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.7mm~ra T.ivinpa on after being first duly sworn on oath deposes <br />and says that he is a resident of Grand Island, Hall Oounty, Nebraska and that <br />he is licensed esibalmer and funeral director in and by the State of Nebraska; <br />' That, Dale Donald Lamb a resident of Wood. River Nebraska <br />did die at Keasnev. Nebraska on July 15. 1976 <br />, and that he did <br />prepare the body of Dale Donald Lamb for burial on that date; <br />That, he did supervise the burial of the body of Dale Donald Laub - <br />in __ Vestlawn cemetery, located in Grand Ialsnd~ Nebrae3ca <br />oa J~,Y 18, 1978 <br />That, he did see the da:d body of Dale Donald Lamb a~ad <br />did positively identify same; <br />Further affiant nayeth not. <br />Signed at brand Inland, Nebraska this __~ day of •ugust 19 T9 <br />,,_` <br />". - <br />~l~n ./ ~ rot <br />Sub•cribad and aware to before ae, a notary public, this 2~ slay of ~i , <br />19 7~' _ <br />~- ; <br />1Ek[gy; yrtregr ~ e?a~€ ae y.d,.,A~ ,. z _ ~x ~f <br />Notary Pub is <br />MY eaeiaeion expires potcber ~~ 1980 <br />RECORDERS MEMC': ~,, .° ~ ~` ~.~ <br />~-z, ,. ~- <br />_ X".i _ s <br />'.Re6 of Otissls' <br />_. tt. <br /> <br /> <br />