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NEBRAS-KA <br />Good Life. Great Journey. <br />DEPARTMENT OF TRANSPORTATION <br />I, /0-1 1/1and 0 Cdanor <br />is true and accurate to the best of my knowledge: <br />202107514 <br />STATE OF NEBRASKA <br />DEPARTMENT OF TRANSPORTATION <br />Affidavit <br />, the undersigned, swear or affirm that the following <br />1. I am the ia d,,, a yi No / n her for ��-.r► — �.g. �— . L ` C <br />(tide) (mire of organization) <br />organized in accordance with the laws of the State of 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 this Z day of JI,,,Ql,i <br />State of NQ ti eLS 6— <br />County of(l <br />) ss <br />, 20 2 l . <br />Si ture <br />aA•JNbt o 0l LoNtion - <br />Print Name <br />Subscribed and sworn before me this 2cl day of , 20 2-4 <br />/4 GENERAL NOTARY - State of Nebraska <br />YVONNE L WRIGHT <br />le?.�"^+ My Comm. Exp. September 30, 2022 <br />Project No.: 5409(3) <br />Project Name: Five Points Intersections, Grand Island <br />Control Number: 42863 <br />Tract No.: 7 <br />