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200009030 LL Datedthis ........................... day of ........ .............................. 00 ........... 20 On the above date, before me a General Notary Public duly commissioned and qualified., personally came ....................... ............................... ...........•.:6r..:..::.....SV A �> C.Y :.,� 1 .................................... ............................... .......... Y�Y.�,,,i.... :............................................................ To me known to be the identical person , whose name.... affixed to the foregoing instrument as grantor ..%... and acknowledged the same to be a voluntary act and deed. WITN S my hand and otarial Se day and year above written. auY� Notary ............................. ...........................�... / My contlnissiou expires lhd day �oN'�'`!�i `� Y QC r1t1R_ a..... ,. Dated this ......�.......... day of ..........6�� (.1� 2((10 .... .. ............................ On the above dale, before me a General Notary Public duly commissioned and qualif ....p r onally camc ...;�..... ............... ...... 2 .. ............. .r.�..... .. rr..... �. ..... .r. ......... .....�.Q .... ........................................................................................................................................ To me known to be the identical person S� whose namf.!.'.,ea Ned to the foregoing instrument as grantos5.. and acknowledged the same to be a voluntary act and deed. WITN n hand a Notari Seal th day and year above written. Notary .............. .... ... .................... . } .r .... .......... ..... ....... .......... My cununissiun expires t , .{LOay of ... S�n3tn1<). • lJ Y ,� STATE OF ..... �L1G.ol�tir : `...,�.p. PUBLIC STATE OF �.. _ .. . ` I —L S ��r'�tr •.•� 1S.•�.•�ei��/ SS. ............ k ......... ............................... COUNTYj� ' 1I ��, `` MEMORANDA GENE AMY•Slate of Nebtas�a III CLO AXFORD PLEASE PRINT ALL NAMES My Comm. Exp. Nov. 26, 2000 Exact and full name of OWNER, as same appears of record ......... __.._... ....................... »__... ._.........._....._.._ „......_. If married, full name of spouse ............ .... .-._ ..... .................. ................ Ifunmarried, show "single,” "widower," "widow" .......... » ........_..__•..._ ..........................................................................................._.....-...... .......................... ........ _._... „_........... If mortgage or other liens, show names of holders, amounts, dates and. book .. page record . .............. _ ..................... ............................... � Pge of record ................_.._.............................. ............................... ._.•. .... _..._. .....__ ...... _.......... � ...... ....................._.._. �.._......_ .......................................................................... ...:........................... _ If an estate, give the names of all the heirs, with the share of each. Show names of spouses of those .............................. .... »_ ... .. ... :........... . married ...... ............................... „ _......__._..... .. ».. _..........„....„......._ ......................................................... ............................... Name of executor or administrator ............... ._... ............. , Ifany of the owners or heirs are minors, give their-names and ages ..._.._......... _: .................................. ::,: . ......................._....... ...... ...... 1 __ ............. _ ....... _ ._ .................. .._.........................._. ................................................... .................................................................................... ...... Name of guardian ..... _._ ........ ............. ... ...._ ...................... _._. _.._.. . ».... ».__ ... _ ....» ..........._.._ ._............_..... ........... TENANT -Exact and full names. Rent Agreement ----------- ---------- ----------- REMARKS Rads „ } r* 1 r. L_