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70 <br />m <br />_ C <br />0 v < x = vy <br />cn-4 "),.,„ c-T-R\eD <br />STATE OF NEBRASKA <br />) s.s. <br />COUNTY OF HALL <br />AFFIDAVIT <br />CD <br />I, Glenda M. Burritt, being first duly sworn upon oath, hereby state: <br />1. I and the widow of Daniel C. Burritt. Together we own the following described real <br />estate: <br />Lot Ten (10) Block Nine (9), Meves First Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />2. Daniel C. Burritt passed away on the 5 day of ia,fd , 202A. A <br />certified copy of the Death Certificate is attached hereto. <br />Glenda M. Burritt <br />SUBSCRIBED and sworn to before me this 5 day of , 2022. <br />GENERAL NOTARY - State of Nebraska <br />SHERLYN J. LAHM <br />My Comm, Exp. June t, 2023 <br />Y <br />--i <br />2731 <br />r r, <br />r,: <br />con <br />r,`, --t <br />7)0 <br />—.Jul <br />nrn. <br />;xi: <br />