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99 110150 <br /> IN WITNESS WHEREOF,The said first party has signed and sealed these presents the day and yeaz first above <br /> written. Signed,sealed and deliv red in presence of: <br /> / � <br /> Signature of Witness g Fir Party <br /> �c�Gt,��cF ��a� So��geds-f J �-f'�r�y/ 7vG( �dvr��a� <br /> print n e of Witness � Print name of First Party <br /> V�F . � <br /> �� � . �\ ���/V /V✓Vl �� � <br /> �gnatur of V45tt1es3 � - Signature of First Party <br /> I �1 � � � � r v�✓b� <br /> rint name of Witn Print name of First Party <br /> State of /U2 } <br /> County of �p�,�` � <br /> On �A,� aS�Fh �cl�j�t before me, ���,Jr^`' SCi c' -e I�'�'��2��re.-� �o c''C'�0�4 n <br /> � <br /> appeared (�,o.�- aS� 1�1.q�j �►ti�� �'MM2�crA n <br /> personally known to r1�'e (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) <br /> is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the <br /> entity upon behalf of which the person(s)acted,executed the instrument. <br /> WITNESS my hand and fficial seal. <br /> Signature of o ian[ Known Produced ID <br /> GENERAL NOTARY•State of Nebrask pe of ID <br /> �� TRUUY JANULEWICZ <br /> State of �£ } <br /> My Comm.Exp.Nov.29,2000 (Seal) <br /> County of ���� <br /> On (Y`o�� o`��+�� ��19 before me, , <br /> appeazed <br /> personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) <br /> is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in <br /> his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the <br /> entity upon behalf of which the person(s)acted,executed the instrument. <br /> WITNESS my hand and offi al seal. <br /> Signature of No A�ant Known Produced ID <br /> ��I� GENERAt NOIARY•State of Mebraska 'lj�pe of ID <br /> TRUDY JANULEWICZ � (Seal) <br /> My Comm.Ezp.Nov.29,1000 <br /> � <br /> Signature of Prepazer <br /> C c�w�i�� � ��t v� �ti,v�Pr► � <br /> Print Name of Prepazer <br /> 3 z�< !! � I,vk�,, E���Tf����,r�l�b��(� <br /> ,���z r Y <br /> Address of Preparer <br /> ----------------------------------------------�2�---------------------------------------------- <br /> If your state requires 8'/2"x 11"forms,cut off the bottom of this page at the dotted line. <br /> � E-Z Legal Forms Before you use this form,read it,fill in all blanks,and make whatever changes are necessary to your particulaz transaction.Consult a lawyer if <br /> you doubt the form's fitness for your purpose and use.E-Z Legal Forms and the retailer make no representauon or warranty,express or implied,with respect ro the <br /> merchantability of[his form for an intended use or purpose. <br />