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- Page 2 of.2 Minnesota Uniform Conveyancing Blanks Form 10.3.6 <br />State of Minnesota, County of Anoka <br />This instrument was acknowledged before me on , by John Bergeson <br />(month/day/year) (name of authorized signer) <br />and by Julianne Bartell <br />as Mayor <br />(type of authority) <br />as City Clerk <br />(name of authorized signer) <br />of City of Lino Lakes <br />(type of authority) (name of Grantor) <br />(Seal, if any) <br />THIS INSTRUMENT WAS DRAFTED BY: <br />(insert name and address) <br />William G. Hawkins and Associates <br />2140 Fourth Avenue North <br />Anoka, Minnesota 55303 <br />(signature of notarial officer) <br />Title (and Rank): <br />My commission expires: <br />(month/day/year) <br />TAX STATEMENTS FOR THE REAL PROPERTY DESCRIBED IN THIS <br />INSTRUMENT SHOULD BE SENT TO: <br />(insert name and address of Grantee to whom tax statements should be sent) <br />Robert C. Moser <br />Joyce Moser <br />540 Marshan Lane <br />Lino Lakes, Minnesota 55014 <br />-170- <br />• <br />• <br />