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WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, IT CERTFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD ON FILE
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STA DSTMS SECTION, WHICH '0
<br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. , _
<br />DATE OF ISSUANCE
<br />JUL 3 0 2001 200207507 ANLEY3. COOPER -
<br />ASSISTANT STATE REGISTRAR`
<br />LINCOLN, NEBRASKA HEALTH AND HUMANSERVICES SYSTEM`
<br />STAR OF NC3RAS"- DEPARThIII:i'ofU,41n1 AND INMAN SERVICES FWANCE AND SUFFOR I ,Q1 �j
<br />AO, SIAM=
<br />CERTIFICATE OF DEATII 01 08161-
<br />Hi.hard Lee AGO ,e Watson Male July 19 2001
<br />TA,_OFBIRTH -A c_ I -Ac-... 11 . c ,����. .. ,.
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<br />Seward, N ---- -a T�62 1 July 13, 1939
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<br />506-46-4994 "Cp °T"E ❑ IAT A A DT-I ❑ N1, .A A„
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<br />3706 West Old Hwy 30 ❑ °OA T 11,
<br />Grand�,IIA I" D - -.___ INGLEE�KuTrmiu 7 LI co Hall.
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<br />Nebraska i Hall I Grand island 3706 West Old Iwy030 =SCI ^A❑
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<br />Delivery Driver, hum's
<br />ie..ma 9 . , IT 'I 'A A.,. _.
<br />Emmett Watson Elda _ Christian _.
<br />No Charles R. Lavender
<br />2048 E. 13th 5t Grand Island NE 68801
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<br />All Faiths Fl Nome f,],.A. ❑_A Gibbon, Nebraska
<br />2929 S. Locust St., Grand Island, Nebraska 68801
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<br />Cancer 6 month
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<br />sT„ ,A,. THE GEG�T. _A July 19, � 2001 2 27 yam tip.
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<br />Sgt E Edwards, GIYD, 131 s L9cusc,/Gr,jand. Island, NE 68801
<br />�„ /� / �, -.,E JULAA2EA7..,,2001 LL
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