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6/20/2013 11:10:00 AM
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6/20/2013 10:40:43 AM
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011-208
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M11 <br />0 llpr. <br />a ____ '2 <br />P►FM'--1 16-2162 - <br />Is Yn M., w ft" r ft&4II <br />JUN 2 3 It'62 I __A_ %r <br />X.A.,- 12 --A-. i - <br />Wand- Nft1m%F&A <br />c 1" 8", o 0@1 my wMe <br />Livii-pton-Sondermann. Grand ral <br />and9 Rob. <br />PH—A " 1 IIFI 1 .1 <br />"I . ' , ' , "III HE ♦1.T)i STATE OF NEBRASKA <br />D1 PARTMENT OF HEALTH <br />ELW(ATIIIS —D 1k: IMIL <br />iurrau of Vital Statislics <br />BIRTH %,, 126 CERTIFICATE OF DEATH III. -*E FILE NO <br />Grand J3111nd Grand raland <br />102 West I 102 West 17th <br />7- <br />____ MOO <br />—.j.,7 <br />I - __ <br />Kenneth Donald Andersen <br />.Ti June <br />22 1962 <br />We it* <br />Plar. 15 1918 <br />Rai lroadinK <br />Ara rjahoe. <br />Nelm Andersen Kirut&n 4r.9 <br />om In <br />Thelma Msthl3ets <br />Fff <br />Jacobsen <br />nA no Sc 9 - 1.9 nd TAI 2nel, <br />O*Kl= <br />y", <br />I memo 10 man. <br />ONE mllmmxv� <br />IM. <br />MVOXV� <br />0 llpr. <br />a ____ '2 <br />P►FM'--1 16-2162 - <br />Is Yn M., w ft" r ft&4II <br />JUN 2 3 It'62 I __A_ %r <br />X.A.,- 12 --A-. i - <br />Wand- Nft1m%F&A <br />c 1" 8", o 0@1 my wMe <br />Livii-pton-Sondermann. Grand ral <br />and9 Rob. <br />
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