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<br />! ~ <br /> <br />200709152 <br /> <br />DEED OF TRUST, ASSIGNMENT OF RENTS AND LEASES, <br />SECURITY AGREEMENT AND <br />FIXTURE FILING <br /> <br />by <br /> <br />Grand Island Health Care, Inc.. <br />as Grantor, <br /> <br />to <br /> <br />James M. Pfeffer, <br />as Trustee, <br /> <br />and in favor of <br /> <br />Bank of America, N.A., <br />a national banking association, <br />as Lender <br /> <br />This document serves as a Fixture Filing under the Nebraska Uniform Commercial Code. <br /> <br />0803/759402.0579/80217822 <br />