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WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A.TW COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OIL HEALTH.
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />.DATE OF ISSUANCE
<br />JUL 17 earANl STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL,SITATIISTICS
<br />200205589
<br />STATE OF NEBRASKA, — DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
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<br />2. DATNI Fl UiX IMn+m. F.1 nnl
<br />Herbert Ephraim Fowler
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<br />Male
<br />July 7, 1991
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<br />NAME MIDDFE
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<br />Floyd W. Fowler __Mabel M. _ Dickerson
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<br />EMBPWE-YGxATU E6"BSExO 2 NxFRAFXOME- NAMEANUALLA111 19TREE, ON IF D ED CITY OR tOWNS F, OFF
<br />/ T 62 E2115 Apfel Funeral Home, Wood River, Nebraska 68883
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<br />NAM TAND ESS OF CERTIFIER FIYRICAx, DONNE R'S V «vSN:Ax OR DOLE, ATTORE", pypnvmol
<br />Richard Fruehlin An) 908 N. Howard Av. Grand Island Nebraska 68802
<br />DATE LED,11JI
<br />REG19TRAR
<br />1 51991
<br />
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