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<br />RECORDING MEW):
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<br />Lots 1 & 6 Island, 6nd the NW~Nr~ of 29-10-9, West of the 6th P.M.,
<br />Hall County, Nebrasr~ (containing 147 acres, more or less)
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<br />WHEN THIS COpy CARRIES THE RA~SED 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 ST.'~TE DEPARTMENT OF HEAL'!.'H
<br />BUREAU OF VITAL STATISTICS. WHICH IS THE LEGAL DEPO,SITORY FOR
<br />VITAL RECORDS. '.' . '
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<br />STANLEY s~'-COqPER, DIRECTOR,
<br />BUREAU OFjVITAh~TATISTICS
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<br />DATE OF ISSUANCE
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<br />SEP 81993
<br />LINCOLN, NEBRASKA
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<br />STATE Of NElRASItA-DEPAIlTMEHT or HULTlt
<br />BUREAU or VITA!. HATlSnCS
<br />CERTIFICATE OF DEATH
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<br />83 0588.)
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<br />A ... (Me,. ar. " }
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<br />19, 1983
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<br />UNO" t 0-'';' :-to....'" O' """(M.. DDr."'}
<br />HOllIS: .v~d I July 18 1911
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<br />\Ja1ter Boltz
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<br /><bGrand Island
<br />IBIDI..e! -$UT! COU,,"
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<br />stueve:$1 r" Christina
<br />I IN '0"""".. , _ NA",I - 'I~;A 1I0Nl"," _ .....'II..G AOPII5$
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<br />WAS DICIASED !V," IN U.S. AII.M'D 'OICI$?
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<br />SUrl'l.A.l; ('."'QI;I)", h",&'tI'al AU
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<br />1~la1ter Boltz-HUBb[~d-2t.
<br />CI"'ITlIY 01 C.I..... 10IY - "'.....1
<br />10< Grand Island (City)
<br />'UNltAl "OMI - N.....I ANP APP'ESl
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<br />#l,Box 188, Doniphan, He.
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<br />lOCATION ClITO. fOWN
<br />:Io.l Grand J.sla..nd
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<br />STAT!
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<br />He.
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<br />70G Burial lObHuy 25, 1983
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<br />n1ivingston-Sondermann'Il,505 w. Koenig, Grand ISland,Ne.
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