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Rev. ��,�i T 7E F RASIU- DEPAIt�'ME�iT OF 1#�.AL7'M AND �UMAN SIQlVIC6S FR+IANCB AND BUPb'QR? <br />' � � � � U 3 910 ��,�A��� <br />c������� a�� i���� <br />i.OECEOENT-NAME 'FIR37 MID�LE � � ' � � � � :�. 2.BEX -- 3:OATE� TH (46rqIA(J/jsYtl� - <br />Louie . NMN Sw�.��� Ma],e Au u�t 18� 20Q1 <br />4 CITY ANO 6TATE OF BIRtH fd rrof iv !/, 5A. nertre epuNry) 5a. � AOE� • Last BI�Nday ` UNpEq� t�YEAH -�� �� UNbER 1 dAY � & QATE OP BIRtN ��A� �j �/ -�"- � ' <br />Pilger, Nebraska n�B� 82 PW.MOS. � DAY� Se.MOURS� �$ AuguBt 15�, 1919 <br />7.SbCWl6ECURTIYNUMHFR � - � � Ba CEOF EATH . . . . � .. .. .- . . . " <br />- � �H08P.ITM; In� OTHEH Hmu . <br />. 507-20-2572 � - � ""� <br />Bd. 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C ,� , ; a � ». � E ,; � , , .,; �, Pe�l II �, �.m���,�`MW ` ..�:„..,» ; <br />N3C.........................................._...... ...... .. , t.: m r �, �, ��±,s���i~ �'Tr��t No� <br />W 0�/� ............................................ . ........ �. ..... 1 �i{.Mt «� .�1 w ..ta« N�� w�...r i M�� I ���ft�{f"Y+ <br />UC .............•................................ ...... .......................... ..�.�.. �.wZ . . � .�F.. /Atfl� ���.At�jf ,�� � �7 <br />�B�@R� ......� ................ } . _. ............. �R,�„. Np•t J J �t. t k � • j . , �,�.f r • • . � � a a .w r1N �+pmr«7a <br />_ .. ... . � .� / y � , ( � Y�'�� y .4 <br />.. . . .. „ "+L'� � �M�11� rt � oa �aYOIM 4�P4!.1V ° � � i f h s, � 1 .� �iA���'S W�� 1 � ` J <br />. t. <br />i r � <br />. . �.�' l�� . . . ) � 3 ` �d Z�,�� { � � 8 �i° 1�k,�� P <br />r r� k s f� �- �, 6 ' 6'�$�' q� 4� :+ � � <br />� ��.'� e� i ; � � � � �6 n ii � { a� a �r ,��A ,�' , a 4p f �ry tiS.� i �13��j 1� � ' . �. <br />. . . . . i.:, � . !- '�' � a"4ti t! � �"� F�� ��' r � � a . <br />� t � ,� t � 4 ��b� ��17�"� r ✓ .,` �:. 1 <br />I� hereby certify this to be a true and cprrec� co�y pf th��a�ii�ii��l �� �� ��t;���.,�� ,�� ��� ;. <br />file � with the State of fVebras6�a � � �� � � . � � � � � � " � �` `�,� '`� � � <br />, �, � i , � <br />< � �' <br />-G� p� � — - . - f � ? '" � � '.. .. r ''�:;tr ��dr _ � . <br />�`�d�.��ra.�� �-� b . , ; � .:., ! �. _ ' GENERAI. NOT RY f ' 7T�tz, <br />Y �Ji t t� af <br />, _.. :� - ---- _ _.._ ._ .t: �� �� ...._..._., '�� �n �Xp��� � �';�� <br />, � �, : _, r <br />Sign��d� in-my pre � � ,�.�� ' � � � �:: M� c� . � � v , <br />�.. ..,. . . . - . � <br />:, t <br />_':`� _ ... _ ____. __:� � 1 ' " ' + 5 � <br />� ;�: ... . _ �� ..:5.�... �1 i �. rv �.:;@i.5, t...� %.;.v tiak 1i����'t r " - � <br />� , _ t �_ F <br />,; _ . ; .,.. <br />N�tary ���hlir. . ... .. ..... ,� . �. , , <br />� .� ` ' �� �, <br />, �,_. <br />� ';.d <br />I :� <br />, �s," � <br />. _ . t j` F ' '' <br />�i� <br />;`M1 . <br />L'j � r <br />