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WHENTHISCOPYCAN&ES THERAISED SEAL OF THENEBRASKA HEALTHANDNUMANSERVICES
<br />3YSTEA{ RCERTIFES THE BELOW TO SEA TRUE COPY OF THE ORIGM1Vi1C RECGAD ONFILE WTTA' - -
<br />THENEBRAS" HEALTH AND HUMANSERVICESSYSTEM , VITAL STATISTICSSECTION,- WHICH IS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS {
<br />TE O^ ISSUANCE AAA
<br />B 2 6 Z002 2002 0 6 5 7 It '��" DER coTRAR
<br />ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASIUI HEALTHAND HUMAN SERVICE33Y9rEM'A
<br />STATEOF NEFFLAI O�AKIMENr OF RF.V.IN ANO HUMAN SEAVICC;mANCP.(FMDal1YE�,cE 745. -
<br />vnALSTAMT[C3 �J (� V i
<br />(`FRTTICTrATF OF nF.ATN
<br />of - mF _ - FAST v.144rF un-
<br />SO
<br />Kenneth Charles Kulus
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<br />March 26, 1938
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<br />Food
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<br />1609 N. Taylor Street, Grand Island Nebraska 68803 -
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<br />EEL. NxE s6 19TPEET OP0.f D. xO. Er,v oR T[AIHSIDTE. ➢PI
<br />3213 W North Front Street, Nebraska 68803,
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<br />Block Twenty-Two
<br />(22), ScartPa Addition to wcsl Lawn,
<br />in the City of Grand Island, Hall County, Nebraska;
<br />WHENTHISCOPYCAN&ES THERAISED SEAL OF THENEBRASKA HEALTHANDNUMANSERVICES
<br />3YSTEA{ RCERTIFES THE BELOW TO SEA TRUE COPY OF THE ORIGM1Vi1C RECGAD ONFILE WTTA' - -
<br />THENEBRAS" HEALTH AND HUMANSERVICESSYSTEM , VITAL STATISTICSSECTION,- WHICH IS
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS {
<br />TE O^ ISSUANCE AAA
<br />B 2 6 Z002 2002 0 6 5 7 It '��" DER coTRAR
<br />ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASIUI HEALTHAND HUMAN SERVICE33Y9rEM'A
<br />STATEOF NEFFLAI O�AKIMENr OF RF.V.IN ANO HUMAN SEAVICC;mANCP.(FMDal1YE�,cE 745. -
<br />vnALSTAMT[C3 �J (� V i
<br />(`FRTTICTrATF OF nF.ATN
<br />of - mF _ - FAST v.144rF un-
<br />Kenneth Charles Kulus
<br />q
<br />ale February 8, 2002
<br />FREE' TEA
<br />on. OF --T—A.- UA n— [amnvl
<br />vup
<br />DUN
<br />March 26, 1938
<br />(�I, }�q Nebraska 63
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<br />'•• B °_ ❑ Hall County
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<br />Food
<br />store Nana er -
<br />16.FATxEP. NAME FIRST 41001E CAST I,. w„xEx FAST mi OFF, MAIOE sOAanME
<br />(Dec.) William C._ Kul. - (DEI Mary _—NMI Couch _
<br />n5 OEEFKEO EIII. AS US AN.- IFFAI OP "ANi -xs4E
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<br />I VOnne Kulus
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<br />ix 4MT xu1MO.0oPEE6 I9TRAFToRgFUN SIT III
<br />1609 N. Taylor Street, Grand Island Nebraska 68803 -
<br />:,. 4E'NLDOFFAEwzTOx z,e. 4.11 E,,. FEME,EFP 4F /;xEm.,1,NY _NAME
<br />ADA.PU.FR.smN, „IRE. E.LE4�/D
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<br />U, a ,# /P SATE
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<br />❑`""P°” ❑UAA Grand Island Nebraska
<br />e�g_,neral Hrnne
<br />EEL. NxE s6 19TPEET OP0.f D. xO. Er,v oR T[AIHSIDTE. ➢PI
<br />3213 W North Front Street, Nebraska 68803,
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<br />DUE TO oP AS A CONSOCAUFFINED OF
<br />161 /`1 EFTA 5-T1Sll C � p01iv14`£4L
<br />OVFT . Ax A an'I6EOVENCE M mrem aemm w.0
<br />°I E4ALE wASTxEFEa o6v Fez ,nmicn,
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<br />' sq o
<br />OnEOnxmxv 1Po e l ,oVPO wNPV OEEFFEE NOW INJURY OCS4xx10
<br />ElAs.xa
<br />Li TAI 4 AC oa N, AI I=I FAR.. E6,. LaAT�ION s,xuI ANNF4 N4 CITY OF TOWN STATE
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<br />I. ATE91ONE0 r Nh. TIME OF DEATH Jt .FONO
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