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4/12/2012 11:13:58 AM
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A F F I D A V I T <br />State of jebraska ) <br />( s.s. <br />County of Hall ) <br />James Livingston, after being fir st duly sworn, on oath <br />deposes and says that he is a licensed funeral director and em- <br />balmer in and by the State of Nebraska; <br />That, Karl Martin Petersen, a resident of 924 zest 12th <br />Street, Grand Island, Hall county, Nebraska, did die on March <br />15, 1955 and that affiant did prepare the body of Karl Martin <br />Petersen for burial on that date; <br />That, on March 17, 1955, he did supervise the burial of <br />the body of Karl Martin Petersen in Westlawn Memorial Park <br />cemetery, located in hall county, near to Grand Island, Nebraska; <br />That, he did see the dead body of Karl Martin Petersen and <br />did positively identify same. <br />Further, affiant sayeth not. <br />Signed at Grand Island, Nebraska this fourth day of April, <br />t - <br />affiant <br />Subscribed and sworn to before me, a notary public, on this <br />day of 195 <br />notary public <br />Oast <br />m�5-i s s i o n expires <br />
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