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WHEN n*s COPYCARRESTHE RAISED SEAL OF THE NEBRA <br />SYSTEM IT CERTFWS THE BELOW TO BE A TRUE COPY OF THE <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, WT <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />LINCOLNEBRAS 200203997' <br />SKA HEALTH AND HUMAN SERVWr - <br />ORIGINALRECORD ON FILE WITH <br />/ <br />AL STATISTIC 36OnDAL 1'HIQ/F13 <br />a 14 iN VO <br />�J <br />A(}SB,IAV06 R <br />A34L4tW-ST14 <br />TH1 AND HIUMA7H <br />4 6 94.,06093 <br />CrIMMATE OF DEATH - +- <br />n1..94 <br />Dorothy ria 2tan9a n8 <br />MV <br />mF. q February 3. 1915 <br />Solon 3 rings Bieconpin 79q - <br />n <br />hq <br />507 -24 -2196 <br />m <br />T <br />,6t FrenCia Medical Center <br />and Island <br />C iro 05!'8. aid 8 8824 <br />x <br />m <br />z <br />1 <br />swwa.ne Paw IF. h ,a ar{F ••n, <br />lOOeewife� �'� DOmestiC <br />'" Roberta Vetlp HeariCk <br />.Earl .rw. <br />�.w- •f.w.'rr�Y�W H n A. Swgg . <br />OS S.said St Cairo NE. 168824 <br />i +r 71J 9ar ❑aaoY. H 20 1p. '..P a mot <br />m Fn <br />a <br />❑F� ❑O� CeitO NB.' <br />Funeral Home <br />.pAf-I <br />4DMJ. <br />good River NH 68883.176 <br />rYr <br />q MMwrYN <br />q Vuauaw FO�Mw.r��v <br />a0+.4u1 FRPY.LY MNJIJIMN. wOlIY411P WIwR' <br />� Yw MF <br />VYF IFW r <br />i PrtPFYM MM1S n/ XMI1d I1Vn Yp {Vl4WY1VIYti/AD� <br />\ m V m C7 <br />❑ awm �rW r..❑ w❑ �_. <br />Pr[ MWni�µ PflnA <br />r n w <br />s z 9 y .; <br />���� tagppittygY MfYRw; ]tlMV'YlftDplb /a.,' <br />m <br />0 <br />aIt <br />e <br />s WY.wm ewnwwa uy Y.,, w+uu W Yw. we ...+Y W� <br />turn Y nw <br />r _ <br />. Sp YY 4mr�/[tDM Un uY4Xatux[uY rr'����qM »e wYGr+lFx .to+ ^� <br />Q R9 ~ <br />tIJ <br />❑ �! W ❑ IWMM1 ❑ KBIld"^ +.. I� <br />T.:.uI Yp MY(gPCFxFIfA MM1YGMCMMR5nn909WPWM .v I., FmuF,i iriPUOY <br />Av. Grand Isalndy_NeJet¢>j$Q____— <br />Gordon J H n NS *.r <br />P+E 14DB. xG6 W <br />qMt� <br />w e <br />WHEN n*s COPYCARRESTHE RAISED SEAL OF THE NEBRA <br />SYSTEM IT CERTFWS THE BELOW TO BE A TRUE COPY OF THE <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, WT <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />LINCOLNEBRAS 200203997' <br />SKA HEALTH AND HUMAN SERVWr - <br />ORIGINALRECORD ON FILE WITH <br />/ <br />AL STATISTIC 36OnDAL 1'HIQ/F13 <br />a 14 iN VO <br />�J <br />A(}SB,IAV06 R <br />A34L4tW-ST14 <br />TH1 AND HIUMA7H <br />4 6 94.,06093 <br />CrIMMATE OF DEATH - +- <br />n1..94 <br />Dorothy ria 2tan9a n8 <br />MV <br />mF. q February 3. 1915 <br />Solon 3 rings Bieconpin 79q - <br />P <br />` NO bd— W. I pa.rnt4�w <br />hq <br />507 -24 -2196 <br />,6t FrenCia Medical Center <br />and Island <br />C iro 05!'8. aid 8 8824 <br />reeks Hall <br />`T"%hite a� a man •�. rwq .. S <br />1 <br />swwa.ne Paw IF. h ,a ar{F ••n, <br />lOOeewife� �'� DOmestiC <br />'" Roberta Vetlp HeariCk <br />.Earl .rw. <br />�.w- •f.w.'rr�Y�W H n A. Swgg . <br />OS S.said St Cairo NE. 168824 <br />i +r 71J 9ar ❑aaoY. H 20 1p. '..P a mot <br />a <br />❑F� ❑O� CeitO NB.' <br />Funeral Home <br />.pAf-I <br />4DMJ. <br />good River NH 68883.176 <br />rYr <br />q MMwrYN <br />q Vuauaw FO�Mw.r��v <br />a0+.4u1 FRPY.LY MNJIJIMN. wOlIY411P WIwR' <br />� Yw MF <br />VYF IFW r <br />i PrtPFYM MM1S n/ XMI1d I1Vn Yp {Vl4WY1VIYti/AD� <br />❑IoW Uur�r u <br />a.N ❑.Wa ra MPORY{I q, �.qP� „yyR.yn r•pml rh FWF,q {M[,WU.D Pv P.OM. g1rF <br />u�uYw A'DeX <br />❑ awm �rW r..❑ w❑ �_. <br />Pr[ MWni�µ PflnA <br />s z 9 y .; <br />���� tagppittygY MfYRw; ]tlMV'YlftDplb /a.,' <br />m <br />0 <br />aIt <br />e <br />s WY.wm ewnwwa uy Y.,, w+uu W Yw. we ...+Y W� <br />turn Y nw <br />r _ <br />. Sp YY 4mr�/[tDM Un uY4Xatux[uY rr'����qM »e wYGr+lFx .to+ ^� <br />Q R9 ~ <br />tIJ <br />❑ �! W ❑ IWMM1 ❑ KBIld"^ +.. I� <br />T.:.uI Yp MY(gPCFxFIfA MM1YGMCMMR5nn909WPWM .v I., FmuF,i iriPUOY <br />Av. Grand Isalndy_NeJet¢>j$Q____— <br />Gordon J H n NS *.r <br />P+E 14DB. xG6 W <br />qMt� <br />