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4/12/2012 10:36:42 AM
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�� 7 fie. 3, �u �,� �.�' ,� �- • <br />Sy w- <br />A F F I D A V I T <br />State of Nebraska ) <br />) ss. <br />County of hall ) <br />Francis Purdy, after being first duly sworn on oath deposes <br />and says that he is a resident of Grand island, hall County, <br />Nebraska and that he is a licensed embalmer in and by the State of <br />Nebraska: <br />That Elmer R. Franz did die February 5, 1957 in Hall,County, <br />Nebraska and he did prepare his body for burial on that date; <br />That he did supervise the burial of the body of said Elmer <br />R. Franz in Alda cemetery, located near Alda, ?Nebraska in Hall <br />County] Nebraska on February 8, 1957; <br />That he did see the dead body of Elmer R. Franz and did positively <br />identify, same.' <br />Further affiant sayeth not. <br />�� <br />affiant <br />Subscribed and sworn to before me, a notary public, this day <br />of March, 1957 <br />notary ,p*t, to <br />my c <br />ton expires 9 13 <br />,N <br />ask - <br />.G��� -fie 01( f State of i ebraska , <br />Er.' rc:d on %,tini ^r*wal 1,.aex ;and filed <br />for . e°.ot c Off' 4e of T�. egister of <br />1,0 EnP(RFSO: Q L'ero. 5;? Q_ -- -- -4uy of <br />ocla,?L a - <br />' TY�t }�.��`� a;.d in Book ___ of <br />at pavi _ <br />Tom• <br />Regiitex of Deeds <br />By ePu#y <br />- - - - -- <br />o 1D <br />Fees $ / - - - - -- <br />ly/ <br />
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