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Owner: Crossroads Center <br />Project Number: 2019A10018 <br />Signature: <br />Date: <br />7/9'/2, <br />STATE OF /vebresK-c► <br />COUNTY OF fACIapv1S <br />) ss. <br />Printed Name: Daniel Buller <br />202106317 <br />Printed Title: Executive Director <br />The foregoing instrument was acknowledged before me on this CA day of `\ u i. I <br />2021 <br />by Ukn'►et 3ukItt <br />//1'16' <br />nature N r <br />Public) <br />nat ( y <br />Imo; tt.v -Thitobeo <br />Typed or Printed Name <br />My Commission Expires: /2.."-(4' ZOO <br />Page 5 of 6 <br />(seal) <br />ug. <br />GENERAL NOTARY- State of Nebraska <br />JENNIFER THIEBEN <br />My Comm Exp. Dec 4 ,2023 <br />Revised: August 19, 2019 <br />