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-.4 4-7 3,a.. - <br /> _se -3 4- //-/O <br /> • <br /> A F F A DAVIT <br /> • <br /> State of Nebraska ) <br /> ) ss. <br /> County of Hall ) <br /> I Francis H. Purdy being' first duly sworn upon oath deposes <br /> • <br /> and says that he is a licnesed embalmer in and by the State of Nebraska. <br /> that he is a member of the firm Livingston-Sondernann Funeral H, me of <br /> Grand Island, Hall County, Nebraska. That he knows of his own knowledge <br /> that William G. Pollock did die on October 4, 1955 in Hall County, <br /> Nebraska; that he did prepare his body for burial on that mate and <br /> did assist in the burial of Said William G. Pollock in Grand Island <br /> Cemetery, Grand Island Hall County, Nebraska on October 6, 1955. <br /> Further affiant sayeth not. <br /> 41 <br /> _ff__-42_L __79Z_/____2__ t-4____ <br /> Subscribed and sworn to before me a notary public. on this .6? day <br /> ' of October, 1955 <br /> 0111 tiiurfia <br /> mac` ° /�``�, _ Notary Public <br /> '�r . May nos n expires 2 6 T --, 1960 <br /> COt•Iif.( SS1ot1F /-- <br /> ,.A •.°F.X?[RES of d'` <br /> ,'c„Gil,►Y t1�ae``'� <br /> . Filed for record Oct.7, 1955 at 10:30 A.M. L •xe /Register of Deeds <br /> Hall Co.Nebr. <br /> By . __' G .. _/ /x...., Deputy <br /> i <br /> -7/3 <br />