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6/20/2013 12:05:15 PM
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011-541
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[,BIRTH w[,vs� REV ( -sl i STATE OF NEBRASKA ~ <br />RTMENT OF P'U'BLIC HEALTH. DEPAR'CN E,' OF HEALTH <br />ATION A:VD NELIARE I X. $�tisftCm 0 L u 4 3 O <br />No. 126 ....... CERTIFICATE OF DEATH qff ATE FILL No <br />9 OF O[.TM —1 Hall - - s T( Nebraska co~'Hall <br />rr. To .. F • *ion .[NCTN or s•r � IA r CITY T„rn oA Fa •T lon wOrand Island Grand lslarci St. Francis Hos ital 1010 'Jest 9th <br />0 r. i5 R(5�0[nCF nS�D[ CITY IOW ITS firW Yiddk LoM A U Mono Da/ L'r/ . o i.,) Edward Wash ton S ink rn April 7 1962 <br />S w10OW D,7- . , I�.W{i�o /1 Y.uY MW — Yin. <br />Dn Dr /7 <br />rw ALL Rnu a luc <br />—t l�I(L U1� Msn-Lanc, fuel'. <br />r ATN[l f NAM[ <br />I", NOT111 1 n•ID(N n•nF <br />111AN0 OR WI([ <br />Francis Spink <br />Nettie - - - - - -- <br />Anna Cuillemont Skink <br />R..NT Adds« <br />i r... r.W .d....� w... w.. d.w r.r...N <br />no no <br />506 28 0274 Anna S ink Grand I <br />[AUf[ 0/ D4TM 1 .rer en71 er c.ur M fir i.), (D1, .nd ([1 1 <br />/•RR I D[•T E•uSEO [Y <br />OM A� 0(ATM <br />MMAS <br />oS % <br />Vyy�riE_�� rp n, G .S <br />11. <br />M.rInI M u 4r- DU[ TO ((I <br />/ /iN c w laY. <br />n- +.�w�Je.(R�RW WrR+AwWT'rT �vvr +v�nvlva�w� <br />edm. ro . m N1f GR�IDTqY�, (T�sOs W N. O� [ ( UTw l d mI EnU.I. <br />OUNTY �i-9-S <br />TGAT, . I RY <br />WNM ❑ <br />D.A oc.P�—t <br />L Par G ebraska t .NUn[ <br />I NAME Ol MORTUARY ADDR(ti <br />Livingston- Sondermann, Grand Island, Nel <br />
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