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<br />WHENTM COPYCARRIES THE RAISED SEAL OF THE NEBRASKA HEALTHAND HUMANSERVICES
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE ATRUE COPY OF THE ORIGINAL RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION, WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. %
<br />GATE OF ISSUANCE t F'
<br />JAN 10 2002 200202752 ASSISTANTSa E EG 97RARR
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM[
<br />STATE, OF..SKA- DEPARTh 0FX TH AND HUMAN SM"M FINANCE AND Str 14859
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<br />CERTIFICATE OF DEATH --
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<br />° °' '° MO5 u a: C4 - A riber 16, 2001
<br />Anne Elizabeth Zebert Female Decem
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<br />ws - 29, 1953_ _
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<br />AI 'I I Nebraska Hal,L -Grand Island 14253 ManchesterRd68803' ❑X N°❑
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<br />White sN�� "' American NEE= ❑RTMCO Dale A Zebert
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