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4/17/2012 11:35:15 AM
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008-605
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rru -:Nevs REe a -sT - STATE OF NEBRASKA <br />uEPARTNIENT OF PUBLIC HEALTH, DEPARTMENT OF HEALTA <br />E[JU('ATI()ti AND k "ELt'ARE Bureau OI Vital Statistics A) .� JtN ✓ V <br />j > BIRTH O 126..._ _. CERTIFICATE OF DEATH STATE FILE NO. <br />I <br />I <br />s <br />a <br />I PEACE Of DEATH <br />2. Ufs ^4 R[flp[NC[lwAn•ew:•�N G. COUNTY <br />Hall <br />a (•> <br />;Veer. <br />r. CITY, TOWN. OR LOCATION <br />„i . OwN �R L�CATi�n r. LENGTH OF STAY IN IA <br />Gri.nu isl�na <br />Gr�nu Is14na <br />n n 1. ......... udd.ree d. STFEET ADDRESS <br />„t. Ermncis hospitL1 303 South i{iL'"11 <br />FARM RESIDENCE' IF <br />FI.A. ,.LATH n JE CITY LIMITS' YESV NO❑ r. IS RESIDENCE INSIDE CITY LIMITS. YE0 S J. ,ty <br />y <br />- � -- _— - --- _ - -- <br />3 MAM[ OI A- iref .Niddfr Lmt d DATE l <br />Y[C[At 1 DEATH. ]lidr • 8, 1959 <br />IrFrw „• „riNII Foscoe Conklin Fiss <br />NRS <br />S SFx <br />6 COLOR OR RACE <br />T MARRIED NEVER MARRMDQ <br />B DATE OF BIRTH <br />9 AGE 1,"D I� <br />1O'CER ID MR <br />1I UNMR]A <br />M.• <br />L3 <br />v <br />40- <br />i <br />40- <br />
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