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t i � e, I <br />- �0110452G <br />Signed and dated this � day o� �, 20Q5. <br />LouEva I. Brandt, Petitioner � <br />State of Nebraska ) <br />) ss <br />County of Hall ) <br />On �his day, before me, the undersigned authority, in and for and <br />residing in the above county and state, personally appeared LouEva I. <br />Brandt, who is persozzally known to me to be the same person whose narae <br />is subscribed to the foregoing document, and, being duly sworn, she <br />verified that the information contained in the for�going document is <br />true and correct on personal knowledge and acknowledged that said <br />document was signed as a�ree and voluntary act for the purposes stated. <br />Subscribed and sworn to this � day of � 2005. <br />ary Pub c <br />My commission expi es: � �� <br />G �� �OLp ,►SRU2ICKA � <br />� �mm. Exp. Mey 21, 2008 <br />z�; �.�---_� <br />Pa_qe � af (� <br />