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t hereby l", that the 11 bras�a Depa h. a ,� Rn nua ha, �o.r�M ed —In ;ne ravenu ;aws of tha State of Nebraska in the oete, <br />ntinatlon -ltte Disc harya, part i retna5a ydabn Una to in[BCaten ahrna <br />a Est rt 7-7 —R6' bere <br />Date _ <br />'Authorized Signs- e_ _ _ - ---- 7iue <br />.L -si[�e t— __ —._,_ <br />Date <br />NEBRASKA DEPARTMENT Of REVENUE - White and Cenwy Copies TAXPAYER Pink Copy— COUNTY OFFICE - Goldenrod Copy <br />4 732 -6a Rey. lei <br />Sv owi sands 4232 68 Rev. 5 <br />r <br />