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Last modified
7/20/2017 7:26:38 PM
Creation date
10/20/2005 7:46:50 PM
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DEEDS
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200001097
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r _ _ <br /> m Y <br /> �- C rn � � <br /> i � � � Z , . � <br /> � _ � a o � � fl <br /> F � � �, _ � � ¢ <br /> `-i � � � m q y <br /> rn� � o <br /> � � <br /> � o � � cA <br /> r Q � � �" z o �` <br /> m � x rn C <br /> rr, -� a a� O � <br /> r � cfl <br /> dr"" v 3 r a ~ '�* <br /> cn W � o � <br /> D' C,p - <br /> � �� <br /> O (p �7 <br /> V> <br /> f:d' : _ <br /> WHEN TH/S COPY CA�S TF�RA/SED SEAL OF THE NEBRASKA HEALTH AND HUMANS�RIQGES <br /> SYSTEII�IT CERT�S TFIE BELOW TO BE A TRUE COPY OF THE OR/GINAL RECORL#�FI�E I�IT#�-__ <br /> THE NEBRASKA HEALTH AND HUMAN S�ES SYSTEM,VITAL STAT/ST/CS S���&.-`:; <br /> THE LEQAL DEPOS/TORYFOR VITAL RECORDS - _ = __ - -- <br /> � DATE OF/SSUANCE ,�,�O O O � � �� `= � �•-�-- <br /> 010. 7 ,C�ain� �R : __ <br /> APR 211999 �E��- -- -- - �, <br /> ASSI3TAIV��E R�-fA3�1��t <br /> LINCOLN,NEBRASKA HEALTH AND HUMAI��ERilIC�B SY��11� <br /> ' STA'tE OF NEBRASKA-DEPARTMENT OF t�AI,TH AND HUMAN SERVICES�fA,��t;��RT== <br /> VITAL STATISTICS = "-= _ -- - <br /> CERTIFICAT'E OF DEATH -__ " �_ <br /> 1.DECEDENT-NAME FIRST MIDDLE UST 2.SEX ' 3.DATEOF DEATH lA1pnM.Day.Ys�q <br />
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