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AFFIDAVIT <br />State of Nebraska ) <br />C s.s. <br />County of Hall <br />James Livingston, after being first duly sworn, on oath de- <br />poses and says that he is a resident of Grand Island, Hall county, <br />Nebraska and is a licensed funeral director and ehbalmer in and by <br />the State of Nebraska; <br />That, on October 18, 1959, he did prepare for burial the <br />body of Henrietta Bernstein, a resident of Grand Island, Hall county, <br />Nebraska, who died on October 18, 1959 in Grand Island, Hall county, <br />Nebraska; <br />That, on October 20, 1959, he did supervise the burial of <br />the body of Henrietta Bernstein in Grand Island Cemetery, located <br />in Grand Island, Hall county, Nebraska; <br />That, he did see the body of Henrietta Bernstein after its <br />death and did positively identify same. <br />Further, affiant sayeth not. <br />Signed at Grand Island, Nebraska this ., day of <br />i957 - <br />F <br />of ant <br />ibed and sworn to before me, a notary public, on this <br />b' <br />, notary public <br />expires <br />State of Nebraska 1 <br />County of Hall f 68 <br />Entered on Aenmerical Index and filed <br />far record in Office of Register of <br />Deeds on the - - - - -- 4th - - - - -- day of <br />January- - -- iE. 66_ at _ - 1 <br />o'clock and _ - -�'- rra:E:j:C <br />and recorded in Zoo'- ----- Z__...: -+of <br />pave - Register of Deeds <br />-$� y ----- - - - - -Dl �W --------- <br />t3- <br />Rees $ - -- <br />
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