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GI AND STATE OF owns rN op.. It s <br />-.9-io cw <br />it Ster <br />Wora& <br />sociasacusTvm#jmm USIJOA <br />wf.j <br />t :524 -64 -6897 IISWC� <br />C". TOWN 011 LOCATION OP OMTH <br />I& Oman <br />101791 <br />DOUGLAS COUNTY HEALTH DEPARTMEMP <br />Vital Slatittka Sectkm <br />OMAHA, NEBRASKA <br />CERTIFICATE OF DEATH <br />4AST (MO. bwi;. G i---- <br />Len QL12 <br />"Gliqw. mosiesh. , AGE .94-0 8.04" IL"A DAtfzi4'1if""Z*-- <br />Der. T' I <br />dAfS HOURS AWNS <br />F M <br />.lean OS & Nov. 8, 1949 <br />WNWWWAT Ou"? <br />WIDOWED. DwofKab (Spec.1y) <br />USA Ito Married Its MArbin J. Notat-la <br />rtireU <br />bzwKmr 1131% X—asur—an-cm <br />X'CITY LJAMTI "WITAt 04 QIHIII INSTITUTION - Home 116 0 now OR My tw.*.. DO& <br />My•ow""s) give gf'04#.'.C# Aw.ba') 0~ � <br />.ALSA- , <br />YM ". Boliday Inn 172nd & pmwb;;: <br />CI IV. TOWN 01 110CATION STREET AND NUMBER <br />iscGrand Island sm 4251 Utah Ava. <br />I.NE- 6 <br />6:00 AN <br />15400 AH <br />Y. Rof D. <br />Slain T. Roffman, No. 37th St Oniba, Nebr. 68131 <br />46UT DATE RECEIVE BY REGISTRAR LAP- StAn 4 A 4""n <br />&r4"wA'&A&w wasaiismaw <br />Dug to, oil As A CONSEQUENCE oc <br />Me certifies. this' -doCM*#M to 'be a um am of an original record Ion ellis <br />with the VIw -St*tiffa4=- isition of the Douglas Cw=ty Health Department, <br />ir=� f-"Od edpiq4"t have a raised seal In the azx& to the <br />-loft. certificate are not legal ccplee..;.. <br />J7- <br />(Registrar) <br />L <br />