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BPE224
CITY OF BLAIR, .NEBRASKA CITY CLERK'S OFFICE Phone 426.4191 Accl. No. Dale 19 Received of: n~ Address `)III J~ ~ ~~~ ., ~.ti~ r ~~~ GHEGf; ~1~.Dq Elm-Fri ~ f ~~ml~ 6 F'P~J ~ Thank You Please keep this copy for relerence. No. ~4~i~~ ('~`/~lor Recd by ~ }~erm~ #ZL`+ a~ ~~~_ ~~; ~ ~ !\~