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BOOR 24 PAGE 97 <br />said county court of Box Butte County, Nebraska. <br />Dated this o214_'A day of January, 1958, in the City of, <br />Pinehurst, Moore County, North Carolina. <br />Ifi. .-.3: r; ......... <br />Subscribed in my presence and sworn to before me this <br />day of January, 19 58 . <br />�. . . . . <br />No t ary, <br />My corqtnission expires the -)-.;?aday of "1•`� �` '. <br />Q."C'ertifieb Certificate of ;Deatb <br />NORTH CdR0I,LITA, j <br />( OFFICE OF 1REGISTEII OF DEEDS <br />County of - -- . `4io ore <br />-- -- - -- <br />This is to fePace t7tah1tE,3 16th @� <br />certify Anna lvi _. olli st _ _ <br />'� ♦ pt <br />' Sea�_r_e17131e_ zvas born the - - _— day of �'IQV. - -- ] <br />an.. l� -d died the - - days of-,,- j`�} 1937 ]p[ - -� at the age of - 7$ - -- -- <br />2 7 <br />°�1i1BY'ril- _apri n�3 _ - - - 1'ownslaip, - _ .. 1`�QOr_E - -- -- Count�l, State of <br />�rorth Carolina, U. S. 4_,Cau e of,deatly - ._ ntestional Ubstruction <br />>na .lonica, Cali <br />- - -- - - -- - - -- <br />_- Cegnetei the ..- h - _ day of _Jam@ _ _ 195 7__. <br />4 C <br />Name of Father m esley LAtchell _l'a.7n.( ofi Jfother Catherine Morrison <br />I"I .Rending Physician Clement R. _t'ionroe,`Address Pinehurst,_�d C. <br />- -- -- --- - - - <br />i <br />Registration. District No. - _Certificate No. — - -- --------- - - - - ---------- - <br />"` X - ors. Harold i4arkham g <br />Tiled. �:a 31 19_�'%. ' -�- - -- - - - -- -Local Registrar <br />�� � �l.ccordzng to Records of Pital Statistics of this Office <br />Is - - - -- - - -- <br />WI T NFSS•mv hand and official seat, this the -- 3rd- day of _ _ _JUrl@ __.__- _ 1957. <br />�z y <br />S `ys <br />-- - _B_eseie - - -J, Grif_ in - - - -- <br />Register of Deeds. <br />[Official Sear" Y - __ - _ - County, North Carolina. <br />- - - - - - - - - - - - CertM d Cartifioate of Do;a,— Mitchell Printing Co., Ra1e1911- 913Ef, <br />GANTZ. WILLIAMS. HEIN & MORAN <br />ATTORNEYS - AT - LAW <br />ALLIANCE, NEBRASKA <br />
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