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<br />IN WITNESS WHEREOF, Grantor, on the day and year first above written, has caused this iustrument to be
<br />signed and sealed on Gnmtor'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 ?6.4520, pursuant thereto, as amended, and who is authorized to execute this
<br />instrument,
<br />
<br />SIGbt'EI't, ~ J._~1i DEw~ IN P-n.ESENCE 01'-
<br />
<br />._--~------------.---_._~_._------~-...
<br />
<br />STA TB OF NEllBASlCA I
<br />
<br />_ . , , . ~ ,_. _ ~ 118:
<br />lJOunty ot" ._'t~J~:::":___m__m____,1
<br />
<br />'I1"..e Ad.-J"..t:::st:'ator of Vet~!"!!.W!s Affairs
<br />
<br />~J /.. /
<br />*By ,A~1::J....Y.Y~_.._ [SEAL]
<br />David O. Wiese
<br />
<br />Title F....LOAll...Gua.r.a1tl.;r:._Dffi.s:.ex._______.______.__.....___
<br />
<br />V A Regional Office, Lincoln, NE
<br />Telephone: (402) 471-5032
<br />
<br />(Pursuant to a delegation of authority contained in
<br />V A Regulations, 38 C.F,R, 36.4342 and 36.4520.)
<br />
<br />On thia date, before me, a notary public in and for said County, personally caPle the abGvenamed_
<br />
<br />
<br />DaviJ. (J, Wiese
<br />_.~___,._.._...'m_.._..._......._.___......,.............',.,_.....................'---.......__..._._.. , " an
<br />employee of the Veterans Aaministratlon. an agency of the United.States Government, siper..andseaJetoftbe
<br />foregoing Instrument. and acknowledged the same to be hisfher free ac'.;and deed on betWf'oft.he ~'2
<br />of Veterans Affairs, . . .
<br />
<br />19...!: .
<br />
<br />In wit.neM whereof. I hereunto set my "-nd and \>ffleitY ~ thia the .""l.f!!!L,"
<br />
<br />My eommiaaion expires , '
<br />
<br />-----..-
<br />CNIllA. 5III'N
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