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20030'7025 <br />STATE OF NEBRASKA, County ss: Ok <br />The foregoing instrument was acknowledged before me this � day of�,3 <br />,by SHELLIE L CRUZ <br />� �� ins <br />� , <br />lIvsbasi <br />Witness my hand and notarial seal at �ij �''� ('M W` in said County, <br />the date aforesaid. J <br />My Commission Expires: <br />GENE' - Y f Nebraska <br />19L <br />NATAt1EA. MEYER NE btic <br />My Comm. ExA DX 12, 2004 <br />=® 61NE) (0005) <br />ri <br />f <br />I <br />f <br />) <br />Page 15 of 15 <br />1 itials: <br />Form 3028 1/01 <br />S <br />