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VA Regional Office, Lincoln, NE <br />Telephone: (402) 471.5032 <br />(Pursuant to a delegation of authority contained in <br />VA Regulations, 38 C.F.R. 36.4342 and 36.4520.) <br />STATE or N=AAMA <br />County of .. .��....»...... »....... <br />........) as: <br />On this date, before me, a notary public in and for said County, personally came the above named ............... <br />..Q.:.. Ci.#� ..............._ .... » ....................................................... . an <br />employee of the Veterans Administration, an agency of the United States Government, signer and sealer of the <br />foregoing Instrument, and acknowledged the same to be his/her free act and deed on behalf of the Administrator <br />of Veterans Affairs. <br />In witneft whereof, I her=tLAjLmy hand and official seal this the ..... 23rd day of ....October <br />1987 CAItOI A. iWAN <br />Mycommission expire ................»... .... »............... »... »...�., 18........ <br />Nstafry Pxbfie. <br />•Note— flint, typewrite, or stamp hams of the employee executing this instrument: end sko names of witnesses and notary public <br />immediately underneath such signatures. <br />i <br />wvvp <br />j <br />1 <br />fS$4' <br />o <br />� <br />i <br />