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<br />IN WITNESS WHEREOF, 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 undersigned employee, being thereunto duly appointed, qualified
<br />and acting pursuant to title 38, United States Code, sections 212 and 1820 and title 38, Code of Federal
<br />Regulations. sections 36.4342 and 36.4520, pursuant thereto, as amended, and who is authorized to execute this
<br />instrument,
<br />
<br />r
<br />
<br />SIGNED, SEALED AND DELIVERED IN PRESENCE OF-
<br />
<br />The Administrator of Veterans Affain;
<br />/""I. , ....1
<br />
<br />*By #tfrtT"'~Tf~~~=,::-.-.___...[SEAL]
<br />
<br />* _.___.u..._____.___..._....__.____.___....___________.__..._.___________.
<br />
<br />Title _.__.p.l.:.::~::5?L_______.._..____......_____._....________......._..__.__
<br />
<br />V A Regional Office, Lincoln, NE
<br />Telephone: (402) 471.5032
<br />
<br />
<br />(Pursuant to a delegation of authoritycontairied.iri.
<br />VA Regulations, 38 C.F,R, 36.4342 and 36.4520.)
<br />
<br />STATE OF NEBRASKA j
<br />88:
<br />County of _____..___.~_~.~_=~.:_~_:.~.._m____m__..._..
<br />
<br />On this date, before me, a notary public in and i., 8liid County, personally came the above named.__m.-'~_,',
<br />James C. Smith
<br />_________hhhh____________________nu__nnn_unu_nnh___O___.__________._._____n____._________uu______________.____..__._________-:-___._..;....-------..:-..':'-..;.. " _~,:--
<br />employee of the Veterans Aaministration, an agency of the United States Government, signer andsealer()f.th~-
<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 />
<br />In witness whereof, I hereunto set my hand and official seal this the _______.~_?~~m_ day of _..m____~~!L_____....___,
<br />
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<br />(/ NotaT'l/ Public.
<br />
<br />*Note- Print, typewrite, or stamp. name of the employee executing this instrument; and- also mimes- of. witnesses and not'ary pui:dic
<br />immediately underneath such signatures.
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