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0 <br />I <br />EDUCATIONT D PuLFA HEALTH, DEPARTMENT OF HEALTH <br />EDUCATION AND WELFARE Bumut of Vital StAdstic <br />S2 <br />1 <br />G431— <br />BIRTH No 126... - -. -. CERTIFICATE OF' DEATH STATE FILE NO. <br />1. /EAG OI D[ATw all <br />I. COU.Tr H. <br />I UtUAI rl[tIDEMC[ I wEa• Ir.r l:.r .r.�... RaJ.w <br />n STATE 0 co'.TY <br />W�..A.......1 <br />11 1 f�/ <br />IvTebr phi <br />r 1— T O. LOEAT.. <br />1. GT. TOWM. DA LOCAIiOw <br />GrandIalend 1 le <br />Cairo <br />/. -.9 a ' I <br />sT—T ADnass — — - _ -- <br />—11T RDA <br />I Si ITUTIOII St. Francis Hospital <br />.. n ILA <br />wo <br />no <br />]. "Mm fl T <br />h <br />Adelia Wiese _ MATM o ri <br />30 196? <br />Li <br />IRP SEK p❑ 1 DATE Of BIRTH f /.r(KRAUT. I <br />Md- <br />female white Wr.1 2 1898 84 <br />0 <br />a. <br />WIm <br />oA Inousrwr t 12 u <br />Ir41 oaw U w.rE+n1 t yr. nrw 1! rwLeU <br />fe �n <br />I .rATNEKt NAY[ <br />Wli[ <br />77'a- <br />Hen Li entha u-: own G <br />i a. <br />COr 1 SDCIAL ucuAITY wD. it WI.K[[aWT d/brw <br />none Mr. II'w. n.....l...r rl....... . A.w r...r <br />Willis ff. Wiese.Cal <br />to CAYY N .[ATw lEnm u.ts f.e claw sw ( (tl. OI. M (cl.l <br />IAAT L pEATN WAS C_- <br />dust[ Ty <br />awEDYT[ C.,, <br />'vim <br />ConlDbu�;/iWfns. 11 Dus'10 (N <br />�/_ <br />{ 4 a <br />W.'DO•I <br />wwl., IY unN- f <br />la, n— law. DA M (s) <br />r[D m rK <br />rL11f011w[POfI� <br />YES❑ MD ET <br />IsE �o (Enlrr nrun yin/u.Ib Pwllw Pw<I!fl Dcw llJ <br />, <br />I.yl.v .. w. r• <br />ml UTt. TOW.. M loGTlol1 WUMTY <br />STAT[ <br />w.u[ Ar ❑ w0T w.lu ❑ hrw. Awl. drrK.. uM.. wct <br />W RIt AT ..AK <br />` DAAEA rad at _. —Al w to eM Du/ d rnr AnowLdp, from <br />1 • M AfAI.J. <br />—n <br />bP'h' S 2/1962 <br />Weatlawn ii : o rar)dsa�_sna�lCetir. <br />A DATE AEC' 11114c ST(lAA i —4-- <br />3 � ar H ADD.1- <br />f ` tunerome, Cairo,Nebr. v1 <br />Y <br />