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Ni___ <br />Nommor- <br />cc) <br />0 <br />Ni <br />CTI� <br />N.. <br />INST 1073 02352 <br />REFUNDS; <br />CASH <br />CHEC <br />RECORDED <br />HALL C'DI. -'4TY NE <br />1073 HAY ", II: 35 <br />REGISTER p', .....I WO" D <br />REGISYB ER OF DEEDS <br />RETURN N TO: <br />BOWMAN & KRIEGER <br />1045 Lincoln Mall <br />Suite 100 <br />Lincoln, NE 68508 <br />DEATH CERTIFICATE COVER SHEET <br />DECEASED <br />Charles Adrian Douthit, a/k/a Charles A. Douthit <br />Legal Description of Property Transferred: <br />Lot 3, Block 5, Kay Dee Subdivision, Grand Island, Hall <br />County, Nebraska <br />/4f -t° <br />