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l3V211SEIV 'I'9 <br />1NST 7023 t3 2 2 8 11 <br />9c) <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />LED <br />HALE <br />1023 HAI <br />2: 58 <br />REGISTER CF DEL" <br />Record and Return to: <br />Grand Island Abstract, Escrow and Title Co. <br />704 W. Third Street, Grand Island, NE 68801 <br />AGENT'S CERTIFICATION AS TO THE VALIDITY OF POWER OF ATTORNEY Ca a .i9 <br />AND AGENT'S AUTHORITY <br />I, Laurel D. Roth, certify under penalty of perjury Cloy E. Roth, granted me authority as an agent <br />or successor agent in a power of attorney dated October 16, 1995, which is attached hereto. <br />I further certify that to my knowledge: <br />(1) <br />The Principal is alive and has not revoked the Power of Attorney or my authority to <br />act under the Power of Attorney and the Power of Attorney and my authority to act <br />under the Power of Attorney have not terminated; <br />(2) If the power of Attorney was drafted to become effective upon the happening of an <br />event or contingency, the event or contingency has occurred; <br />(3) If I was named as a successor agent, the prior agent(s) is/are no longer able or willing <br />to serve; <br />(4) Other relevant statements, if any, are as follows: <br />Lot Eight (8), Capital Heights Eighth Subdivision, in the City of Grand Island, Hall <br />County, Nebraska. <br />Dated: mU y , 2023. <br />Agent's Name Printed: <br />Agent's Address: <br />Agent's Phone: <br />(J.idS.P <br />Laurel D. Roth <br />Laurel D.,Roth <br />lll0 'dakkKt S+✓ee� <br />Wood Rive/ NE 60'£'3 <br />3o8 -390-y33 <br />STATE OF \)OC)01 <br />COUNTY OF kbiLk <br />The foregoing instrument was acknowledged before me on Mat. , 2023 <br />by Laurel D. Roth. <br />(seal) <br />