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Sponsor: Crossroads Center <br />Project Number 2019A10018 <br />Signature: <br />Date: <br />STATE OF A1 ebras Ka( <br />COUNTY OF ACIa/r1S <br />) ss. <br />Printed Name: Daniel Buller <br />202106317 <br />Printed Title: Executive Director <br />The foregoing instrument was acknowledged before me on this day of 3 U IL/ <br />202 <br />by U0,11 0 Bo le✓ <br />S' ature ( otary Public) <br />Typed or Printed Name <br />My Commission Expires: 12-14- 203 <br />Page 4 of 6 <br />(seal) <br />pe <br />GENERAL NOTARY- State of Nebraska <br />JENNIFER THIEBEN <br />My Comm. Exp. Dec 4.2023 <br />Revised: August 19, 2019 <br />