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_ -.- 1 .. � <br /> `�-�35���1.?�?a � .._s dl v��a� 3 � -��'�? <br /> r� ���� - <br /> �--. �g—�.v�s�� � ... <br /> � COLONIAL ChfA►�FL �( r�'���I���� ����'�� EDCaEt4lD�Q CHAPEL <br /> N•nth t�L Sprvca Funeral Servi�o 2A�p Woodtond 4vo. <br /> P. O. F3ox�l6B • COFFEYVILLE, K.ANSAS 6733�7 • [3'16J 251-3100 <br /> . ; <br /> • AFFIDAVIT <br /> STATE OF KANSAS ) <br /> )ss <br /> MONTGOMERY COUNTY ) <br /> COMES NAW Ronald D. Wulf, who having been . <br /> ; first duly sworn and placed on oath, makes the <br /> following statement. <br /> t. That he is one of the partners of the Ford- , <br /> Wulf-Bruns Funeral Service, Inc. <br /> � 2. That said Funeral Home conducted the funeral <br /> ; services for Patrick Francis 6rown and affiant knows � . ;� <br /> ; of his own personal knowledge that Patrick Francis ' � -=. <br /> . i 8rown died on November 12, 1981 in the �Coffeyville �= <br /> •A_�_._!_a ��_ _ • - ----- _--. <br /> . _-__ - _ _-- rvtenwrte� no�piiat. __-_- —— _ - .. <br /> Further affiant saith not. " <br /> Dated this 14th day of December, 1989 in <br /> Coffeyville, Kansas. � , � � <br /> � - <br /> i � <br /> ' �� • _ <br /> . : �����;- <br /> ` Ronald D. Wuif � � <br /> � <br /> � <br /> , <br /> � - <br /> � Subscribed and sworn to before me this 14th day �� <br /> � of December, 1989 in Coffeyvilie, Kansas. <br />: ► �, <br /> � � ; :::,, <br /> � � � : <br /> , NOt �a <br /> - My commession expires <br /> November 2, 1991 <br /> ��\� Y'�Pl�(JH: <br /> a v <br /> . - �'_.-=-� .___ <br /> , � <br /> � <br /> _ i <br /> i . . <br /> � • � � <br /> hr <br />• � � ' <br />