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206403826 <br />EXHIBIT "C" <br />to Contract for Purchase <br />RECEIPT FOR PAYMENT AND CONFIRMATION BY CONTRACTOR OR SUPPLIER <br />The undersigned contractor or vendor with respect to the improvements (including goods <br />which are to become fixtures and fixtures) and equipment provided for the distance learning center project for <br />Central Community College Area's Grand Island, Nebraska, campus (the "Project ") hereby confirms the <br />following: <br />1. Receipt is hereby acknowledged for payment in the amount of $ ; <br />2. Title to any and all property provided for the Project in connection with such payment is <br />hereby confirmed in Central Community College Facilities Corporation (the "Corporation ") and, upon <br />payment in full of all amounts owing to the undersigned under the undersigned's contract or contracts with <br />Central Community College Area or the Corporation, the Corporation shall succeed to and be subrogated to <br />all payment rights related to the Project as and to the full extent that funding for the payment hereby receipted <br />has been provided from or reimbursed to Central Community College Area from the Construction and <br />Acquisition Fund described in that Trust Indenture and Security Agreement dated as of April 1, 2004, by and <br />between the Corporation and Wells Fargo Bank, National Association. <br />Dated this day of , 200_ <br />(Name of Contractor or Supplier) <br />By: _ <br />Title: <br />DOCS/598418.3 <br />