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STATE OF NRXRAWA <br />COUNTIr or HALL <br />as. <br />A F F I D A V I T <br />87- 1®2196 <br />__/7 :', after being first duly sworn on oath deposes <br />and says that be is a resident of Grand Island, Hall County, Nebraska and that <br />he is licensed embalmer and funeral director in and by the State of Nebraska; <br />a resident of `i.. <br />did die at ,? e.. ,� j /,<. �_ on /!r)i f' : /� / , and that he did <br />prepare the body o €1� ��y /.r,:� _i/ for burial on that date; <br />That, he did supervise the burial of the body of.,,L,-/ <br />441. camtery, located in <br />That he did see the dead body of�- y J <br />+ Y ���..,� ° i".� , .. � �,,,•.,»..: and <br />did positively identify seem; <br />Further affiant sayeth not. <br />Signed at Grand Island, Nebraska this day of 19� <br />Affiant <br />Subscribed and worn to before me, a notary public, this , °O day of4 44 , <br />Notar Public <br />MY cowmission expires <br />This affidavit pertains to clearing <br />the title to the North 40 feet of <br />Lot 5 in Block 27, in the Original <br />Town <br />, now City of Grand Island, Nebr. <br />in <br />in <br />