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6/20/2013 12:07:07 PM
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011-559
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w <br />`.� i ✓ <br />� 4 <br />.. FUNE AL HOM' Inc. <br />8&ND ISLAND NEBRASKA <br />h <br />In rot Lots One t1), BIOQU Tan (10) + <br />411berttia Addition to tho OttT <br />of Orand Island# lobraaka. <br />STATE OF NEBRASKA) <br />)SS. AFFIDAVIT <br />COUNTY OF HALL _ �' .. ^ .. -r �'" <br />d <br />1 <br />Irwin D. Fe,,ereoa, off" Grand f,alanda Nebaslsa, bein6 first duly ewers <br />- r � <br />upon his oath, deposes and say% tb#,be is the Manager of the Apfel- Butler�- <br />* A <br />Geddes Funeral Home of Grand Island, Nebraska; that he knows of his qwn <br />knowledge that Martha Lorene Good "died at GranA +lslagd, Nobraska� on , <br />q{1 W �. # 10 i I r 1 <br />November 17, 1962; that the Apfel- Butler- Geddes 7,4neral home prepared <br />'% T '4+ <br />the body for burial and that thg said Xi tk Lorenj Good was buried <br />in the Grand island Cemetery,, on Npvembert2l 1962{ <br />{ <br />y y;A <br />1 • •r{1 it 404, <br />w <br />•, �, 'd® ''�r,,; . ^t + Irwin t. Peterson, <br />" � .• ti� Air " fq � n '� k �> <br />a'vorn to before me this l$th day of April, 1963, <br />7 � • r II `� Kph, .y � r ��a <br />` �'fl� <br />: l{ 1 1(` fi l L� _ _ <br />`� Wary Pablle <br />} {{ M T i c ,,,,.•a �i r �, , <br />c <br />i a <br />„ e w tatC of NebCa$k'a Ss 1 t 4 „ „ � �# ► r' <br />` , JA <br />Ctunly of aIC ( <br />Ertered on 1\ umerical Index and file4 <br />for record in Uft e of Register of <br />Leeds on tl e _ _ day Hof , yy <br />d <br />KV _ 1963 , at�10... "° 3 � `' ; ry <br />o'clock and 55 m Rutes' X. lyl.' � ” ' � <br />and i ecorde4 in Book _ U, t of i <br />... i -- <br />age �?��_• <br />geBistpr , <br />' <br />7 + <br />€ t _ } Deeds <br />t F <br />By ......{..... D ..s- - *?-.,�.;J! .. {^ r v a i a^ r <br />epytyj r <br />43 .;—a <br />a <br />a t � A' # # 1 3 -147 1413 I-r it <br />i ,t > i •• '{ a 1 t d t ¢ ; { n ., a '!' Y i t w !" i e� T d '4 t p� i <br />
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