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AFFIDAVIT. <br /> STATE OF NEBRASKA ) In Re: Lot 8, Block 18 <br /> ss Kernohan & Decker' s Add. <br /> COUNTY OF HALL <br /> _ //• 1 of Wood River, Hall County, Nebraska, <br /> being first duly sworn upon his oath, deposes and says that he is the <br /> 1 AMP <br /> owner of the/ f`/.4:. of Wood River, Hall <br /> County, Nebraska; <br /> That he is a licensed embalmer and funeral director in and for <br /> the State of Nebraska; <br /> That he knows of his own knowledge that C. A. Fairbanks died on <br /> 77A" I <br /> in -, -- <br /> That he prepared the body of said C. A. Fairbanks for burial and <br /> that said C. A. Fairbanks was buried on /0 /V- n <br /> r <br /> Further aFfiant saith not. <br /> , 40e1Z <br /> ,0tsr ,,jbe11 and sworn to before me this <br /> %7 day of November 1953 <br /> i;;: C I`` •D�h� PIRES 4p ' <br /> os p <br /> ,) <br /> q7t4 <br /> Notary Public, <br /> Filed for record November 10, 1953, at 9:00 A.M.._Register of Deeds <br /> Hall County,Nebr. <br /> — hr- <br />