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N <br />�° <br />[ <br />[ <br />584- 1/499004 <br />n n <br />m a. <br />xi <br />SPACE ABOVE RESERVED FOR REGISTER OF DEEDS OFFICE RECORDING INFORMATION <br />RETURN TO: Bruce I. Smith <br />Leininger, Smith, Johnson, <br />Baack, Placzek & Allen <br />104 N. Wheeler, P.O. Box 790 <br />Grand Island, NE 68802 <br />] Transfer on Death Deed [ X ] <br />TITLE OF DOCUMENT: CERTIFIED DEATH CERTIFICATE FOR DEEDS <br />] Life Estate [ ] Other <br />June 1, 1990 90- 103151 <br />GRANTOR: State of Nebraska Department of Health <br />Clayton L. Kauffman <br />GRANTEE: Clayton L. Kauffman <br />Nancy A. Kauffman <br />FULL & COMPLETE LEGAL DESCRIPTION: <br />Joint Tenancy <br />DEED RECORDED: DEED RECORD: <br />Date(s) Recording Information <br />Last Vesting Deed(s) <br />(Deceased <br />(Deceased <br />(Surviving <br />on Recor <br />Lot Eight (8) in Block One (1) in the Replat of Riverside Acres an Addition <br />to the City of Grand Island, Hall County, Nebraska <br />r � <br />CD <br />CO <br />Person's Name) <br />Person's Name) <br />Grantees Listed <br />ded Deed) <br />