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<br /> 5'CATB OF NGDRASKA—DF.PAIiTMFIV'!'OF lih el'r �� v���r � �
<br /> y i l3urrnu uf Vilrl Sla�fetfce � �
<br /> � ' ''` QO13$� CERTIFICATE OF DEATH �� "
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<br /> : I DECFA54D—NAAif.. . ��nl. . . �"��. Sf■ . . DAII Ot 0[AtN�Mo�ix.o.�.��.�� �� . � . . . . . .
<br /> > , Eric Rami.gius Stobbe r Male � July 11� 1971 .
<br /> YACf w'M�11,NtO�p,�W�K�N i�Duw, AGE—uu ����i wo1�1 e DAiE Of IIRiH 1n0���, 0�1� (OUNTY OF DFAfN � . � �
<br /> t�c. �1�1<i�` .Y� I���Moat V No�.� o.rt utou�f � �W� � . . . .
<br /> ', � �u ,. �� ��� s� w. � M4Y 31� 1913 �, sa11
<br /> � IfY,TOWH,OII IOCAII N Of OEAiN � � ���01 Un w��n HOS�ITAI OR OMER NS(�M N—NAA1 �u rn����itw��,cn�Hqlt�w wuw1�1 � � .
<br /> �.�1 . 1r1<i�r rlt o�wo � � . . . .
<br /> ' n. Grand Island ,,. Yes �,. 0� East 16th
<br /> SfAif Oi UtM 1���o��+u,�...:,�..�CIIREN 01 WN�T CWM�T � MnRRIFD,NE�'E4 AU¢dED, SURVIVMG SPOUSE���.n�,om.uron.wr�i � � � � . _ � �
<br /> coVwl�fl WI FD,OIVOR DIYtCNrI � � � �
<br /> � ,. Nebraska' , U. S. ,,.�arriec� ,,. Clara Roszczynialski
<br /> SOG�I S[CURIIY NUM�EQ �. � USUAL OCCUfATqN ioirl�i�o o�rau ow1 ou���6 rol�or KIND OI WSMlSS On INDVSIIII' � , . �
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<br /> '_ u. S08 Oj 1687 �y, Cuetodian . ���a m. dFuuStoTittl SBrvioee
<br /> �� pE51DFNCE—SIAff COUNfY CI111,(OwN,OR lOCA710N �p�U��wrt� SI�Eft AND NVM!Il � . - . �
<br /> - � � Ifrlci�r t11 0�MO� � . � � �� .
<br /> s ��. Neb. ���: Aall �H. Grand Islnnd ui e9 u.. 0 E. 16th
<br /> IA1Hf!—N�/af � ri�i � riou� �.�r MtlINE4—MAIO[N NAMt ����i wow� ut� . .. . . .. .
<br /> ,,, Joso Stobbe �,. Solamea Chelewski -
<br /> INIOR/MHt—NAME—�[UIIONSHI! MAIIIHG�OORESS � if�����o.i.l.o.wl.�<r.r es�cwn,iratt.t+1 . . .
<br /> : u, Clara Stobbe — s ouae v� 30� E. 16th St., Grand Ialand, Neb. 68801
<br /> ����� � pEATH WAS UUS(DlY�� �tNf[R ONIi'ONE CAUSf HF IINt i0 a�,(b�,.1NU(�)� n��w�oM����+0 o1�tX � � � � ��
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<br /> 10 GYS!GIV(N IN IAR Ns� � 1tfGM�MCT IN IMI�1Sf 7 MONfN3/ I 40��10�M III�r�w�w6 UUY . �
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<br /> �, ' ��• B�1� 7��. Rockville Cemete ��� c N '
<br /> OAfE �rwtn,o.�,nu1 iUN[�Al NOME—NAME�NO ADDIESS �����It O���.0..0.,<�n O��o.+,f�.��,Iv� �
<br /> ,,, ,,.. Livingeton—Sondermann, 505 W. Koenig, Grand Island, Neb. 68801
<br /> ` FMEAIM! —SICNAlURf'LF(1£!NS NO:.1e�o AEGI574AP—SIGN�}ORE o� � �ivlo Ir ioC�l nGifnu
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<br /> `hT;H�EN T :�L,S COPY CARRIES THE 12AISED SEAL U1 THC NEBRASKA
<br /> LL j Sf�'A.�E �EPARTPfENT OF HEALTH, IT CERTIFIES THE ABOVE TO BE
<br /> � A'A�'{ttiF.l COPY OF AN ORIGINAL RECORD ON FILE WITIi THE STATE
<br /> `.�• ��. DE�PAILTTLE�IT OP HEALTH, BUREAll Ot VITAL STATISTICS, WIIICH
<br /> 'f ":n'.,�~I,$��t��;L'EGAL DEPOSITORY FOR VITAL RECORDS.
<br /> ,; r . ,. �'ir.e.d�ti ��
<br /> DIRECTOR OF VITAL STATISTICS ANll ASSISTANT 5'PATE RGGISTRAR
<br /> LINCOLN, NGBRASKA issued March 18, 1977
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