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<br /> WHEN THIS COPY CARRIES THE RAISED SEAL Or THE NEHRASKA STATE �
<br /> _ L��p4R�MENT (1F }iF.At.TH, TT CERTIFIES THE BELOW TQ �E �1.TRUE COPY
<br /> �� OF AN ORIGINAL RECORD ON FILB WITH THE STATE DEPAitTI�1T �F HEALTH
<br /> BUREAU OF VYTAL STATISTICS, WHICH IS THE LEGAL DEpOSITURX '�OR
<br /> VITAL REC�RDS. � � "
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<br /> DATE OF ISSUANCE ,"��� �
<br /> �qN 5 � STANLEY S. ,�OQOP.Ex� ,nIR�CTOR
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<br /> LINCOLN, NEBRASKA BUREAU OF VI�SAiG'S�AfiISTICS
<br /> � 9TATE OF NE�IIASKA—OEPARTMEMT OF MEALTH
<br /> IUl1EAD OF VQTAL lTATI9TIC8 •
<br /> CERTIFICATE OF DEATH,�3 o v .
<br /> � OfGEDE�tt•N►ME fMST YDOIE US� i SEx 3 D�rE Of OE�iN ,Wrm q�r rw�
<br /> James Leland Lueth Male December 9, 1989
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<br /> Grand Island, Nebraska 59 Dec. 25, 19'�9
<br /> 1 SOCUL SECUNTY N{JN�ER M PUCE OF OEATN
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<br /> St. Francis Medical Center Grand Island 7�es Hall
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<br /> Nebraska Hall Grand Island . 511 East Meves es
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<br /> le FA7lE11•tU1E FtllSi YOOIE lA9T /7 MOTMER-YAlOEN NAME ._ _. FIiiST 41001E tA$t - -_- .
<br /> Ernest Henry Lueth Bertha Helena Zlomke �
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