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S-21 NW4 36 -12 -11 <br />SE4 NE4 & NE4 SE4 23 -12 -11 <br />STATE OF NEBRASKA. 4 <br />:ss. <br />COUNTY OF HALL Q <br />A F F I D A V I T <br />I, George J. Baumann, a resident of Grand <br />Island, Hall County, Nebraska, and of legal age, <br />after being first duly sworn on oath, depose <br />and say that I am a licensed undertaker and was <br />operating and doing business on September 4, 1931. <br />After being further duly sworn, I depose <br />and say that I prepared the body of Ellen Russell, <br />wife of Joseph C. Russell, for burial, and that <br />she died on September 4, 1931, and was buried on <br />September 7, 1931, at Grand Island, in Hall <br />County, Nebraska. <br />Affiant further saith not. <br />Dated this 2nd day of March, 1955. <br />George J. Baumann. <br />,•,U1IIU li N,,. <br />-.< . . . (� <br />,,X*',- •Y �, Subscribed and sworn to before me this 2nd <br />-a �* day of March, 1955. <br />Notary Public . v <br />My commission expires July 27, 1955. <br />Filed for record March 3, 1955, at 9:55 A. M. C Register of Deeds <br />Hall Co., Nebr. <br />