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Sponsor: Crossroads Center <br />Project Number: 2019A10010 <br />Signature: 44"4 7gPrinted Name: Daniel Buller <br />Date: �.2 Vo20-2 <br />STATE OF Albrask c <br />COUNTY OF A010 ►NLS <br />) ss <br />*202109650, <br />Printed Title: Executive Director <br />The foregoing instrument was acknowledged before me on this 97* day of DG, -o <br />20 , <br />by <br />atiL <br />natu e (Notary Public) <br />Typed or Printed Name <br />My Commission Expires: Og-,)8 aigy <br />Page 4 of 6 <br />(seal) <br />GENERAL NOTARY- State of Nebraska <br />JENNIFER E. DITTMER <br />eillio <br />My Comm. Exp. Feb 28, 2024 <br />Revised: August 19, 2019 <br />