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<br />STATE OF `(E:BRASKA– UEPARTMEINT OF HEALT11, �
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<br />CERTIFICATE OF DEATH
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<br />DKIAND -- •.A..1 • n• •mot ••Ij 154A DATI Of MAIM , -G.I., •.., rt.t.,
<br />- -- g _ - -- Cale FF11:1 t t�t��e T Janur -ry 12, 1968
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