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DA T€ OF ISSUANCE X/ ••w -u 20
<br />SEP 0203684
<br />2 0 2001 ASSISLAW smft keols a.
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES.SyS&M
<br />SFATE OP NEBRASKA- DEPARTMENT OF HEAL CH AND AND ZWPORT
<br />VITAL 5 FAT STICS
<br />CERTIFICATE OF DEATH '•1 ; - I �- /- �-
<br />i,a ern Howard Hansen _ Male- August 1 1 , 2001
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<br />Rockvill Nebraska HO! July 1, 1921
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<br />Grand Island x'N E] Hall County
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<br />�iNebraska Hall County Grand Island 3119 W Faidley, 68803
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<br />Office Administrator Ammunition 1
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<br />Henry H. Hansen Dorothy UNK Plambeck
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<br />No N(A Lorraine Hansen
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<br />1822 West 15th Streeter Grand Island, Nebraska 68803
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<br />Kleine Funeral Home _
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<br />3213 W North_ Frs� t reef _ Grand Island Nebraska 688031
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<br />2 ,�u „ELI FIER FESICIAN
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<br />William J.—Landis 2444 W. Faidlev Ave.. Grand Island, Nebraska 618803
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<br />" r'r {a it _ AUG 2 0 2001
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