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85--. 000554 <br />A F F I D A V I T <br />STATE Of MMULSKA <br />COUNTY OF HIML <br />after being first duly sworn on oath deposes <br />and says that he in 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 />Tbat,Wa,jjrrW',0;qm Crecmaen a resident of a,aJ r <br />_j J4,.d, Me <br />did die at Grand 19J!,^4 A)g, on 11 jq-7n , and that he did <br />prepare the body of ( JjLi+er W.114n— Orgmep, for burial on that date; <br />That, he did supervise the burial of the body of Ujoi4er- W3�jgw, Or,r-#jgfm <br />in 61.61aM, MPM04"] Letc cemetery, located in Cg-aj �sja—j 0 Ala <br />on 1q7Q <br />That, he did see the dead body of Wolter W.jj1,nn cra-M e &A and <br />did positively identify same; <br />Further afflant sayeth not. <br />Signed at Grand Island, Nebraska this 4-6 day of 19 <br />JAff:Umt <br />Subscribed and sworn to before me, a notary public, this day of Z�. <br />f"D <br />Notary Pu is <br />My commission expires <br />a <br />I <br />W <br />-i <br />