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<br /> CERTIFICATE OF OEATH U
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<br /> Alma Uorothy Hansea Pemale� Mny 20. 1995
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<br /> C�iro. N�brasku ""' 81 `"�� ie " °`'._ """" April. 19. 141b�_`
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<br /> St. FranciA Medicel Ceeter �1O" a"""'`""' �- " �� "�'""-"__
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<br /> Grand Is2and ,,,,��„[] Nail
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<br /> Nabraska Hall Grond Ieland 2704 W. John 68803 .»��Q
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<br /> � �`""�'' White ""`�" Atnerican "�'�" °"0R�° Leland Hansen -Deceaeed _
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<br /> Carl NHN Laukenc�actier Tena N�1N Heh►ike
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<br /> � NO �~� ���R��a� Jeanette Mooree
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<br /> 82x 3nuth Gunbarrel Itaad, Grand Island. Nebreska 6$801
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<br /> � �� �� tiay 23. 1995 • Westlawn Memorial Park
<br /> � t�O CFYftEIiYONG�E�MlOtlrt t cttrllll101N/ b111it
<br /> _ Livingstnn-Sondermann F.H. ❑� Q"�^ Grand Island. Nebraeka
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<br /> t� SOS �leae Roenig. Grand Ialand, Nebreska 68801
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<br /> JOHH J. CAt�NELLA M.D.� 729 N. CtJSTER GRAND ISLAND NE 68803
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<br /> FOR VITAL S7ATISTICS USE OWLY
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<br /> = ! �ter�by certify this to be a 4ru�and corrcct c�py of the ori�inal filed wfth�ha
<br /> = ate of Nebraska t��K��,�.�n�b
<br /> ° • • , by ��!t�. � ei � 7£RRY L L0�
<br /> v � ° MyCAmm.[rp.
<br /> �; igned n my presence this tlay of 19�._
<br />"; ._ ,, _ .�Notary Fublic
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