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N <br />0 _ (21 • . <br />OD _� <br />B I I <br />0.) ( <br />rn <br />C <br />Death Certificate Cover Sheet <br />rr <br />h) <br />r"rl <br />rI, <br />H C. <br />C <br />CJl <br />Ga n <br />Grantor (deceased) <br />Ruth D. Boeka, also known as Ruth Hight Boeka, also known as Ruth <br />Aim Boeka <br />Surviving Grantee(s) <br />Janet M. Warner, as Successor Trustee of the Ruth D. Boeka <br />Revocable Trust, dated December 13, 2012, as amended <br />Legal Description of Property Transferred: <br />The Northwest Quarter of Section 35, Jackson Township 10, Range 12 of the 6th P.M., in Hall <br />County, Nebraska <br />Previously recorded document number(s) relating to this property/ownership: <br />201300467 <br />After filing, please return document to: <br />W. Michael Morrow <br />P.O. Box 83439 <br />Lincoln, NE 68501-3439 <br />rn <br />czi <br />O <br />