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.�: <br /> i ..� r <br /> � <br /> �- . <br /> ��.. <br /> �". ; , � �,. <br /> � <br /> a� tC 2V .f'. ,J�...mk. ' � � `�k�. <br /> ( <br /> � y M1�� f���������., . <br /> A F F I D AI U' I �' � <br /> �, ' — ' � <br /> iSTA'TE 'QF NEHgt1SI�A ) <br /> ) sa. } <br /> CO[IN7.Yt'QF HAI.L " ) <br /> 3smea3�i.vir�ston , 'after being first duly awozn on oaCh depoaes <br /> � : : _ <br /> 'and says that he is a resident of Grand Island, Ha11 Cqunty, Nebraska:and that <br /> b kae is..licenaed embalmer and fuaeral directar in and by the State pf Nebraska; '' <br /> 4&. . . .� �� � . <br /> � That, Flarence Elizabeth Gaveny, a reaideat of: Wo� ���s Nebraslca <br /> < <br /> �: , did die at Gra,ud 2slaxsd� 1Vebrasl�a on Februazy' 28� 1954 , and that he di.d <br /> �. <br /> ,� ; .prepare the body of Flarenoe ElizabethsCaveny , for buris2 on that'date; <br /> ,�� That, he did supervise the burial of the body of �lorence Elizaheth Cave.r�y' ` <br /> , <br /> � `1n. St. Aia's.y's cemetery, located in �o� �-4er, Nel�raska <br /> �' <br /> �� on Masch' 3s 195A� <br /> � . That, he did see the dead body of �lorencx Elizabeth Caveny and- <br /> � <br /> � did positively ideatify same; " <br /> �' , <br /> � Fusther afEiaat sayeth not. ,, , <br />' _ <br /> �,� 3ignad-at Grand Zaland, Nebraska this 3Zst day of i�Tarch': > 19 71' <br /> � , � <br /> .��.,� . . . . . ���/ -r,'.,�.� ,d.. .�,-��,.. .2` . . . . <br /> � �/ '' . �r t.,i .Z <br /> t;,; Affi�ant .--� , � <br /> ��:t. ' , ' <br /> rrl� z � <br /> "% Subecribed and eworm to before me, a aotary public, this 3st day of Maroh , <br /> '� ' <br /> t 19�_. <br />, .:� <br /> x x ' �,�` � � �� ��� <br /> y� � .. `i�:�� �' . .. . <br /> � � �� � � <br /> � ', " �,-,�,F- !�..' <br />, �.. . .. , <br /> � <br /> ,y,� Natary:Public <br /> 5;..'� <br /> E '� . My,.commlesion eacpires October: 5, 1980 ' <br /> x <br /> �., .. .. . � . .. <br /> .� . � .. � . ' . . . . <br />.,a_� 4 ;: � . . .. . . . . . .. . . . . � . .. . <br /> d t 3SkP ' . . . . . <br />� , CcSEi�it S ' t . . . . . . .. <br />� . � i1 J t �. . <br />� � w y w5,tr.�,.=R"J.0.2.;188A <br /> + <br />��x.� '`� <br /> ; � �- <br />� � � �� � <br /> s <,. <br />�`��,�. �F ,.... ` <br />���+t,rxYew+nava�a�wr?M +�,+ r,��a;�. ��., � j .. ^ . � �"t,. <br /> i..-�� �iw <br /> � <br /> r �� t �f"i� <br />� �`,: <br />��, � ti -, . <br /> pa'"�' . . . . . . . . .. ��r� <br />�� <br />� � � . . � . . . . .. .. . <br />`�-, . � � . . . . . . . . .. .. <br />�, .���`�` � �: �:� �.. . . . �. .. . �.. � <br />