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<br />WUEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRAM . §TA9 , 100299
<br />DEPARTMENT OF HEALTH, IT CERTIFIESS THE BELOW TQ >Fl11�A1E „$pPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE D�AA7JTK1 T'l�i!;yy1�A1,TH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGA�::TsPa:iITpAY °•.
<br />VITAL RECORDS.
<br />- '•I : ; ,. fit:.,.
<br />,)ATE OF ISSUANCE _
<br />DEC 2 1 1A STANL€Y
<br />LINCOLN, NEBRASKA BUREAU OII'VISTICS
<br />STATE OF MEMASUA- OErARTEIENT OF IIIjAVU.
<br />WMEAY OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />O!N -
<br />A CM,. Oy, r. )
<br />j' 0se h Thomas Robertson 12 Male
<br />13 December 14, 1988
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<br />9 U.S.A� ,�:li,�zried
<br />,, Esther E. Tucker
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<br />12 506- 09- 4659._ILwitchman /Brakemsn- Railroad Hall
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<br />CENETdr_CLAC>W"70 Y -NAME
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<br />u.. Buritt M Dec. 19, 19t88i'2&.
<br />Westlawn Meterial Park
<br />C.Grand IsI ®nd, Nebraska
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