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1 • <br />Owner: Crossroads Center <br />Project Number 2019A10010 <br />Signature: <br />Date: <br />STATE OF <br />/a41/02.0 -i, <br />-sko. <br />COUNTY OF <br />Printed Name: Daniel Buller <br />202100650 <br />Printed Title: Executive Director <br />The foregoing instrument was acknowledged before me on this 6774/1 day of <br />200`�� , <br />by <br />gnatur- (Notary Public) <br />�niP-er E. b,441/9r- <br />Typed or Printed Name <br />My Commission Expires: <br />Page 5 of 6 <br />(seal) <br />GENERAL NOTARY- State of Nebraska <br />JENNIFER E. DITTMER <br />1441_410 <br />My Comm. Exp. Feb 28, 2024 <br />Revised: August 19, 2019 <br />