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76004709
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Last modified
7/15/2017 7:46:43 PM
Creation date
9/16/2014 10:02:13 AM
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76004709
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� � _;��x�. <br /> Fi ��e�,,, � � <br /> P: <br /> 4 <br /> � � ��'t. �7, ,C�� /�`'3 f`,��r� y �C/�:1�<��-«J � <br /> 76- 004'7Q3 <br /> A F F I D A V I T <br /> STATE OF NEHRASKA ) <br /> ) ss. <br /> COUNTY OF HALL ) <br /> Jacies Livinr•;ston , after being first duly eworn on oath depoaes <br /> and says thnt he is a reaidenC of Grand Islar�d, Hall County, Nebraska and that <br /> he ie licensed embalmer and funeral director in and by the State of Nebraska; <br /> That �'3r;� iSli:aoeth Garber 8 reaident of G,,. I::l.,, <br /> > > n,9 1'::i�r•�c�ra <br /> "r. did die at Grand _Tsla:xi, 1!eUraska on July 29, 1956 �� and that he did <br /> prepare the body of i`•1''y �?lizabeth Garber , for burial on that date; <br /> That, he did superviae the burial of the body of I'�r•.�� ii.lizal;eth Uarber <br /> in 1•?ahas4a cemetery, located in i:''-haska, fansa, <br /> on '+s�usj, l, 196= <br /> That, he did aee the dead body of �'��'-:Y Eli�abeth Garb�r and <br /> did poaitively identify same; <br /> Further affiant sayeth not. <br /> i: <br /> �� � 2�tn 'u i�-t 76 <br /> Signed at Grand Ieland, Nebraska this day of " �' � , 19 <br /> � ',t . ';i� — ---`/�, , <br /> Affiant �\ <br /> ': Subacribed and aworn to before me, a notary public, this ���L'� day of August <br /> �. <br /> 19 76 <br /> / 1 <br /> � � %J , <br /> � <br /> � _.�; ,/ <br /> C�,%i.f/l�'.s�l(, / %�" �.�:%T <br /> Notury Public <br /> My commisaion expires Oc�oher j� 1y7� <br /> l,NDREN/V/,OLfVER <br /> GENEP,AL N07ARY <br /> stFZE r.r r[cnxsrc;, <br /> � IaY L'[;r,�•.Is;�oN rzF�:;[> _.i . <br /> �:I�.... .. _�. . <br /> N^,. <br /> I a � <br /> � ` J ¢- , <br /> n ' <br /> v� <br /> � <br />` �• � � <br />;,�g <br />,3 <br /> L <br /> � <br /> � <br />
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