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State of Nebraska ) <br /> s s. AFFIDAVIT <br /> Buffalo County ) _ <br /> W. E. Amos of Shelton, Buffalo County, Nebraska, being first <br /> duly sworn on his oath, deposes and says that he is the owner and operator <br /> of the Amos Funeral Home of Shelton, Nebraska; that he knows of his own <br /> knowledge that Johanna Poehler died on the 3 day of p' 1950, <br /> at the Lutheran Hospital in Grand Island, Nebraska; that he Amos Funeral <br /> Home of Shelton, Nebraska, prepared her body for burial and that she was <br /> buried in the Cairo Cemetery at Cairo, Nebraska. <br /> Further affiant saith not. <br /> ____,.dg4f?fe. <br /> ,4ribed and sworn to before me this g lk day of March, 1956. <br /> yt 0„itt111hiNt, <br /> ;. fit. <br /> ,,a, 1:•c,.0 E Notary Public <br /> ;`' �`iNt, <br /> C'3U <br /> SW 1/4 & S 1/2 NW 1/4 of Section 7-11-12, Hall County, Nebr. <br /> Part of the E1/2 of SW 1/4 & W 1/2 SW 1/4 of Section 13-11-12, Hall County, Nebr. <br /> NW 1/4 of Section 17-11-12, Hall County, Nebr. <br /> E 1/2 of SW 1/4 of Section 7-10-12, Hall County, Nebr. <br /> W2/3 of SW 1/4 of Section 28-12-11, Hall County, Nebr. <br /> • <br /> Filed for record May 17, 1956 at 4:45 p.m. Gc�,..g.. <br /> Register of Deeds <br /> Hall County, Nebr. <br />
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