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202107099 <br />Post Office Address: <br />304 W. 15th St. <br />Grand Island, NE 68801 <br />Name and address of Beneficiary: <br />Edwin D. Bolanos <br />711 E. 4th Street <br />Grand Island, NE 68801 <br />STATE OF NEBRASKA <br />SS: <br />COUNTY OF HALL <br />The foregoing instrument was acknowledged before me on / 1 , 2021, by <br />Raudel Gonzalez Pina, a single person. <br />My commission expires: <br />une,),20Zz <br />Not <br />blic <br />GENERAL NOTARY - State of Nebraska <br />TRICIA CAMPLIN <br />eta <br />My Comm. Exp. June 2, 2022 <br />