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�.a <br />rn <br />I1 <br />Z <br />n = <br />-n <br />c:: <br />G7 <br />CJl <br />_1) <br />_.J <br />C <br />Cr! <br />111111111116-11r 'AM <br />CEJ <br />r (rl <br />C:' <br />Recording information above this line only <br />Return recorded document to: <br />Bruner Frank Schumacher LLC <br />5804 1st Avenue, PO box 2030 <br />Kearney NE 68848 <br />NAME OF DOCUMENT: Death Certificate <br />Please record against the following real estate: <br />Lot Seven (7), except the Southerly five (5) feet thereof, and all of Lot Five (5) in <br />Block Three (3) in University Place, an Addition to the City of Grand Island, <br />Hall County, Nebraska <br />