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• <br /> ;?:, a, .f344,a, is . ade. zt ut,-.rte <br /> A F F I D A V I T • <br /> • <br /> State of Nebraska ) <br /> ( s.s. <br /> -County of Hall ) <br /> James Livingston, after being first duly sworn, on oath <br /> deposes- and says that he is a licensed funeral director and <br /> '"`embalmer in and for the State of Nebraska; <br /> .. That,, on April 19, 1952, Clifford Isaac Bales did die in <br /> • the dity of Grand Island, Nebraska and that affiant did pre- <br /> pare the body of Clifford Isaac Bails for burial on that <br /> date; <br /> That, on April 23, 1952, affiant did supervise the burial <br /> of the said body of Clifford Isaac Bales in Westlawn Memorial <br /> Park Cemetery, located near to the City of Grand Island, in <br /> Hall County, Nebraska; <br /> That, he did see the dead body of the aforesaid Clifford <br /> Isaac Bales and did positively identify same. <br /> Further, affiant sayeth not. <br /> Signed at Grand Island, Nebraska this sixteenth day of <br /> December, 1953. - l! <br /> al-flan-A- <br /> �`\,µ� Sbbscribed and sworn to before me, a notary public, on this <br /> �. t.eenth day of December, 1953. <br /> ' .-:-<: .1.,"vs.A Z ..i,,,,,..: .6t..1-cit,l) g-2_ale-e2.2 <br /> ` notary public <br /> �� Q� ,c eission expires _— � 4LI _57,_ -_ , r5f.a <br /> Filed for record February 13, 1954, at 11:15 A.M. L. a/ a?o4/ <br /> Register of Deeds <br /> Hal ounty, Nebr. <br /> r.. <br /> _ /77— <br />
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