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STATE OF NEBRASKA, HALL <br />200111321 <br />County ss: <br />The foregoing instrument was acknowledged before me this 43 day of C�G <br />, by <br />PAUL R EMPFIELD AKA PAUL EMPFIELD, AN UNMARRIED PERSON <br />Withess my hand and notarial seal at Grw"j Ia' _I in said County, the date aforesaid. <br />My Commission Expires: '�/oZ �le) / <br />Z JK I <br />Notary Public <br />Initials: )/e <br />,at-6(NE) (0005) Page 15 of 15 <br />Form 3028 1 /01 <br />