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NEB1A&KA <br />Good Life. Great Journey. <br />DEPARTMENT OF TRANSPORTATION <br />I, oh`ti'� <br />is true and accurate to the best of my knowledge: <br />202110221 <br />STATE OF NEBRASKA <br />DEPARTMENT OF TRANSPORTATION <br />Affidavit <br />, the undersigned, swear or affirm that the following <br />1. I am the 6W t\Q'"' for �+� o t.S W yS \\Q <br />(title) - (name of organization) <br />organized in accordance with the laws of the State of t `f�V, w and/ or <br />lawfully operating in the State of Nebraska; and <br />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 ""db day of dC4'o]4 t., , 20 a ] . <br />State of /1/4"-11613.i4A-et ) <br />'�� ) ss <br />County of J L1 r' Ely ) <br />Subscribed and sworn before me this i'L'dday of <br />(JAMES B. FLOWERDAY �1 <br />General Notary State of Nebraska <br />I My Commission Expires <br />May 23, 2023. <br />Signature <br />env S -oh, <br />Print Na <br />c?'l)P --'- , 20 2/. <br />Notary Public <br />Project No.: 5409(3) <br />Project Name: Five Points Intersections, Grand Island <br />Control Number: 42863 <br />Tract No.: 8 <br />