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A F F I D A V I T <br />State of Nebraska ) <br />( s.s. <br />County of Hall ) <br />James Livingston, after being first duly sworn, on oath deposes <br />and says that he is a resident of Grand Island, Hall county, Nebraska <br />and that Jae is a licensed funeral director and embalmer in and by the <br />State of Nebraska; <br />That, on September 13, 1958, he did prepare_ for burial the body <br />of Henry J. Goodwin; <br />That, to his knowledge, Henry J. Goodwin, a resident of Cairo, <br />Hall county, Nebraska, did the on September 13, 1958 in Grand Island, <br />Hall county, Nebraska; <br />That, on September 16, 1958, he did supervise the burial of the <br />body of Henry J. Goodwin in Calvary Cemetery, in Westlawn Memorial Park <br />Cemetery, which is located in Hall county, near to Grand Island, Nebraska; <br />That, he did see the body of Henry J. Goodwin after death and did <br />positively identify same. <br />Further, affiant sayeth not. <br />Signed at Grand Island, Nebraska this 4L day �of� -44gZld4-- , <br />i/ <br />195• <br />- afflk6t <br />t <br />as�r tad and sworn to before me, a notary public, on this <br />244 195. <br />notary public <br />rXpSP.CS�jj. . <br />,T� {'`JCS"• 5.���'r ` ;�`;. <br />"1�3 Yor��nmiss ®m expires <br />Stele of N bra Gila <br />County ss <br />c,n '.'u r. n en' cL, &rdex and fa eel <br />t4 lRegmter of <br />x <br />C-!) <br />da of <br />_J.anuary :;x.59_ �,t - - - - -- <br />i <br />aa2�l r�;�:zri�,n-jd an tow:: __ °_ 6- - - - - -- of <br />- URIQr__ -____. at Page__ <br />Register of Deeds <br />By <br />�o Deputy----- - <br />Fees $ — <br />