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WHO THIS COPY CARRIES THE RAISED SEAL OF TILE NZIUSX STATE <br />DEPART` -KMT OF HEALTH, IT CERTIFIES THE BELOW TO BE 4.31UE . COPY` <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE. DIUAirAOt OF HuU n <br />- -- — -- -- - -suay. tv . iiF - <br />1!'L - <br />VITAL RECORDS. <br />DATE OF ISSUANCE <br />.`Cbb <br />E.ttt`ii'9RASKA BU' OF, VITAL <br />RAU W AA -W.� <br />ff 105078 a W�su� <br />"UNE OF OUTH : /v lac, <br />-� -�- 1 /Vir it Weblsr ' Flusb 1307 W. Ha Gan <br />NIwAIcwr1M�.. - CiM/1/a'►aCaw• ,NAM! rocAl0 cavW L fl• . <br />ft.Ducial l: Kar. 27. 1989 li.. W' *stlawn Memorial Park n/. Grand NebravkaL <br />ADWS1 anlna•r. N/. On 68801 <br />/ si.ivitn sto"Seadsrmann 505 W(elbt Koeni . Grand Island ,NNe <br />M Ir) DATE UGWD Cato r` L ) "OUR up MA11" <br />3 r <br />SS I" 210 M <br />a in MAO — ria Iwr.., <br />A- -�. ji <br />ffra.+ .+tr..d ..a aMts . t� Q 4*100nl►..wr�..1w.•M•t�•+/N•.+ yi.t.�tlMw.tlw+.MM <br />.w.rt."tt6l+/ • r. tu.., M.4..at Ww w r.. rw N.IM11 <br />44 William L. Povlers , H.57 ?16 Alpha, Crand Island, NY <br />Mumma <br />we Hr 11 e4WU APR 3 Im <br />(rMl f k / N /,.AMO(41; ��� <br />t.p..lr..........w/61.r <br />A TOW to. on Ai a coolwowwo w, <br />4WMM tiMMw� • ItttM �M rr.�.AM .M� Y K� M / IYI llrMll� IrP.�. Myr�1. M O/ C <br />w �� t.. C7 ll. CJ ��� » 1" tr r ur► 7f <br />. lowcat PKMNCOL trawl. Mll OF sefun ttw. M V. t ~ a uww an�i ntt� t1YY6l 1Xt11.66. V <br />Iii 7i M >I// <br />- r Arr. .ItQN stall as s.0 Ir tiff O/ t01.M 611110 <br />IMtMr►raNw Mar6.00wwrli.rry, <br />L - <br />301 <br />J <br />h <br />M6. Mr. IF* , - <br />Gsor ina ON W <br />Weber J.Jriemal*__ Is Hkrch 23. 1989 <br />-M i, N <br />. wN'tin, r <br />N.111/wrlr� . <br />` i <br />Mue.rif MrMCal:`Yi1wMr, <br />iavv�is. Wyoming ` <br />U.S.A. Karrisd , Vir it weber <br />• 6 <br />61.i wii M /1ww tttw /pow 44w ow C <br />COWM OF MAIN <br />508- IH -913i , <br />Hall <br />1 5 <br />awx p <br />, H <br />[f.►, iO M <br />M at o-0111 nimorc ..tr..iu r,r...:. «w.. r tto/. o. rr. w.l..o► <br />Ccad Iola" V <br />(fa+ <br />lr = r , 1 307 a <br />/aMMlrc/ rNi.w C c <br />cm. row of to"14ft : <br />:Pow am *won w" M OW rwn <br />1st.. Nebraska Ill I <br />Ise Grand Island i <br />im 1301' V. Ha a tees �, <br />- <br />!Irvin NKN S <br />Stone G <br />Gertrude NMN Mulligan <br />wAA wsaww r M M Y l AMMw #"afr M <br />M/.piiMM�- Kailf- wcuwOw"w -M "10140 AOMpa (S"uv a / r. No. ct* a �6oN. s1•tn JM1 <br />µ 1 <br />190 <br />L - <br />301 <br />J <br />h <br />