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2002021101 <br />Dated this ......................... day of ........... ............................... ... .. 2000 Dated this ........�........... day of ........ ... .. 20l)� <br />On the above date, before me a General Notary Public duly commissioned and On the above date, before me a General Notary Public duly ctxnmissioned and <br />qualified, personally came ............................................................ ............................... qualified, personally came ............................................................ ............................... <br />........................................................................................................ ............................... <br />&.J., ....... <br />• ....... .. ................ ............................... <br />................................................. ............................... <br />To me known to be the identical person ....... whose name....... affixed to the foregoing To me known to be the identical person whose name... affixed to the foregoing <br />instrument as grantor ........ and acknowledged the same to be a voluntary act and deed. instrument as grantor ..5. and acknowledged the same to be a voluntary act and deed. <br />WITNESS my hand and Notarial Seal the day and year above written. WITNESSIny hand -and - Notarial )Seal the day and year above written. <br />Notary ........................................................ ............................... Notary ..�. <br />.......... wf� <br />My commission expires the ............ day of ........... ............................... 2000 My commission expires the ....:..L... day of .�.. ...... 2000, <br />STATE OF ..................... STATE OF .............. ........................... .......... �.. .... <br />.............. ............................... <br />SS. SS. <br />COUNTY ........ ............................... COUNTY <br />GENERAL NOTARY -State of Nebraska <br />II J. DOLORES VIGLICKY <br />MEMORANDA My Ctiliilll. Exp. Juy 4, 2002 <br />Name of executor or administrator .......................... <br />If any of the owners or heirs are minors, give their names and ages <br />................................ ............................... .............. .......... . ... ............................... <br />......................................................................................... ............................... <br />Nameof guardian ............... .......................................... ............................... <br />..................... : ..... ....................................................... ....................................... <br />. <br />TENANT - Exact and full names. Rent Agreement ........................... <br />REMARKS <br />