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<br /> � WHBN T41IS CJPY CARRIBS THE RAISED SF.AL OF TNE H�HRASKA STATB �
<br /> DBPARTHENT OF NEALTN. IT CERTIFIES THE HELOW TO BE l� �Kt1E CUPY
<br /> OF AN ORIGINAI. REGOFtD QN F�LE i1IT�1 THE STATE I�EPAk�1���.4�'R61lLTN
<br /> ; BUREAU OF VITAL STATISTICS, Sil•IICH IS THE LE(�AL:�L►�POSITOIF�'�TrQR
<br /> ViTA'L RECORDS. • � `t ��
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<br /> DATE OF ISSUAI�2CE
<br /> 2 1986 �J
<br /> NOV 9TANf,8Y.5:,C0APE�;�D��tECTbR
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<br /> LINCOLN, NEBRASKA BUREAU 0�•?.V;I�Ai1�;5TAT2STICS
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<br /> CERTIFICATE OF DEATH� .� -
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<br /> , 4:311iam LeRoy Harrison Male Octoher 25, 1988
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