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200410164 <br />STATE OF NEBRASKA, Hall County ss: <br />The foregoing instrument was acknowledged before me this 15th day of <br />October 2004 by TERRENCE L DOUGLASS, DONNA J DOUGLASS <br />Witness my hand and notarial seal at Grand Island in said County, <br />the date aforesaid. <br />My Commission Expires: <br />i <br />r _ <br />No <br />x�.110'fARY- �dNlIr7�Ni � <br />MyCwm.Ev.MR16.2001 <br />tary blic M Y GILBERTSON <br />Initials: <br />-6(NE) 100051.01 Page 15 of 15 Form 3028 1/01 <br />