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<br />A F F I D A Y Z T <br />sure ~ esxa <br />> sa. <br />~ of a~ ) <br />dames yivi3~ston , after being first duly swore on oath deposes <br />and says that he is a reaideat of brand Island, $ai1 Couatq, Nebraska and that <br />he is lfceased embalmer and funeral director in aad bq the Sty*~ of 2tebraaka; <br />That, Niels Christian Thomsen a resident of Grand Island, Nebraska <br />did die at Grand Is?a~d, Nebraska on r~pri~. 13, 1960 and that he did <br />prepare the body of Niels Christian 'ihomsen for banal on that date; <br />That, he did supervise the burial of the body of Niels Ch~i.stian Thomsen <br />fa Yestlavn I*IeQOria1 Yark cemetery, located in Grand Inland, Nebraska <br />.. a.Y ~1 1~, 1c~n <br />That, he did see the dead body of Niels Christian 'i'homaen and <br />did positively identify saa~; <br />Further affiant sayeth not. <br />Signed at Grand Island, Nebraska this ~'~ day of J'~ , 19 79 <br />~` ~ <br />Subscribed and sworn to before me, a notary public, this 24th day of dti7~r , <br />;as_=t~ , <br />rEAtW,Ai f7~6iA - taie o? ~°~.r=_ <br />r~ `'-`~ A~i C;;;~m. zxp. Gtr 7, 1980 <br />~t..rc <br />`(. ~ -~ <br />,, :/ , <br />'~ l~z--~ <br />Notary Public <br />Hy caa:aisai.on expires October 5, 1980 <br />~ : ~z ~. <br />s. %. :. r <br />•- - Rem at Deeds <br /> <br /> <br /> <br />J <br />