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<br />THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />THIS COPYCES
<br />ME 05
<br />WHEN
<br />CERTIFIES THE BELOW TO BE A TRUE COPY M, THE ORIGINAL RECORD ON FILE WITH
<br />SYSTEM THE
<br />SERVICES SYSTEM, VITAL STA RSi1C3 SECTION, WHICH IS
<br />THE NEBRASKA HEALTH AND HUMAN
<br />RASM
<br />8
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
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<br />SEP 16 2002 ASSISTANT
<br />1 V1, 5.24
<br />HEALTH AND HUMAN SERVICES SYSTEM
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<br />THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />THIS COPYCES
<br />ME 05
<br />WHEN
<br />CERTIFIES THE BELOW TO BE A TRUE COPY M, THE ORIGINAL RECORD ON FILE WITH
<br />SYSTEM THE
<br />SERVICES SYSTEM, VITAL STA RSi1C3 SECTION, WHICH IS
<br />THE NEBRASKA HEALTH AND HUMAN
<br />RASM
<br />8
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCE ANLEYS. COOPER
<br />200400093 STATE REGISTRAR
<br />SEP 16 2002 ASSISTANT
<br />1 V1, 5.24
<br />HEALTH AND HUMAN SERVICES SYSTEM
<br />pm„
<br />LINCOLN, NERRASI(A
<br />STATL OF NEDNASKA- DEPAKIIIE WOF EEN. TN ANDNJELvE SERVICES FINANCE AND SUi'P ai 10417
<br />I1JF
<br />VIIAI. STATISTICS - LJ
<br />CFRTIFICAL C_ OF DEAIll -- - -,. --
<br />-_ ANILE
<br />Male September 4, 2002
<br />I' Charles Gardncl
<br />rcJ.,,.am,
<br />-
<br />ry 1
<br />�— July 7 1920
<br />Long Fine Nebraska 82 L —_ -
<br />_
<br />_ ^
<br />710-07-3929
<br />�
<br />f-
<br />0
<br />IBI,Fi eedom Drive
<br />E nF OEn +�
<br />-e.
<br />c— .��x �u Hall
<br />Gra rd Island
<br />Ir
<br />s
<br />�—
<br />Freedom Drive 68803 Q 0
<br />Hap Grand Island
<br />A Nebraska T a
<br />"
<br />��1815
<br />U Eo 1 --
<br />Lea ILtz
<br />- =n American
<br />White
<br />(�_ Norm
<br />L
<br />x a -
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<br />— _ uw .gym "v „ ".,
<br />% —
<br />oo ,. s Y: _z
<br />,,, 7
<br />Ordained Minister
<br />Ministry - 12
<br />oOgden
<br />woo,
<br />Fj�
<br />Sarah
<br />Fred Iona GArdnero
<br />"• ,Ky = =• ^ -^ ^_••
<br />x *wM.
<br />s xf aM. Norma Lea Gardner
<br />_Nn +ury -L xGxG n�OFEEE EETOV VSO - uwx Efn-
<br />Grand Island Nebraska 68803
<br />1815 Freedom Drive, xx.E
<br />_�".O�ij,EAlr- 1 ox . _GVergree E
<br />81071 S� eppp .E. ..pox .ow tember920U2 1
<br />All Feiths Nuneral Home ° a "'
<br />Leap City,. Nebraska _
<br />u o.f noor+ESS S,aEE *oax. N. r.oAiawxo
<br />2929 S. Locust SL Grand Island Nebraska 68801
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<br />LOT 12. FREEDOM ACRES SUBDIVISION, HALL COUNTY, NEBRASKA.
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<br />Sgt D Hilderbrand GIPD, 131 S Locust, Grand Island NF. 68801 _
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<br />LOT 12. FREEDOM ACRES SUBDIVISION, HALL COUNTY, NEBRASKA.
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