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For An Individual Acting In His/Her Own Right: <br />State of * )) ra 5 kA -, <br />County of <br />by <br />pill all) zrev <br />The foregoing instrument was acknowledged before me this c3 l % R 1d e lI (date) <br />(name of person <br />Witness my hand and official seal, this the day of <br />[Notary Seal] <br />GENERAL NOTARY - State of Nebraska <br />PATRICIA SCHMIT <br />My Comm. Exp. May 5, 2013 <br />nature of Person Taking Ac owledgment) <br />My Commission expires: <br />aVo 4 �/ l; <br />(Ti e or Rank) <br />(Serial Number, if any) <br />r �2 J',, s'_) r4 " + <br />(Print Name of Person taking acknowledgment) <br />NEBRASKA — SHORT FORM OPEN -END SECURITY INSTRUMENT <br />HCWF# 4814 - 9165- 7985v2 02/21/2009 <br />III <br />(page 4 of 4 pages) <br />Documents Processed 03 -17 -2011, 14:19:19 <br />