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<br /> THIS CV IF S THE •: V. TO BE A TRUE COPY OF AN ORIGINAL
<br /> CER_TIP 4II'tE AN RILE ITtT J"IE STATE DEPARTMENT OF HEALTH,
<br /> •BUREAU' ,uV. •\L - 4?IS�'IXS. WHICH IS THE LEGAL DEPOSITORY.._
<br /> FOR V T ORD3•a �' ,‘,..„---,...)
<br /> DIRECTOR OF ITAL S ATI TICS AND ASSISTANT STATE REGISTRAR
<br /> LINCOLN, NEBRASKA Issued November 6, 1953
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<br /> CERTIFICATE OF DEATH
<br /> DEPT. OF HEALTH, STATE OF NEBRASKA
<br /> LEONARD JEWETT ))HANCHETT
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