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Lessee(s) of Equipment: Richard J Curry <br />NOTARIES REQUIRED FOR ALL SIGNATURES <br />Lessee Signature <br />Document Date: 4/2/2004 <br />By: By: <br />Individual signature of person authorized on behalf of the entity Individual signature of person authorized on behalf of the entity <br />Individual's signature - Le,S e Individual's signature - Lessee <br />Owner(s) of Real Estatj <br />By � <br />Individual signature of person authorized on behalf of the entity In ' dual's signature <br />By: <br />Individual signature of person authorized on behalf of the entity Individual's signature <br />Real Estate Mortgage, Contract Holder, Lienholder(s) of Real Estate <br />By <br />Individual signature of person authorized on benalf of the entity Individual's signature <br />Quantity /Manufacturer /Model/Type /Serial Number Equipment Cost <br />1 Valley 08ye 0 PO ivot 10313750 $38825.00 <br />Legal Description: Owners of Real Estate /Interested Parties: <br />Sec. TWP (List all owners and other parties with interest in the real estate. <br />Please include what interest is, such as owner, lienholder, mortgage <br />SE' /, 34 9N 10w holder, etc.) <br />County of:Hall State of: NE Owner: Francis E. Lowell <br />Lienho!der: None <br />Individual Acknowledgment (notary) <br />State of - _ &i rQ S /e nt Q <br />County of <br />On this -6— day of , / before me a Notary Public appeared <br />to nown to be the person named in and who executed same as voluntary act and deed. <br />My Commission Expires 9 — /op 'oP490 b <br />Notary <br />�i WAGaENER:AL NOTARY - State of Nebraska <br />State of / l�tl S �l CAROL L CURRY <br />J L omm. Exp. Sept 12,20 <br />County of Ao� // /; "' <br />On this �3 day of 1�Y � L ,before me a Notary Public appeared <br />to me, k n to be the pers n(s) named in and who executed same as voluntary act and deed. <br />na f %%4,e-T- My Commission Expires: <br />Notary <br />6661AL NOTARY - State of Nebraska <br />LANA MARET <br />Severance Agreement Form 8336 (9 -2003) WftmftJ0m17,2007 Page 2 of 3 <br />Contract Number: 300 - 9113991 -001 Application Number: 527956 Customer Number: 113991 <br />