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Sponsor: Midwest Housing Initiatives, Inc. <br />Project Number <br />10015 <br />Signature: "\R!\ -41111 <br />' t' \M, <br />Date: 1.1ucpsi- a% -1 aba <br />STATE OF NebraSY..a <br />COUNTY OF LavNt..aSkv( <br />) ss <br />202108815 <br />Printed Name: h,U40d5‘3\')a+nS <br />Printed Title: P'eSlaeint. <br />The foregoing instrument was acknowledged before me on this i@r5' day of PcUC VS* <br />2O \ <br />by Am+ ClYd5Si %any <br />o <br />!utEPu)) <br />n"\Y"\ a N\. Ns‘1,Sorn <br />Typed or Printed Name <br />My Commission Expires: Mardnev— p1 3 <br />(seal) <br />Page 4 of 6 Revised: August 19, 2019 <br />