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i . <br /> L <br /> STAFF OF _NEBRASKA Q <br /> - : ss. AFFIDAVIT <br /> COUNTY OF` DOUGLAS 0 <br /> I, 1_1 . � 1; � z ��� � G <br /> a member of the firm of Crosby-Kunold Mortuary, <br /> of Omaha, Douglas County, Nebraska, after being <br /> first duly sworn, depose and say I am a licensed fun- <br /> eral director operating and serving in Omaha, Douglas <br /> -- County, Nebraska. <br /> After being further duly sworn on oath, I depose <br /> and say that the firm of Crosby-Kunold prepared the <br /> body of Henry E. Tipton, for burial, and that he died <br /> on the '21st day of February, 1954. <br /> Affiant further saith not. <br /> Dated this t7 day of October , 1955. <br /> 1.2...\,.)),.....\41,JJ:3_,La....,__ 1 ‘..-Li.......4„,Le.k - <br /> ` �``v -` t')'1. ;F;_ Subscribed and sworn to before me this /7 day <br /> ` ,�;cpR t,� w Q-tab e r, 1955. `I <br /> if..1: 4). ,-;,,to* : oF.- , --.,.. OD /e Aft/infill-T ir <br /> ..�GGr a ��Z �c No ar P • c. <br /> x_ <br /> elve, u071...,4.-4 ` My commission expires: <br /> ,,; „a,'•;� -4- <br /> Filed for record Oct.18,1955 at 3;00 P.M. �� !-...Register of Deeds <br /> Hall Co.Nebr. <br />