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<br />IN Wrrm:ss WH1I:UOF, Grantor, on the day and year first above written, has caused this instrument to be
<br />signed and sealed on Grantor's behalf by the undenigned employee, being thereunto duly appointed, qualified
<br />and acting pursuant to title 38, United States Code, sections 212 and 18lilO and title 38, Code of Federal
<br />Reculations, sections 36.4342 and 36.4520, pursuant thereto, as amended, and who is authorized to execute this
<br />instrument.
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<br />SIGNBD, S&u.I:D AND Da.IYDID IN PBIIIlBNcs OJ'-
<br />
<br />The Adminirtl'fllor of YetemII A/fllils .
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<br />...------.--.--...-..--.-.,.........--.......-...-
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<br />Title~an Guaranty Officer
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<br />VA Regional Office, LiDcoh1,.NE
<br />Telephone: (402)471-5032
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<br />(Pwsuant to a deklptiOn
<br />VA Replations, 38 C.F.R;
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<br />STAB OJ' N.....1U.
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<br />...-.1 ..:
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<br />County of l,ancaster
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<br />------~----_ou-thii._d&te.-bcfurt:-inl:t:;; uuta..-y publit iii iWd-for Mid Cuunty,-pe,;-.uniJIy
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<br />U1n'.i.d.._Q_._WiQ;i.~____._.._____..__m..._.__..__...__.____.....____....._..._...____ ..
<br />emploree of the Veterans Aaministration, an agency of the United States GowmIBen$...... ..., ,.....
<br />foregomg Instrument, and acknowledged the same to be his/her free act and. deed OIl bebalfof thtJ,
<br />of Veterans Allain.
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<br />In witneM whereof, I hereunto let my hand and offteial seal this the _._..1:~_ day of.~.~
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<br />__ __-SIO"" _....
<br />CAROl. A. SWAN Ii II
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<br />-Note- !'rint, typewrite, or Il&mp n""", of the employ.... .....culine this i....t...ment: and also n_ of wit_ and ~ pgttIic
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