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2 3,�. <br />A F F I D A V I T <br />State of Nebraska <br />ss. <br />County of Hall <br />James Livingston being first duly sworn on oath deposes and <br />says that he is a licensed funeral director and embalmer in and <br />by the State of Nebraska; <br />That Ella Schafer a resident of Grand Island, Hall County, <br />Nebraska did die Novenho21, 1955 in Grand Island, Hall County, <br />Nebraska and that he did prepare her body for burial on that date; <br />That he did supervise the burial of Said Ella Schafer in <br />Clavary Cemetery, Westlawn Memorial Park near Grand Island in <br />Hall County, Nebraska on November 23, 1955; <br />That he did positively identify the body. of Ella Schafer; <br />Further aff iant sayeth not. <br />Signed in Grand Island, Hall County, Nebraska on this day <br />oid —0 , 1955 <br />Filed for record March 13, 1957 at 9;10 a.m. Register of Deeds <br />all County) Nebr. <br />,Iff ia�rt <br />Subscribed and sworn to before me a Notary Public this � day <br />of, <br />1955 <br />, <br />Not ary Public <br />'�OtdffilSS10N <br />R�ES s� on expire <br />S 1944 <br />5* 9 ,' <br />OU <br />Filed for record March 13, 1957 at 9;10 a.m. Register of Deeds <br />all County) Nebr. <br />
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