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004-303
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r x. 7 n.HF <br />I <br />AFF I D f�V IT <br />Francis Puray, after being first duly sworn on oath aeposes <br />aiia says that he is a resiaent of Grana Island, -all County, Nebraska <br />Gila its a licexlsed embalmer in anu by the :)tate of ebraska; <br />That, on Lecewuer 9, 1956 Loren C. Roach, a resiaent of Grand <br />Islam, Mall County, Nebraska aia aie at ingleside, Nebraska ana <br />that affiant aia prepare the boay of Loren C. Roach for burial on <br />that Gate; <br />Treat, on Lecember 12, 1956, he aia supervise the burial of the <br />bogy of Loren C. Roach in Grana islana Cemetery, locatea in Grana lslam <br />Mall County, Nebraska; <br />That,.-he aia see the aeaa boay of Loren C. Roach ana aia <br />positively identify same. <br />Further aff iant say eth not. <br />&ig4ea at Urana lslana, Nebraska this _}L aay of December, 1956 <br />affiiant <br />
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