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200410385 <br />STATE OF NEBRASKA, ADAMS County ss: <br />The foregoing instrument was acknowledged before me this 22nd day of <br />October, 2004 by Leonard A Worm and Doris R Worm, HUSBAND AND <br />WIFE <br />Witness my hand and notarial seal at <br />the date aforesaid. <br />My Commission Expires: August 18, 2008 <br />foam.8q• moo.18, zoos <br />WORM, L42 <br />HASTINGS <br />in said County, <br />1 <br />A� 0 <br />NotaryPu h� Michelle M. Callahan <br />15- 7575 -4 <br />Initials: <br />-6(NE) (0005l Page 15 of 15 <br />Form 3028 1/01 <br />