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202301323
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Last modified
3/21/2023 1:31:23 PM
Creation date
3/21/2023 1:31:21 PM
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202301323
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Sponsor: Crossroads Center <br />Project Number 2019A10010 <br />Signature: �Gh� <br />Date: 09 -G23 - 7oZ3 <br />STATE OF <br />ss. <br />COUNTY OF 6-_(1-1� <br />Printed Name: Daniel Buller <br />202301323 <br />Printed Title: Executive Director <br />rd <br />The foregoing instrument was acknowledged before me on this day of 1=71--' <br />20 �3 <br />by <br />Signature (Notary Public) <br />3;:?Gtc..-c- r: BA 1 c= V1 <br />Typed or Printed Name <br />My Commission Expires:/r 91� <br />Page 4 of 6 <br />(seal) <br />GENERAL NOTARY- State of Nebraska <br />DAWN BALDWIN <br />My Comm. Exp. August 19.2025 <br />Revised: August 19, 2019 <br />
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