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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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Owner: Crossroads Center <br />Project Number: 2019A10010 <br />Signature: <br />Date: o? -24.23 <br />STATE OF —" <br />COUNTY OF <br />ss. <br />) <br />Printed Name: Daniel Buller <br />202301323 <br />Printed Title: Executive Director <br />The fore oing instrument was acknowledged before me on this • day of r' <br />20, <br />by nIe- I F31 -4I L€X <br />Signature (Notary Public) <br />Typed or Printed Name <br />My Commission Expires: <br />Page 5 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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