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a°", llnr STATE OF NEBRASKA- DEPARTbffilif OF NEALTHAND HUAIATI SERVICES FPIAN AND SUPPORT
<br />VFFA STATISTICS 009.111-988
<br />CERTIFICATE OF DEATH
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<br />Duane E. Baker, M.D., Grand Island Veterans Hone, Grand Island, NE 68903
<br />I HEREBY CERTIFY THAT THIS IS AN EXACT PHOTO -COPY OF THE ORIGINAL DEATH CERTIFICATE
<br />FILED WITH THE BUREAU OF VITAL STATISTICS IN LINCOLN, NEBRASKA.'
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<br />Male
<br />Feb 16 2001
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<br />Decsnber 6 1920
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<br />489 -26 -1811
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<br />Grand Island Veterans Home
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<br />'Nebraska Hall Grand Island
<br />510 W. Charles St. 6880
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<br />16 FATHER NAME FIRST MIOME OSi NOTXFA FlNET MIDDLE MMDEN SURNAME
<br />John Brown Cm Victoria
<br />w.S DECEASED FSA w us.. NDES?
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<br />Yes, 06 01 -1942 to 04 -20 -1946
<br />Linora Brown
<br />,INFORMANT NPLIADDRE. FOREEI CH 1F D. NO. AI ON TOWG. STATE. DRI
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<br />5 0 W. /Charles St HpAGrand Island, NET 68801
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<br />Rosehill Cemetery
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<br />Shenandoah, Iowa
<br />BRA IwMEADORESS IsiFLFT OR Ri Oeq.cry Cfl raven. ATATE.11
<br />1123 West Second, Grand Island, NE. 68801
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<br />DATE SKaXEO 1. UP, ✓ I
<br />NES . TIME OF DEATH
<br />February 16, 2001
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<br />February 16, 2001
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<br />Duane E. Baker, M.D., Grand Island Veterans Hone, Grand Island, NE 68903
<br />I HEREBY CERTIFY THAT THIS IS AN EXACT PHOTO -COPY OF THE ORIGINAL DEATH CERTIFICATE
<br />FILED WITH THE BUREAU OF VITAL STATISTICS IN LINCOLN, NEBRASKA.'
<br />6EKMN0TARY,qft41Nebruka
<br />A
<br />y CIm EnL AOBEIU
<br />'M canm � xa. n. sua
<br />a. D,,aato,
<br />APFEL-BUTL -GEDDES FUNERAL HOME
<br />
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