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4/12/2012 10:27:59 AM
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4/6/2012 2:51:40 PM
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004-566
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f� <br />RECORD OF DEATH <br />STATE OF NEBRASKA OFFICE OF CITY CLERK <br />COUNTY OF ADAMS <br />CITY OF HASTINGS HASTINGS, NEBRASKA <br />THIS IS TO CERTIFY THAT THE RECORDS IN THIS <br />OFFICE PERTAINING TO THE DEATH, <br />Frank G. Harris , who <br />Died on February 17 '19 57 <br />Place of Death Ingleside, Nebraska <br />Name of Physician attending Carl Gouldman <br />Age Time of Death 85 <br />Place of Burial Parkview Cemetery <br />Funeral Director ...... Mortuary <br />Death Recorded by >; February 2Q9 57 <br />Dated at HASTINGS, NEBRA991 , this t t dam, of June 19 57 <br />•r6 _7 .: City Clerk and Local Registrar <br />HIDE PRINTING CO.. HASTINGS. NESR. - (� ,1 •, <br />' �4Y <br />py c1 <br />4& <br />
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