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3a 6 <br /> 4.e.9 43P; so <br /> k F F a D h V I T <br /> State of Nebraska <br /> ss. <br /> County of hall ) <br /> James Livingston being first duly sworn on oath deposes <br /> aria says that he is a licensed funeral director and embalmer in <br /> aria by the State of Nebraska; <br /> That Harold F. bates a resident of Grand Island, Hall County, <br /> Nebraska aid die on November 1, 1955 in Grand Island, Hall county, <br /> Nebraska aria that he aia prepare his bogy for burial on that date; <br /> That he aia supervise the burial of saia Harold F. Bates in <br /> Parkview Cemetery in Hastings, Nebraska on November 3, 1955 ; <br /> That he aia positively identify the boay of Harola F. bates; <br /> Furt her aff iant say et ii not. <br /> AOOF <br /> ;._.r�lL!� ilk <br /> ian <br /> Subscribea and sworn to before me a Notary Public this -2 day <br /> *��� r� i , 1955 <br /> } <br /> �`*Q (•�I�is�r rt.% h,. / <br /> ocsni ggto:� Notary Public <br /> '. , r.Xpt .ES p v <br /> P.7, 5.13 �� ' <br /> "/,' ,, 3i s ion expires p <br /> State of Nebraska t <br /> Cam ty of Hall <br /> . .t-f on .Nun erical index and filed <br /> is€pica of Register of <br /> De.?.ds on ;le <br /> day of <br /> 19375- t / <br /> o'clock and 4<s__minutes ( M. <br /> and recorded in Et NA '5 of <br /> at page <br /> Register of Deeds <br /> By OsY Deputy <br /> Fees�v <br />
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