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,_ <br />Certificate of Conveyance othsr than Deeds of Reai Estate <br />This Statement is Confidential and Available jl <br />to Taxing Officials Only ~ <br />it <br />I ~'~ <br />This form pursuant to 5ectitm 7(i-3(~1 R.R.S.. 19-13, as amended by the 7?th Session of the Nebraska <br />Legislature, must ha complered and attached to e~~ery mortgage or other conce}'ante of real estate f'I <br />except deeds of real estate before such instn:ment is filed for recording. (' <br />1i <br />i <br />•. C:,i '1'..Ci "i *'t„ C:~S' vt1 ". <br />Parties to [nstrument......::._. ....::--:-.:.-_. .._.:.. ~..._e..;..c,......_ ...................... <br />T) yte of Instrument , ~. "' "" <br />_~_ ._e~__ ~_ ~-.Ke Date 8ook._......._ Puge......... <br />' ~ ~4~r ,~: II <br />Consideration paid for Real Estate..._._ ..................~ .-._~`'::`.......... <br />} <br />a Certif ica'rior, ~ <br />I. -the undersign, baring personal l.norrtedge a! this tran..ictton_ cerut'c chat the ('tireeotne i; miz <br />j snd corrrtt. i <br />(~a,aeu~ <br />i <br />I <br /> <br /> <br /> <br />