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Return document to: <br />Ganz Law Offices, P.C. <br />PO Box 895 <br />Kearney NE 68848 <br />Please file the attached Death Certificate against: <br />) <br />C) (Jr') <br />CD —I <br />113 <br />r <br />C.L.) <br />(J) <br />Lot 3, Block 3, Valley View Subdivision of the North 1,103.00 feet of the East Half of the <br />Northeast Quarter of Section 22, Township 11 North, Range 19 West of the 6 P.M., <br />Hall County, Nebraska <br />N.) <br />CD <br />1'0 <br />CD <br />Cf.) <br />CO <br />N.) <br />CJ1 <br />