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<br />WHEN THISCOPYCARRES THE RAISEO SEAL OF ME NEBRASKA HEALTHAND HUMAN SERVICES
<br />SYSTEM TCERTIFIES THE BELOW TO BE ATRUE COPYOF THE ORIGINAL RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECROU, WHICHfS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS.
<br />DATEOFISSUANCE w,, ANLEYS, COOPER
<br />OCT 5 2001 200202447 ASSISTANTSTATE REGISTRAR_
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM
<br />STATE OF NkbMSK DFYA InM OF HEALTH ANn INMAN SFANCGS FMANCE AND SUPW0.T
<br />VRALSTAIIST1CS 01 10926
<br />CERTIFICATE OF DEATH - ° - ° ° --
<br />Martin Elaine Weher Female - September 22 2001
<br />^xo;Grand Island Nebraska 1 _ "71 � � II -1u1y 31 1930
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<br />Nebraska 1Ia11. Grand Island x x 1316 N Ruby ° 6880} ° ® x^❑
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<br />�,SOr�,ia.,,en..m ° 's roam,.., /e„alish (l ;I`.° °gym ❑ °xox o Edwin C. Weber
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<br />WHEN THISCOPYCARRES THE RAISEO SEAL OF ME NEBRASKA HEALTHAND HUMAN SERVICES
<br />SYSTEM TCERTIFIES THE BELOW TO BE ATRUE COPYOF THE ORIGINAL RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECROU, WHICHfS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS.
<br />DATEOFISSUANCE w,, ANLEYS, COOPER
<br />OCT 5 2001 200202447 ASSISTANTSTATE REGISTRAR_
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM
<br />STATE OF NkbMSK DFYA InM OF HEALTH ANn INMAN SFANCGS FMANCE AND SUPW0.T
<br />VRALSTAIIST1CS 01 10926
<br />CERTIFICATE OF DEATH - ° - ° ° --
<br />Martin Elaine Weher Female - September 22 2001
<br />^xo;Grand Island Nebraska 1 _ "71 � � II -1u1y 31 1930
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<br />'u,' a,I.x—Ma _ .. ® ul —. ❑
<br />xosxT .M o. �. °.
<br />505 -28 -8211 ❑
<br />Sri. Francis�Memorial Health Cent r ❑ °0° ❑ �'x"' "`° III
<br />Grand Island i °x❑ Ha11 EU x,I
<br />Nebraska 1Ia11. Grand Island x x 1316 N Ruby ° 6880} ° ® x^❑
<br />°� x ', ❑wloowo
<br />�,SOr�,ia.,,en..m ° 's roam,.., /e„alish (l ;I`.° °gym ❑ °xox o Edwin C. Weber
<br />Offrce Manager
<br />I Girl Scouts
<br />MAIDLI SUITLAME
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<br />Lorin
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<br />Gary Settle M.D. 2116 W. Faidley Ave o,. Ste. @400, Grand island NE. x68803 _
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<br />OCT 6 42001
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