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STATE OF NEBRASKA ) <br />Hall ) ss' <br />COUNTY OF ... ................... ) <br />20001.05E) <br />The foregoing instrument was acknowledged before me on ..r.!? .t...C{J. . <br />by ... John..W.... Amick........... I . . ... . ... , Personal Representative of the Estate of <br />S on j a M. La t me>7 Deceased. <br />(SEAL) <br />gENERIII. N07ARY40 01 KW UM <br />DIANE ENGLAND <br />14 Notary Public <br />My commission expires ......... . � D 7 <br />STATE OF NEBRASKA, County of ................ ............................... Filed for record <br />and entered in Numerical Index on ................................ 19...... at ...... o'clock ..... m., <br />and recorded in Deed Record ...................... ............................... Page ......... <br />NCLE Form 370 <br />§ 30- 24,105 <br />............ ............................... <br />County of Deputy County Clerk <br />Register or Deputy Register of Deeds <br />© 1991, Nebraska Continuing Legal Education, Inc. <br />Page 2 of 2 Pages <br />Rev. 3/91 <br />PAGE 300 -109 <br />