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4�ate of Death <br />ace of Death <br />Mrltat Status <br />Regular Residence <br />egist <br />1or1 <br />RURAL ° >) <br />Vital Statistics <br />Certified Extract From <br />Registration of Death <br />Issued at Edmonton, <br />Alberta, Canada. <br />427009 <br />eg istrat'ton <br />1 -08 <br />CERTIFICATE <br />OF DEATH <br />e I <br />Abcxra <br />COMMUNITY AND <br />OCCUPATIONAL HEALTH <br />Vital Statistics <br />IMPORTANT DOCUMENT <br />This certificate is a valuable legal document. Please keep it in <br />a secure place. <br />THE CERTIFICATE IS INVALID IF ALTERED. <br />r <br />LIVINGSTON— SONDERMAN <br />FUNERAL HOME Y /FILE: 1122A <br />505 WEST KOENIG <br />GRAND ISLAND, NEBRASKA, 68801 <br />