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. . <br /> � <br /> 99 �0�794 <br /> Further Affiant sayeth not. <br /> . - �—�l��- <br /> F L CIA H. HORN, Affiant, a Single <br /> Person, and Surviving Spouse of <br /> Andrew L. Horn, Deceased <br /> 2216 W. Oklahoma Ave. <br /> Grand Island, NE 68803 <br /> Telephone: (308) 382-0103 <br /> SUBSCRIBED and sworn to before me o , 1 9 . <br /> � GENERAL NOT�ARY St�Nepraska Notary ub i <br /> B.J.CUNNINGMAM,Jq. <br /> N!y Comm.E�./a�p.17,2001 <br />