigned's knowledge, information and belief: <br />1. Description of Property (legal and street address): <br />3626.3632 S. Locust St. Grand Island, NE, 68803 Lot Three (3), JGMO Subdivision to the City of Grand Island, Hall County, Nebraska <br />2 General Description of Property: <br />3. Name of Borrower(s): <br />CROSSROADS CENTER <br />Address of Borrower(s): <br />702 W. 14th St., Hastings, NE 68901 <br />4. Borrower(s) Interest in Property: <br />5. Name & Address of Fee Simple Titleholder (if other than Borrower): <br />6. Builder's Name: <br />Builder's Address: <br />Notice of Commencement -NE <br />VMP ® Bankers Systems TM <br />Wolters Kluwer Financial Services ® 2005, 2011 <br />VMP 13101NE1 111061.00 <br />Page 1 of 4 <br />