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0 <br />RE•RECORDEO gg..er. 102825 <br />WHEN THIS COPY CARRIES THE RAISED SEAL. OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE,A TRIM COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPOTMENT OF HEALTH <br />BUREAU OF VITAL- STATISTICS, WHICH IS THE LECAI DEPOSITORY•FI <br />VITAL RECORDS. <br />DATE OF ISSUANCE <br />JUN : I sm STANLEY. S. C0OPER,,01RECTOR <br />LINCOLN, NEBRASKA WREN OF ``ITAL - STATISTICS <br />-s9- .102 770 <br />vs � DWARMEENT o ewsN 6 7 0910A. <br />a "U TtOti "031 UNIX Brrw of vital dtabtift <br />..own too.. I"........ CERTIFICATE <br />OF DEATH STATe =2 <br />1. tN.Ata o amm�sstr�N'' J %, <br />WM1AL �RMlamaIffAlnlnn.dr.4 1 /1t.A1I..v t......«ti.u..Y.r.1 <br />4's 't - -.. Nebraska N. colfNTr . •• Hall. <br />Ada .#. <br />f. Cm, , oN uRATINIR <br />e. Ulo" a STAr w u <br />f. te,Tx. t@ eft" (NCATOIR <br />Brand 191=1 <br />•..: <br />