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<br />Male
<br />Pebsuary 7, 2003
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<br />mxa oem
<br />Esw ury
<br />xmwnsoumaa
<br />+e ®w ❑
<br />Doug1
<br />w rt.re xcwxn x
<br />ca�rxorara ,rws,Emror
<br />xY,wEw. uns
<br />Nebraska Hall Grand Island
<br />4234 Nevada A 68803
<br />r_ ©"° ❑
<br />16 MC['Hp.IMaa O•rt Mef�.,a... ,Y Y!FSlm u0. aEn YSO,fn^wsl ❑r aVIfY ❑"0.r® 131MIEOf BIgF.! da«Mm.b.,aia
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<br />.v uaaaams.mx m..ude, m.a.w.e aarepf "rsra+sroavT' uEp,Glr« i rw aap.ed
<br />de«aer Diameter anesraxem e.e. ca«E, n+as -.
<br />M"nager Disaster Unit American Y d Cross 5+
<br />e . .sae .«er
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<br />Narian Frisch
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<br />an wn ae
<br />mnen aowwTarvrwx
<br />Not Embalmed
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<br />eb. 10 2003
<br />Elmore Crematory
<br />m EaevaxoEe'aaa
<br />na cegsET.eawaaronaow.ox w.w,as, su.e
<br />Mahler -Dolce Mortuary
<br />Omaha Nebraska
<br />a •aeww«a mess rsmet *a ESn i+u anwmw s. m
<br />441 North Washington Street Pa illion Nebraska
<br />II YEMRC«5E Yw1ECNlaEP6l Va EpIiMMN,01[Y eM1,a.aa.�.1a,erave
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<br />This certhfiks t*3 ib<sq
<br />statistida, bougas t~plunt
<br />a raised sial in tat,A t of
<br />legal coptea:-
<br />a p IE6
<br />ce jsru:d.4r„
<br />mt Ci We ttfys`popy of an original record on [13s with Vital
<br />eal y4spfgFN,enS, 0"ha. Nebraska. Certified copies Bust have
<br />t�tt4.{ft:',NOproductlons of this green certificate are not
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