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<br /> WHEI� THIS COPY CARRIES THE RAISF.0 SEAL OF THE NEBRQS�A.STATE r�
<br /> � , DEpAATTi�2�tT OF NEALTH, IT CERTIFIES THE BELOW TO BE.A-��JE cOPY ��•�+.'' •
<br /> OF RN ORIGINAL REC�RD OI� FILE WITH THE STATE DEpASTMENT OB•1�EALTH �
<br /> BtTREAU OF VITAI. S�ATISTICS. WHICt! IS TiiE LF.&AL-I2EPUSI2QxX FO�� �
<br /> VITAL RECOItgS. ' `=' . ' "' �
<br /> � � ' �
<br /> DATE OF ISSUANCE . ��� -
<br /> OCT Z 0� STANLEY S.' .CO6P�R, DIRECTUR
<br /> . L����� �gg�� ST�'REAU OF VITAL STATISTIC�
<br /> sT��oF�ausiu-e��r�xroi�un+ 9a,_,,, i�i 052
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<br /> CERTIE�CATE OF OEA�H a :.`;, „ �
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<br /> � Joh�s Junior Miller 2 Male October IZ, 198� �
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<br /> ��.ang�'on, F�ssouri , U.S.A. ,� marr�.ae� ,�Jazqnel ine Ann Keith �.
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<br /> �r.�• r,F.,...�• �.+:�.s, Hall
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<br /> , (dec.) John Wesley Miller (de�.) Thelma Lorraine McCool
<br /> WAS OEG[ASED EV�t?I U.S.AfMED fORGESf IHfORAIANT-HAME-�EIATICn1�fl�►-MAIUNG�DD�ESSNE �����i 0 MO.Cm W rOww,St�tf.Inf , ..
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<br /> W�IAt,Cnna�iee.R���w��OCt. 14 1(�HS ��METE�YOlCtEMATO�-NAME tOCAT10N C�O�YOM�N SUTE
<br /> ' Grand Ysland Cemetery � Grand Island, NE.
<br /> �., Burial ,. �or. �a. _
<br /> -S1GWLiL` 'iU NO. �3� fUHERA►NOME-NAMEAN040GRESS �sr�nw�ro�o.anwrowM.STAil,iM .
<br /> �� ,�pfel-Butler-Geddes 1123 W. 2nd, Grand Island, 1VE. 68801
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<br /> F . .� _' ow H uw..ar. ..� Mout DE4TH �
<br /> � �;a, qcsobe 2, 1988 '�� z�. z•b. M ; �
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<br /> ?�Octahc� 14, 1958 �� (,;OS A. r
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<br /> Dormond fcQ Metca�f. M.D., VA Medic�P �entery 220: �. Hroadweal, Grand Island, NE b8803 �.�
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<br /> S emous cell carcinoma right lun� ; 1'� years
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