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Soolt: 4763 .- SW <br /> Dated this / day of 2020. <br /> Community Health Improvement Center <br /> d/b/a Crossing Healthcare <br /> By: <br /> Signature <br /> ATTEST: --rav P <br /> Print Name and Title <br /> Signature <br /> Print Name and Title <br /> State <br /> of ) Illinois ) <br /> ) ss <br /> County of Macon ) <br /> This instrument was acknowledged before me on / 2020, by <br /> as <br /> and <br /> Community Health Improvement Center d/b/a Crossing <br /> of Healthcare an Illinois not-for-profit <br /> Corporation, on behalf of the corporation. <br /> - - - - - - - - - - - - <br /> (SE ) JACQUELINE L BOYD <br /> Official Seal Notary ub Ic <br /> Notary Public—State of Illinois <br /> My Commission Expires Feb 14,2022 �j <br /> gComission Expires: (� <br /> Exempt under 35 ILCS 200/31-45(2), Real Estate Transfer Tax Law. <br /> Ig I If JIR440 U,I k4A.'-- <br /> Date <br /> 4BI <br /> uyer, Seller or Represent 6 <br /> ive <br /> This instrument was prepared by and after City of Decatur <br /> recording, mail this instrument and future tax bills to: ATTN: <br /> 1 Gary K. Anderson Plaza <br /> Decatur, Illinois 62523 <br /> Page 2 of 2 <br />