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IN 1 <br />first <br />of <br />Print name of Witness <br />Signature of Witness <br />The aid first party has signed and sealed these presents the day and year <br />.ale and delivered in presence oj: <br />of First <br />Print name of First Party <br />Signature of First Party <br />Print name of Witness Print name of First Party <br />State of <br />County of H a. <br />On (D C-A 0 Z c -t before me, e h Xr s t .�-c 1M o {c s } o <br />appeared -t c� nn ar k. S n d cI r as �- <br />personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) <br />whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they <br />executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the <br />'instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />WITNESS my hand and official seal. GENERAL NOTARY-State of Nebraska <br />CHRISTINE M. ROOKSTOOL <br />y / J Llaiak My Comm. Exp. June 1, 2002 <br />Signature of Notary <br />Affiant Known Z X Produced ID <br />Type of IDr; <br />(Seal) <br />State of <br />County of <br />On before me, <br />appeared <br />personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) <br />whose name(s) is /are subscribed to the within instrument and acknowledged to me that he /she /they <br />executed the same in his/her /their authorized capacity(ies), and that by his/her /their signature(s) on the <br />instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument. <br />WITNESS my hand and official seal. <br />Signature of Notary <br />Page 2 <br />Affiant Known Produced ID <br />Type of ID <br />(Seal) <br />Signature of Preparer <br />Print Name of Preparer <br />Address of Preparer <br />