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r <br />Certificate of Conveyance othxr than Oeeds at Real Estate <br />! 7-~IJ~fJ~~ <br />This Statement is Confidential and Available I <br />i <br />to Taxing Officials Only ~ <br />I <br />r <br />` This form pursuant to Stction 'b-'1-i R.R.S., 19-ii, as amznded Ly the 7th Session of the \ebraska <br />{ Legislature. must be completed and attached to every martgagz oI other ::onreyance of real estate <br />rztepf deeds ajreat estate ~+ztote such instrument is filed far recording. <br />,,~4ti-tom se,~ ~ r^,,,irr;?a '--TMT~^.^~ Tr-* <br />Parties to instrument.:..' .-._..........:_....-......_ ............._....-....._...-.......................-................... <br />Tc~ of tnstrument _ ~'CP~»'?~Y ?'^`" *~~'' ~aee <br />f - . .......................... [)at, ........_...... Boot _.......... 1 ............... <br />f <br />j' Considzration paid for Real Estate.-----..._ .............s1=c='"'-.-'. `:.-...... <br />l.ertification <br />2- ter 3sadrrs3 aa; 3 2Laiinr nr_r~.~nal ~„~tiltjg> ihi~ Iran ~.i;l i.in ._rrllfi~ ih.it thr _..t,~zniun~ i. true <br />_ ~.______a.._~.. .._ ~_.. ._._. .. ...._ .__.___... ... <br />and CQiICil. <br />$iEitalnre~- <br />..t~~~~ _ <br />l ,:Pa~tt~..... <br />._ .;ue,zr~ wen. <br /> <br /> <br /> <br />