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K-3 - Verified Claim - Hickory Knoll

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By: _______________________________ Steve Berner, Mayor ATTEST: __________________________ Abigail Hora, City Clerk STATE OF IOWA ) ) ss: COUNTY OF JOHNSON ) On this ____ day of October, 2023, before me, the undersigned, a Notary Public in and for the State of Iowa, personally appeared Steve Berner and Abigail Hora, to me personally known, and who, being by me duly sworn, did say that they are the Mayor and City Clerk, respectively, of the City of Tiffin, Iowa; that the seal affixed to the foregoing instrument is the corporate seal of the corporation, and that the instrument was signed and sealed on behalf of the corporation, by authority of its City Council; and that Steve Berner and Abigail Hora acknowledge the execution of the instrument to be their voluntary act and deed and the voluntary act and deed of the corporation, by it and them voluntarily executed. NOTARY PUBLIC – STATE OF IOWA I, Steven L. Berner, Mayor of the City of Tiffin, Iowa, being duly sworn, state that I have read the foregoing Verified Claim, I know and understand the contents in it, and the statements and allegations in it are true and correct to the best of my information and belief. _________________________________ Steven L. Berner Subscribed and sworn to before me by Steven L. Berner, Mayor of the City of Tiffin, Iowa on October _____, 2023. Notary Public in and for the State of Iowa I, Abigail Hora, City Clerk of the City of Tiffin, Iowa, being duly sworn, state that I have read the foregoing Verified Claim, I know and understand the contents in it, and the statements and allegations in it are true and correct to the best of my information and belief. _________________________________ Abigail Hora Subscribed and sworn to before me by Abigail Hora, City Clerk of the City of Tiffin, Iowa on October _____, 2023. Notary Public in and for the State of Iowa

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