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PLEASE 1VPH th�t }orm. ---- <br /> 2 Rtmore SeCUted PirtY �n0 OebtO� CoP�K an0 seno other 3 toP��s wnh mterie�vetl tutfcn p�pee to the tdmp oMaCCr. .�-- <br /> 3. EnebsR hl�nq tqlsl.and fdl m ongmal Fmmemp Sutement num0er �nd d��e 6ted. ��' <br /> 4. If M� s0+n O�ov�aed ta �nr ��emisl on s�e form �s madecua[e tM�temisl should oe co�anueq on aaa�cronu snean. om�ma4W.5"K�'�B"x t0". -- <br /> OnW ont eoPY of such addnio�+sl sneaq�eed be o��sented to �h� fil�nq okicer wnn• ut of three co0�ot 1h�a form. lpnry,r,cludutq of <br /> co�liurat.nc..m�v a��ny i�ie wp► Mat �a wnvement fpr the ucured WrtY. Ind�at�t�a number o►�dd�uo�l tt+eati�tud+ed. � <br /> �. If opllite*y is cropt or qpods w��th an or u� to Decom�tiaturq. detu�be gener�lly th�tey t6tit��n0 yW niml Ot reCprA pMner. '�''.�. <br /> �•'•. <br />-= 8. At tl� time of hlmq,Ntmq offia► w�tt rotum tb�rd eopv a an acknowledr�enent. , <br /> �' = Ttws STATEMENT,s prnented to a fdmy offaer for tJ�np pursusnt [o tbe Vndorm Commetee�Cadt � 3.Mituntr 4am Id�qY1: , <br /> �i` <br /> i� <br /> /.QeCtalsl Il�st f�4m� Fust1 and addraslesl 2.Seeueed VartvAal �nd�ddreisles) Fa f�6ng OH�uu t0�jia. ?�me md Flmq � � <br /> Ofhoel ';;-:., <br /> �vc <br /> d�:, Jamea Cummings Horthweatern Public Service `,�', <br /> • 504 North Custer 515 West 3rd <br /> � Gra�nd Island,Nebraska Grand Is3and� Nebraska `' ' <br /> - .,, <br /> { 1.Ttns ctstemMe retnvs to a�ym�l Finanemq St�tement beuu+y Fdt No. 91-10 73 36 �.. <br /> � • <br /> Fa�d p�ih Reg. Of Deeds o,�Q F,,� June 21, ,s.� <br /> ._i 5,[] ('pntfnuubn. Tht oripinst fi�yrtemq ctatnneet betweea che foreqo�rtp OeD[or and SicureG Puq. bemnq fde�umber thoan �bavo.�s ud1�fteecne. <br /> g.(q� tMmNytlp�. $�put0 pMtY� Ionger t4ims a uturrtl► interest under t�e fmarKinq suteenent Dear�nq hte nwn6e� shown nboaa. <br /> i.�j Asti�t. The tttured plrty's rtght unda th�limnGnp ftatemtnt beiru+p Ide numba shown abov� to Ne QrOilCttY desRnOld m ttlm 10 Mv! <br /> been assiqn�d to H» ass�q�e�whou Mme and address io0���s�n t[em +0. <br /> g.[� Am�ndm�m. �inme�nq Satemmt beannp fite number sbovm s0ove �t amende0»at ro�th �n ttem 10. <br /> . 9.❑ pM�. Seeured Puq rstenas th�eoll�cnal de�cnbsd�n Itan t0 trom tM finmanq stuvm�nt be�nnq I�k �umbn shatm a0ove. <br /> ; t0. <br /> �r�:' r South 37 FT of 228 Al1 of 229 Belmont Add. <br />-;��. <br /> .�. �to.01 �ddmonN Shocts ¢��sent[d: <br />._. 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