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,.,, <br />aa4 <br />81... ~ L1 ~ 4 ii ;,` <br />(FORM OF COUNTY CLERK'S CERTIFICATE) <br />STATE OF NEBRASKA ) <br />) SS <br />COUNTY OF HALL ) <br />I, the undersigned County Clerk of the County <br />aforesaid, do hereby certify that the within Bond has been <br />regis*_ered in my office pursuant to the provisions of the <br />Reissue Revised Sta~:utes of Nebraska, 1943, as amended. <br />WITNESS my signature and seal of office this day <br />of 19 <br />County Clerk <br />(SEAL) <br />(FORM OF STATE AUDIa:OR'S CERTIFICATE) <br />STATE OF NEBRASKA ) <br />) SS <br />OFFICE OF THE AUDITOR OF PUBLIC ACCOUNTS) <br />I, the undersigned, Auditor of Public Accounts of the <br />State of Nebraska do hereby certify that the within Bond has <br />been presented to me, together with a duly certified <br />transcript of all proceedings had previous to the issuance <br />thereof, and that I have examined the within Bond and said <br />proceedings and am satisfied that said Bond has been <br />regularly and legally issued and has been registered in my <br />office in accordance with the provisions of the Reissue <br />Revised Statutes of Nebraska, 1443, as amended (the data <br />filed in my office being the basis of this certificate). <br />WITNESS my hand and seal of office this day of <br />19 <br />(SSAL) Registry No. Book No. Page No. <br />Au itor or Deputy Au itor o <br />Public Accounts <br />(FORM FOR PROVISION FOR TRANSFER) <br />For value received, the undersigned, , <br />hereby sells, assigns and transfers unto <br />(Tax Identification or Social Security No. <br />the within Bond and does hereby irrevocab y cons ~ u e and <br />appoint his attorney to <br />transfer a sai Bon on a oo s ept for registration <br />thereof, with full power of substitution in the premises. <br />11 <br /> <br /> f <br />