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60Vt0295 <br />Datedthis ........................... day of ..................................... ............................... 2000 <br />On the above date, before me a General Notary Public duly commissioned and <br />qualified, personally came ............................................................ ............................... <br />......................................................................................................... ............................... <br />To me known to be the identical person ....... whose name....... affixed to the foregoing <br />instrument as grantor ........ and acknowledged the same to be a voluntary act and deed. <br />WITNESS my hand and Notarial Seal the day and year above written. <br />Notary............................................................................................ ............................... <br />My commission expires the ............ day of ........... ............................... 2000 <br />STATEOF ................................... ............................... <br />SS. <br />.................................. ............................... COUNTY <br />Dated this .... � TH day of ........... SEPTEMBER <br />.......................... ............................... 2000 <br />On the above date, before tPHj G ral NpilaL7 JN duly commissioned and <br />qualified, personally came ............. ..... ......................................................................... <br />... RK IDENT.. U- .W,....C.. ENIERPRISES INC <br />MEMBER MANAGER <br />..... : ........... ........................ <br />. <br />......................................................................................................... ............................... <br />To me known to be the identical person ....... whose name....... affixed to the foregoing <br />instrument as grantor ........ and acknowledged the same to be a voluntary act and deed. <br />WITNES p my hand and Notarial Sea the do and year above written. <br />Notary .... r G[ i�.... {' ..; e: c' . ............................... <br />My commission expires the ..... 1... Tday of ..APRIL 2004 <br />STATE OF ... NEBRASKA <br />.......... ............................... <br />SS. <br />...................... ADAMS .............................. COUNTY <br />md"pOTARllart•dt ooft <br />K It MOFITErM <br />MEMORANDA <br />Mlp Canna Eap. !� d d <br />PLEASE PRINT ALL NAMES <br />Exact and full name of OWNER, as same appears of record ................................................... ............................... ............................ _........................................... <br />................................................................................................................................................................................................•------.........................-----.......... ............................... <br />Ifmarried, full name of spouse ..................................................................................................................................................................................... ............................... <br />Ifunmarried, show "single,.. ..widower,.. "widow .. ................................................................................................................................................... ............................... <br />Ifmortgage or other liens, show names of holders, amounts, dates and book page of record ..................................................................... ............................... <br />............................................... .. . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . .. .. . . . . . . . . . . . .. . . .. . . . . .. . . .. . . . ... . . .. .. .. ... . . . .. . <br />............................................................................................................................................................................................................................................... ............................... <br />If an estate, give the names of all the heirs, with the share of each. Show names of spouses of those married ......................................... ............................... <br />................................................................................................................................................................................................................................-•---•--.... ............................... <br />Name of executor or administrator ...................... :................... <br />If any of the owners or heirs are minors, give their names and ages ................................................................................................................... ............................... <br />........................................................................................................................................................:...............................................•--.............................. ............................... <br />----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------------------------------- <br />Nameof guardian ... ..................... ..........................................--........................ ... ...- 6.......................... ......................................................... ............................... <br />..................... ....................................................................................................................................................... .................................................................................................. <br />TENANT- Exact and full names. Rent Agreement .................................................................................................................................................. ............................... <br />REMARKS <br />u.nn^ -Wth %fta <br />