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z~ ~ ~~~ <br />IN WITNESS WHEREOF, this document was read by me and <br />executed by me on this ~'~day of t;arch, 1979. <br />Permelia L. Douthit <br />STATE OF NEBRP.SKA ) <br />)ss. <br />LANCASTER COUNTY j <br />We, Permelia L. Douthit, LeRoy W. Sievers and Alta A. <br />Sharp, the person executing the foregoing document and the <br />witnesses respectively, whose names are signed to the attached <br />or. foregoing instrument, being first duly sworn, do hereby <br />declare that Permelia L. Douthit signed and executed this <br />instrument as her renunciation and disclaimer of beneficial <br />interest or power and that she had signed willingly or <br />directed another to sign for her and that she executed it as <br />her free and voluntary act for the purposes therein expressed; <br />and that each of the witnesses, in the presence and hearing <br />of Permelia L. Douthit, signed the Renunciation and Disclaimer <br />of Beneficial Interest or Power as witness and to the hest <br />of their knowledge, Permelia L. Douthit was at the time not <br />a minor or was otherwise emancipated, and was of sound mind <br />and under no constraint or undue influence. <br /> <br />Permelia L. Douthit <br />,--~ <br />LeR~~, Sievers <br />~~~ <br />ita A. ha ~ <br />SIIBSCRIBED, sworn to and acknowledged before me by <br />Permelia L. Douthit to be the voluntary act and deed of such <br />person for the purposes expressed and subscribed and sworn <br />to before me by LeRoy W. Sievers and Alta A. Sharg, witnesses, <br />this day of Aiarch, 1479. <br />~ 1 <br />fl AsaiynA Yy~irai ~ ~ ~ (is i ° / f },~(,jZ~ <br />~ BFrt~,ui~ ~cT.%.2~:.`:_ `; ~ Not y Puhlic <br />~ y;`~!~'"uF'A.L• 'j <br />9..~~~~ OF MEeM{-'~„ <br />! fSFj :i, c~~ 1 <br />-4- <br />