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4/12/2012 9:36:56 AM
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A. <br />L <br />A. <br />v s <br />PriS-0URIVSI REV R-59 STATE OF NEBRASKA <br />l3" DEPARTMENT OF PUBLIC HEALTH. DEPARTMENT OF HEALTH <br />EDUCATION AND WELFARE Bureau Of Vital Statistics <br />BIRTH NO. 126........ CERTIFICATE OF DEATH STATE FILE NO. <br />I. ¢LAC[ OF D[ATx 2. u <br />u [INF(WA.•• e• m•e I,— / r+d.w e4w•M+L.uwl <br />a. COUNTY 1 w <br />w 'TA CIUHTIiall <br />ie <br />LENGTH OF STAY IN IA I <br />I CITY. TOWN.OR LOCATION <br />I 5 <br />5 Yrs. G <br />Grand Island. <br />l <br />� <br />nC <br />of <br />[ <br />c& <br />qy <br />s <br />�Q <br />05 <br />?E <br />7E <br />u <br />4 <br />!Cg <br />A. <br />L <br />A. <br />v s <br />PriS-0URIVSI REV R-59 STATE OF NEBRASKA <br />l3" DEPARTMENT OF PUBLIC HEALTH. DEPARTMENT OF HEALTH <br />EDUCATION AND WELFARE Bureau Of Vital Statistics <br />BIRTH NO. 126........ CERTIFICATE OF DEATH STATE FILE NO. <br />I. ¢LAC[ OF D[ATx 2. u <br />u [INF(WA.•• e• m•e I,— / r+d.w e4w•M+L.uwl <br />a. COUNTY 1 w <br />w 'TA CIUHTIiall <br />A, CITY, TOWN. OR LOCATION L <br />LENGTH OF STAY IN IA I <br />I CITY. TOWN.OR LOCATION <br />I 5 <br />5 Yrs. G <br />Grand Island. <br />d. NAME OF If no in ko, uw, Oil' "hrrr udd—al d <br />d. STREET ADDRESS <br />
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