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WHEN THASCOPYCII THE RAISED SEAL OF THE NEBRASKA HEALTH ANDMAIMN SERWES '
<br />SYSTEM, IT CERTIFIES THE BELOW TO SE A TRUE COPY OF THE ORIGINAL RECORD OMFILE WSTH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM. VITAL STATISTICSSECT'ION, WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCE 2 0 0 2 0 7 5 3 8 ��
<br />JUL 2 3 2002 ATR.EY_$, _COOPER
<br />ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM = -
<br />STATE OF NLBMSK - DEPSEWIlm nOF lnA nu AND HUMAN SERVICES FINANCE AND SUTAPORT
<br />vRAI. STAnsn n cS O i `_I 7 ? (1 '
<br />CERTIFICATE OF DEATH
<br />Henry Hans
<br />Hansen
<br />Male June 20, 2002
<br />I, c: Lo =HH,H �
<br />T.nw .LAH
<br />�88
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<br />"December M21,
<br />SL Paul, Nebraska
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<br />Hansen
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<br />WHEN THASCOPYCII THE RAISED SEAL OF THE NEBRASKA HEALTH ANDMAIMN SERWES '
<br />SYSTEM, IT CERTIFIES THE BELOW TO SE A TRUE COPY OF THE ORIGINAL RECORD OMFILE WSTH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM. VITAL STATISTICSSECT'ION, WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.
<br />DATE OF ISSUANCE 2 0 0 2 0 7 5 3 8 ��
<br />JUL 2 3 2002 ATR.EY_$, _COOPER
<br />ASSISTANT STATE REGISTRAR
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM = -
<br />STATE OF NLBMSK - DEPSEWIlm nOF lnA nu AND HUMAN SERVICES FINANCE AND SUTAPORT
<br />vRAI. STAnsn n cS O i `_I 7 ? (1 '
<br />CERTIFICATE OF DEATH
<br />Henry Hans
<br />Hansen
<br />Male June 20, 2002
<br />I, c: Lo =HH,H �
<br />T.nw .LAH
<br />�88
<br />TNAM, n.. -- .m.M .. __-
<br />"December M21,
<br />SL Paul, Nebraska
<br />�[
<br />MN
<br />1913
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<br />1945 Marguerite
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<br />335 E. Dodge, Grand Island, Nebraska 68801
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<br />O / /_��� /� © ❑ �.r.,, June 24, 2002 Westlawn Memorial Park
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<br />IzLivingston- Sondermann F.H. ❑IIALA^AA ❑FAA Grand Island, Nebraska
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<br />601 N. Webb (toad, Grand Island, Nebraska 68803 -4050
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<br />=TDrp John J. Cannella,_M. D. 72 N. Cu, to Grand Island -N FT s[nnn ,Mr
<br />TO JUN 2 4 2002
<br />'I'ho East 34.S Peet of Lot 32 and the West 14,5
<br />Feet of Lot 33, all in Huenavista. Subdivision in
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