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"00400868 <br />STATE OF NEBRASKA, Hall' County ss: <br />The foregoing instrument was acknowledged before me this 28th day of <br />January, 2004 by DOMINGA MARTINEZ, A SINGLE PERSON <br />Witness my hand and notarial seal at GRAND ISLAND, NEBRASKA in said County, <br />the date aforesaid. <br />My Commission Expires: January 30, 2004 j <br />zfL% <br />Notary Public <br />,i' R!i ERAL f J C4 , <br />C f i =A j. h' 71 V } <br />� M; Covi� . Ex�.1a,. lu,14 E <br />00424238 <br />= -6A(NE) (0005) <br />B <br />Page 15 of 15 <br />Initials: D 411 <br />Form 3028 1/01 <br />