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NEBRA€KA <br />Good Life. Great Journey. <br />DEPARTMENT OF TRANSPORTATION <br />1,Oil.0 l•R= etaikl <br />is true and accurate to the best of my knowledge: <br />202107295 <br />STATE OF NEBRASKA <br />DEPARTMENT OF TRANSPORTATION <br />Affidavit <br />, the undersigned, swear or affirm that the following <br />1. I am the_ E( rr for 14-(MIL416 CO' I14c• <br />(title) (name of organization) <br />organized in accordance with the laws of the State of Nr -r$ and/ or <br />lawfully operating in the State of Nebraska; and <br />2. In that capacity or by resolution of the <br />(governing body) <br />dated , I am authorized to sign any and all documentation on behalf <br />of the above named entity regarding the sale or use of property rights in general or specifically <br />with the State of Nebraska - Department of Transportation project as noted at the close of this page. <br />Dated thizv day of 3Z90y <br />,20 �4. <br />Signature <br />e��tt L • Recipt.24,1 <br />Print Name <br />State of —572`-'44 a ) <br />ss <br />County of 4/7"7"144", ) <br />Subscribed and sworn before me this . day of ��' 1/ , 20 Z <br />I <br />I <br />LORI SMITH <br />Seal <br />Notary Public <br />Sout <br />P'r`b'feName: Fi$ <br />e,g,,;40, Ai' zi), z& 6 <br />Project No.: 5409(3) <br />Points Intersections, Grand Island <br />Control Number: 42863 <br />Tract No.: 14 <br />