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200308862 <br />STATE OF NEBRASKA, HALL County ss: <br />The foregoing instrument was acknowledged before me this 7TH day of <br />JULY, 2003 by MIRIAM J JURGENSEN AKA MIRIAM JOY JURGENSEN, AN <br />UNMARRIED PERSON <br />Witness my hand and notarial seal at <br />the date aforesaid. <br />My Commission Expires: <br />6ENEAAI IIOtARY.S" of N*Xb <br />CATHERINE J. S <br />My Cormm. Exp <br />(0•8(NE) (0005) <br />0 <br />GRAND ISLAND, NEBRASKA in said County, <br />C <br />Notary Public \ <br />Page 15 of 15 <br />'1 <br />Initials: <br />229492 <br />Form 3028 1101 <br />