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<br />t ~: 1~ ~.: (i 1 <br />STATE OF ) <br />I <br />OOVNTY OF I <br /> <br />ss. <br /> <br />On tJoi. "flY <br /> <br />, A.D., 19----. before me, a notary pubUcinandforthnaid County. <br /> <br />pereonellY came the above named <br /> <br /> <br />who (ie) (are) personally known to iDe to 00 the identical peraon(l) whoae name(l) (ie)(are)affilled to the abovelnatrument and <br />~1edI'ed the uId instrument to be (hie) (their) voluntary act and deed. <br /> <br />WITNESS my hand and Notarial Seal the date Jut aforesaid. <br /> <br />My colllllliuion npirea <br /> <br />SCHEDULE A <br /> <br />F <br />r <br /> <br />\ <br /> <br />The Westerly One-Third (W 1/3) of Lot Five (5), in Block Fifty-Six (56) <br /> <br />in the Original Town, now City of Grand Island, Hall County, ~ras~~ ~ <br />'>,,:\ , _, co ....:> -4 :!:. t;} -.. <br /> <br />r- :~ ~ ~ 'i ica <br />: .~ 3. ~t~ \\!\-i i <br /> <br />:-;:1'1 l <br />:::~,: ~ ~! <br />. ,n Q) 0 <br />> WR <br />~__ c <br />I-'i <br />~ <br />z <br />!) <br /> <br />7] <br />1 <br /> <br />~ <br /> <br />-, <br />,'\ <br />" <br />" <br /> <br />t:- <br />l <br /> <br />en <br /> <br />(J1 <br />Ul <br /> <br />SCHEDULE B " <br /> <br />(Here set forth the foUowiq information for 8IIcb 1_ and, to the ntent appropriate, each modification thereof: nam~ ~ <br />Ieuo~. name of 1_. date, office and book and PBle of recordinc. Jencth of term, addreaa or other Identification of leased ~ \...:. <br />proem-) <br /> <br /> Lj <br />1. LB880R: II> <br />2- LE88EE: <br />8- DATE OF LEASE: <br />4. ,... <br />II. ADDaE8D OJ' LIlA.IIIID PlUl:III8B8: <br />8. DE8CIPTION OF LEASED PREIU8E8: <br /> <br />C.C. IlI'lOlOrllI-W"JD.l~... 0. <br />