Aff - Klusmeier, Hazel_1/18/1973� _ � �
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; "� AFFIDAVIT�}.
STATE OF INDIANA ` °�`-
COUNTY OF GIBSON, ss: -
Comes now the undersigned and first being sworn according to
law deposes and says that she is the widow of Karl Klusmeier who
departed this life on January 5, 1973.
And further affiant sayeth not.
Dated: January 18, 1973.
E
Subscribed and sworn to before me a Notary Public this 18th
day of January „ 1973.
My commission expires: 12-26-73.
This instrument prepared by Loren G. McGregor, Attorney.
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