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� <br /> I � <br /> ( 78�00004 <br /> A F F I D A V I T <br /> . STA?E OP NESRASKA ) <br /> ) ss. <br /> COUIilY OF HAL1. ) ' <br /> J�$ ���tOII after being first duly svorn on oath depoeea <br /> , <br /> and says tt�at he is a reaident of Grand Island, Hall County, Nebraska and that <br /> he ie licensed embalmez and funeral director in and by the State of Nebraska; <br /> Thatge,thexzsle Slabaszewski , a residenc of Grand Island Nebrea3ca <br /> • did die at 84E South Vitae on November 10� 1977 . and that he did <br /> pre pare the body of Katherine Slabaszewski , for burial on that da te; , <br /> That, he did supervi�e the burial of the body of Katherine Slabaszeweki <br /> in Westlawa cemetery, located in Greud Island� Nebrsaka <br /> on November 14s 1977 <br /> That, he dld see the dead body of Katherine Sleb aezeweki a�d <br /> did positively ldentify same; <br /> TusCher afflan[ sayeth not. <br /> 81sa�d at Grand I�land, Nebrawka [his j rd. day ofJanuazy , 1g 78 <br /> , <br /> i % <br /> •---- ___ ___._ _ <br /> r �. �y� <br /> Afflant �� <br /> Subscrib�d and �worn to befcre me, a notary public, this � day ofJanuary . <br /> 19 78 . <br /> ' � ��� � J�J� . <br /> otazy Public <br /> Iiy caoission e:pires October �. 1980 <br /> !� C:','-�. ��."1�PY�Start e��••,-� , <br /> t .. .�REr: w.0:t':Cn <br /> �t"y , ..I.n.�n.:.. <br /> ��— <br /> ' <br /> G�1 Cf+.i'� !/./�'-sp�. y J�.r/�-!:>+✓ J��C.GcC.L/ <br /> � . • � � � w <br /> «�� <br /> �, <br /> � � <br />�. <br />