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e <br />A <br />F <br />F <br />I D <br />A <br />V <br />I T <br />State, of Nebraska) <br />( s.s. <br />County of Hall ) <br />James Livingston, after being first duly sworn, on oath <br />deposes and says that he is a resident of Grand Island, Hall <br />county, Nebraska and is a licensed funeral director and embalm- <br />er in and by the State of Nebraska; <br />That, he did prepare for burial the body of Kenneth <br />John Machan, a resident of Grand Island, hall county, Nebraska, <br />who died on April 12, 1956 in Howard county, Nebraska; <br />That, he did supervise the burial -of the body of Kenneth <br />John Machan in Westlawn Memorial Park cemetery, located near to <br />Grand Island, in Hall county, Nebraska, on April 16, 1956; <br />That, he did see the dead body of Kenneth John Machan <br />and did positively identify same. <br />Further, affiant sayeth not. <br />rx <br />Signed at Grand Island, Nebraska this '-�10 day of _ -Mr <br />195. <br />affiant� -- <br />Subscribed and sworn to',e ore me) a notary public, on this <br />r <br />day of _ ,� ____� 195.7 <br />V <br />G -- <br />�,`�R��C notary public —^ <br />Yt1m,:1'-Ssion expires <br />State of Nebraska <br />County of l-iall t " <br />nterEd on numerical Index and filed <br />for record in Office of register of <br />i eeds on the _30- ------ day of <br />- -- ..414Y_- - - -- 19- V7 at - 3 - -- <br />o'clock and .._-- -_ minutes, -P! - -M. <br />%aild recorded in nook __ ___.. of <br />Mine at pa <br />Register of Deeds <br />By--- -- --- -- -- ------------------ <br />Deputy <br />Fees. $ l� _5Q - -- <br />