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4/12/2012 10:42:15 AM
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CERTIFICATE OF PROOF OF DEATH <br />DATE January 31, 1952 <br />TO Mrs. Marie S. Nagle, 1908 Avenue "A11, Council Bluffs. Iowa <br />(SUBMITTED IN LIEU OF YOUR FORM ) <br />NAME Fred G. Nagle <br />ADDRESS 1908 Avenue "A11 Council Bluffs Iowa <br />STREET CITY ZONE STATE <br />DATE OF BIRTH12 -2S -92 SEX M COLOR OCCUPATION Railroad Switchman <br />DATE ADMITTED TO VETERANS ADMINISTRATION HOSPITAL -January 3, 1952 <br />DATE EXPIRED IN VETERANS ADMINISTRATION HOSPITAL January 26, 1952 <br />CAUSE OF DEATH <br />CHIEF CAUSE OF DEATH: Bilateral broncho - pneumonia <br />DURATION <br />CONTRIBUTORY CAUSES: <br />NAME AND DATE OF OPERATION: <br />AUTOPSY: ® YES NO <br />REMARKS: <br />V A FORM <br />JAN 1949 SP 10 -128 <br />TAKEN FROM HOSPITAL RECORDS DATED . <br />VETERANS ADMINISTRATION HOSPITAL <br />January 31. 1952 . <br />&Q <br />J. <br />Y14 W=z4-ffw444=0 <br />J . JOSEPH <br />REGISTRAR <br />VA•MWFD• ST. L0 UI.-. MO. M. 419 <br />t , <br />r J <br />1 <br />
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