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CASH <br />CHECK 16 0 <br />REFUNDS: <br />CASH <br />N CHECK <br />_ RECORDED <br />w <br />cz <br />HALL ccs.:NTif 1 E <br />N <br />U1 <br />Jacobsen Orr Law Office <br />P. O. Box 1060 <br />Kearney, NE 68848-1060 <br />INST 1013 O b 12 5 <br />113 OCC 21 A 0 01._ ... <br />KR1sr! WOLD <br />REGISTER OF DEEDS <br />CERTIFICATE OF DEATH <br />Please record this Certificate of Death against the following -described real estate: <br />The Southerly 43 feet of the Westerly 61 feet of Lot 4, Block 21, Original Town, now <br />City of Grand Island, Hall County, Nebraska, and <br />Lot 6, Block 4, Rollins Addition to the City of Grand Island, Hall County, Nebraska. <br />