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89- -10263 7 <br />r I.ot Thrt?e (3). Block Four (4) . Mayfield Village Third Addition <br />I to Cairo, Hall County, Nebraska. <br />L <br />WHEN THIS COPY CARRIES THE RF.ISE;D SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATF DEPART49T 'QP A AL.TH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DF.POSITORV FOR . <br />VITAL RECORDS. <br />SATE OF ISSUANCE <br />MAY I t W STANLEY S. COOPER. 1}1YUCTOR <br />LINCCM"s NEBRASKA BUREAU OF VITAL STATISTICS <br />--a - -aloft nr wlrlfseaCMA <br />A C�K AS�D WlI.TAlti "LTH. <br />D8lARTMBIV <br />>d1lt+esY of V'0Ca1 <br />I HEALTH <br />BbtWles r, 0 784 6 <br />ant= NO. 126 ........ <br />CERTIFICATE <br />OF DEATH s4ATa nLx No.... <br />t NAif �I ttRATN <br />2 t1WAL tI 040"W9 (1►ASr.A.rd4w.1 C9— QWi.ra b.J.rswens..usisA) <br />6 CCc1RT., <br />IL CO wV TtAT_T_ <br />oAaw <br />`„ `— <br />p. <br />A Jun <br />33BRO <br />b. C"V. Talmo" LOCATOR <br />t. IIaGTtt Or 1TAr la 10 <br />t. Coll. Taw'1L Oa LOCAYMM <br />ORA" ISLAND <br />4 days <br />Cairo <br />c sTU �T ■mass <br />t rota or to go ti wNw. ow shod sN►etr) <br />94MMA` °0 I,uthern <br />latstlTVtlwr <br />. <br />t• ,� .��; �,: Mara Mao; Fly EM -M te^ <br />r R AtsTOtlKf l• slot elT• Ilrllse T[s / rAall II[fl0[ac[/ T f <br />NOD. 11it <br />! Kum N FUN <br />A[turt LAW <br />t Oalt Alssth t1s7 Yt.r <br />1nii[ r Itaura <br />Yam4fte Claussen <br />a TM d 16 1960 <br />us <br />vow* Oa %6" <br />7 YAATIWO VCR MAaallo <br />PAT[ OF 615,104 <br />2 AGt tls troop <br />tool Alrladawl <br />0 wouts <br />1 vow 1Aletaft <br />Ift <br />Atsaw <br />tAt tl sY. <br />Ah a <br />Mal• <br />white <br />lnomo awacco <br />8 b <br />pC -pA f yNra Mt <br />Ny. own Ytowsil <br />01 tma cw ousmsso1 M0STa <br />1) MAT,IK[ 3iHr M J►nM. a.Ar f) <br />[n= w ffMT Cw'pMwj . . <br />house Wi <br />N <br />ar nn b <br />OO <br />S <br />1 cATWOS aan[ <br />lab. "OTrgas ral0[a aAr[ <br />14. root[ OF aysfAao on wlri <br />Cherie Brno <br />lairs Toehwk <br />pester Clauseen <br />tees e=&us [vta M V "now "a-use <br />16 soma. stcualT• tlO 17 ltt~111AMV Ad&#" <br />'''"""""w" dab* of0."" <br />6 -22 -69 ]'tester (;lauseen Cairo Nebr <br />N GAt K.4w 41"TI 1� tell .At table W"' <br />p► (A). to). MI (81.1 t'^ u"`'� �T* <br />VAST t 094TH was COMO sr• <br />1160go � CAM to) <br />33I ✓ <br />C%OoronA. T say. <br />&A To (A) <br />~ fare r,rt r <br />d4osome Cory Of ad,r• Out Tp It/ <br />Irr 160. <br />rAbT a OTO e440,40 C.O.MtO & CpRRIPRns 10 OfATr KIT NOW At1ATO TO TM f W OU DrUAM 0014floa Gat11 a ►Y1 l(A) IN. w" AUTOKV <br />/[rIrV,01�1M[Of <br />~ <br />r[i i[7 �o ❑ <br />ACCICCaT su+CTOt 140"Clo[ o1 oaea,st now wyar O"Uafto ( Eller sell., 0110jorr in Pi# t tr Port !l. /Yew N ) <br />0 0 0 <br />lttlear .. �. <br />W sTAT[ <br />war OCCUAA[O mr tLAC[ or Mwev (t. r• M r sANf Isar. 2D/ C.• .. TOWN ►QCATIpM COUNTY <br />1h11•. ttt•1 <br />tttt4[ Al 0 lbT vwtll 13 tstn. mom <br />stress. f� <br />wM AT trOaR <br />_( 1.ttoaAlN the doespeod to rn <br />t st/rs on <br />, t. .end lost saw ham <br />basch sector <br />on the Into ststslsbmrs to $Ao best of my AnosrNl/A, teens ohs aouM.�sedodd <br />Qat NWT <br />slots) 2L A / 27t. OAT[ SIG <br />1 <br />27t ►•.r .a pA. 2)1 flak 21r aAa[ ar ct"IT[ar Oa CAINATOa• IOCAfain ICYr, two. M tts.,7) (Mate) <br />Nebr. <br />IA,.t,,,.1 �/ S %�' <br />2T aft Alte sr acsesrau 11. wsTyaAa s <br />J• <br />aran4Irb n <br />2"AWWe�iral Home. UAIR00 s NEBR. <br />JUL 18 1960 �! <br />r. <br />ar <br />r<p <br />w <br />