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4/12/2012 9:36:12 AM
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005-621
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V J�z 5%- /10 -e1?j 66&1 /�Ij N, �_ a_oa. <br />State of Nebraska ) <br />(b. 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 coun- <br />ty, Nebraska and is a licensed funeral director and embalmer in and <br />by the State of Nebraska; <br />That, on June 10, 1958, he did prepare for $urial the body <br />of Esther Alice Searson, a resident of Grand Island, all county, <br />Nebraska, who died on June 10, 1958 in Grand Island, Hall county, <br />Nebraska; <br />That, on June 12, 1958, he did conduct funeral services <br />for Esther Alice Searson in Grand Island, Hall county, Nebraska <br />and thereafter did entrain the boar of Esther Alice Searson for <br />Arvada, Colorado; <br />That, to his knowledge, the body of Esther Alice Searson <br />was buried on June 1,3, 1958 in the Arvada, Colorado Cemetery; <br />That, he did see the body, of Esther Alice Searson after <br />death and did po*itively identify same. <br />Further, affiant sayeth not. <br />Signed at Grand Island, Nebraska this d" day of <br />195 <br />aff <br />Subscribed and shorn to before me, a notary public, on this <br />\\\,,lUt ^If11Ntrr day of 195�Y <br />notary public <br />_ ::or.�rrtlstr'ori <br />x ?IRES <br />z' •0�, 0 y <br />ssion expires / 47 fir, <br />r <br />. t .. a_' 1 <br />Fees <br />
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