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• <br /> Jackson Funeral Home <br /> WAYNE L. JACKSON <br /> TELEPHONE 98 <br /> Kenesaw, Nebraska <br /> February the second <br /> 1 9 5 6 <br /> Wayne L. Jackson-Kenesaw, Nebraska, being duly sworn, doth hereby <br /> affirm and depose that he is a Licensed .Embalmer and funeral Dir- <br /> ector in the State of Nebraska. <br /> And that he was personally acquainted with Mr. Russell A. Lippin- <br /> cott whose legal residence was on the following described Real <br /> Estate-NE - of SW r 2nd Lots Three and Four in Section 32- <br /> To reship 9 North-Range 12 West of Sixth Principal heridian-State <br /> of Nebraska-County of Hall. <br /> /9',Y <br /> And that on the 9'th day of Octoberihe was called to prepare for <br /> burial the remains of the afore-mentioned Russell A. Isppincott- <br /> death occurring at the Mary Lanning Memorial Hosl.ita1 in Hastings, <br /> N ebraska. And that on the ll'th day of October, 19jy5 said remains <br /> w ere intered in the Kenesaw, Cemetery at Kenesaw, ebraska . <br /> _ �_ <br /> Wa;?:/e L. JacMOn-Kenesaw, Nebr'aska <br /> Subscribed and sworn to before me this day of vac tiw 1956 <br /> - <br /> - <br /> Notary Public-Kenesaw, Nebraska <br /> ter. <br /> .,may Co::e ssion Expires 7-2„c--- � 19(ac <br /> TY, <br /> • <br /> Filed for record February 27, 1956 at 11:35 A. M. cG �.�.� Register of Deeds <br /> Hall Co., Nebr. <br /> `f 3 3 <br />
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