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Post Office Address: <br />314 E. Division <br />Grand Island, NE 68801 <br />Name and address of Beneficiary: <br />Thomas J. Urban Irrevocable Trust <br />Dawn Urban, Trustee <br />1824 Kennedy Ave. <br />Central City, NE 68826 <br />STATE OF NEBRASKA <br />COUNTY OF HALL <br />SS: <br />The foregoing instrument was acknowledged before me ons <br />Kevin S. urban, a single person. <br />202200525 <br />, 1&LD ► <br />Notary Public <br />My commission expires: u n 1, Zi 2 <br />, 2022, by <br />GENERAL NOTARY - State of i�ebraska <br />TRICIA CAMPLIN <br />My Comm. Exp. June 2, 2022 <br />