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For An Individual Acting In His /Her Own Right: <br />State of _ <br />County of <br />by <br />The foregoing instrument was acknowledged before me this I J (date) <br />(name oyperson acknowledged). <br />Witness my hand and official seal, this the day of im ,2e911 <br />[Notary Seal] <br />6ENERAI NOTARY - State of N!2013 raska <br />PATRICIA SCHT <br />My Comm. Exp. May 5, <br />( ignature of Person Taking Acknowledgment) <br />(Titlelor Rank) <br />(Serial Number, if any) <br />My Commission expires: <br />(Print Name of Person taking acknowledgment) <br />NEBRASKA — SHORT FORM OPEN -END SECURITY INSTRUMENT <br />HCWF# 4814- 9165- 7985v2 02/21/2009 <br />IIIIIIINIIIII��INIINIIIIINI�1911NIIINIINNNNIIIINIINIIIINIIIINI�I�IIIIIIIN�I�NIINI�1 NINNiI <br />P111111XIIY! <br />(page 4 of 4 pages) <br />Documents Processed 06 -20 -2011, 10:02:32 <br />