Betty Brott11012-11SH livill III N I � [Will
This permit, when completely filled out and bearing the required signature, constitutes authority
for transit or cremation of the deceased named below, in accordance with Section 71-605 R.R.S.
of Nebraska.
Name of Decedent
Betty Brott
Date of Death Sept. 5, 1986 Place of Death
Omaha, Nebraska
Sex f emalAge 59 Date of Birth April 27, 1927
XX
Boyd E. Braman Mortuary, Omaha Nebraska
Place of Disposition Blair Cemetery, Blair, Nebraska
(City and State) (Crematory)
(Signature and Title)
Items below are to be completed by the funeral director in cases of transit and by the crematory
official if remains are to be cremated. Method of Disposition:
El Cremation
(Sig t f crematoryLepresentative)
AXI-ransit &Y
(4nit—ure of funeral director)
Distribution of copies:
For cremation — original retained by crematory; copy to County Attorney
For transit — original accompanies body; copy to be retained by Funeral Director
9/8/1986
(Date)
am-
- - - 2.2 8
bUPLICAIT Issued: 9/1/72
This is to Certify That ... • .Betty L. Lake
of Omaha, Nebr ... • . • , • • • • • • • • I has this day porch se'dl bf -thTCffT� fl 3BLAIR, ash-
ington County, and State of Nebraska, the following piece of land, situated ixkhe> ortheast
.., n
__v
Quarter of the Northeast Quarter of Section Twelve;. -;,Township- Eighteen, North - Range
Eleven, East, and more particularly described as follows, to -wit-: North.One.-........"of
.........
Lot No. ..... 4............ in Block No. .. .. 10 2
...... of the BLAIR' CEMETERY,
and that the said ...... B etty L. Lake is e owner o
- ....... ................. .. ....... the- o e f the
above described premises as laid down on the plat on file in the office of the Clerk of said City,
to have and to hold unto the said ........... Pv-;tty D„• Lake
heirs and assigns, the above described premises in fee simple for the purpose of interment,
under the regulations of the Council of said City, subject also to all rules and regulations
adopted from time to time by the Trustees of the Blair Cemetery Association.
In Witness Whereof, the said grantor hath set its Seal and caused
these presents to be signed by its Mayor and countersigned
by its Clerk, at Blair this .. , 11th... , . , .. , , , , • . , day of
(Seal) ..... April , .... .A% 1 72
Mayor.
Price of Lot $.45 .00• • , , Attest ,� ... , Clerk