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WIDEN THIS COPY CARMES THE RAISED SEAL OF THE NEBRASKA.
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE O
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATEOFISSUANCE
<br />MAY 8 2002
<br />ASSISaNT
<br />LINCOLN, NEBRASKA HEALTH AND iWMA _
<br />200205208
<br />STATS OF NOWASKA — OOAmnlmll Of ssALTK
<br />WASIAU Of WTAL STATNM
<br />C,
<br />92 03234
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<br />Lawrence E. Miller
<br />Male
<br />March 1 1992
<br />MWOUSA.r ORWf .W
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<br />Osceola, Nebraska 83
<br />Januar 2 1909
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<br />Lakeview Nursina Center
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<br />Burial
<br />March 3 1992'
<br />lWestlawn Memorial Park Grand
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<br />X Richard jfruehlinjj 90,Q N. Howard Suite 108 Grand Island, NE 68803
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<br />10'1992
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