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��aa-- �({��//pp,, Al��'/,- `- +.�v"V � `�"� -'� "� S � � !�/✓./ ��J�+T�I�] / �i /h �.�i�Ci ' � �s -�--�J <br />State of Nebraska ) <br />( s.s. <br />County of Hall ) <br />James Livingston, after being fLrst duly sworn, says that <br />he is a resident of Grand Island, "all county, Nebraska and is a <br />licensed funeral director and embalmer in and by the State of <br />Nebraska; <br />That, on February 20, 1956, in (fall county, Nebraska; <br />Albert P. Cole, a resident of 922 North Custer Street, Grand Island, <br />Nebraska, did die; <br />That, he did prepare the body oi' Albert P. Cole for burial <br />and did supervise the burial of the boc.y of Albert P. Cole in <br />Westlawn 'iemorial Park cemetery, located near to Grand Island, in <br />Hall county, Nebraska on February 23, 1956; <br />That, he did see the dead body cf Albert P. Cole and did <br />positively identify same. <br />Further, affiant <br />sayeth not. <br />Si�1ed <br />at Grand <br />Island, Nebraska on day of <br />• <br />/� affi -&nt <br />Subscribed <br />and sworn <br />to be r me, a notary public, on this <br />'day of <br />195 <br />notary public <br />My commfision <br />4xpire�.5 <br />// <br />—'1 e <br />l`t t71ii.ls <br />s <br />State of Nebraska <br />County of Hall <br />84 3044 <br />Entered on Numerical !pdex and filed <br />' <br />for record i3 Gff:co <br />f Register of <br />Deeds on the .. 24 <br />day of <br />_4Rtt:mbex.. 19 62 &t -- <br />n ,• 0�` �¢ <br />o'clock F Q nd � . rn r4:es A <br />YcC� .•. Y.�` <br />1 <br />and reccrded in Vcokl __ 11 of <br />tftmla- at page <br />Register of Dceds <br />By....... . .... ..............---- <br />Fees $.-a.00.610 Deputy <br />63 <br />