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STATE OF NEBRASKA �• �,,a.,� 201200336
<br /> WHEN THIS COPY CARRIES THE RAISED SEAL OF TNE NEBR45KA DEPARTMENT`DF NEAt�H Ah/D ttUf�1AN SERVICES,�T CERTIFIES
<br /> TNE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD ON FILE WITH THc N&$24SKA DEPARTNJENT OF`HEALTN AND
<br /> HUMAN SERVKES, VITAL RFCORDS OFFICE, WHICH IS TNE LEGAL DEPOSITORY Fi7l2 1J7TALRECt�RL7�'.
<br /> DATE OF ISSUANCE �Gy����' ��^� �;.. t
<br /> DEC 2 fl 201� �� sr.a�u��r�.�p�R � �
<br /> ASSIS7AN7 STAT�R�JSTRAR.,
<br /> �DEPARTMENT OF tfEALTH AND
<br /> LINCOLN,NEBR,45KA HUMAPI$FRVJCES
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<br /> STATE OF NEBRASKA-DEPARTMENT OF HEALTH AHD MUMAN SER5ACE8 �
<br /> ER7IFICATE f)F DEATH �-� �O u��
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<br /> John alfrod Dinsdale Male November 25,2010
<br /> i.CITY ANO STAT€OR iERRRORY,4N POREK3N G WMTRY 9F BIA7H 6�.Ac7ELst BktlMay..6b.UNpF1t;YEAR 6e..UNOEH 1�AY� 6.D11TE OF BIRTfi(MO..Gy.Yr.l
<br /> (Yrs.7 M65, pAYS NOl1P8 MINS.
<br /> Ralmer,Nebraska 92 August 15,1918
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<br /> � 1309 Stagecoach Road �°O� ��s°°`��
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<br /> �' Nebraska Hall Grand Island
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<br /> 1309 Stapecoach Road 68801 �r� ��^
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<br /> John A Wagoner M.D. 800 Alpha Street Grand Island NE 68803
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