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„17 SIATF.OFN[RRASKA- DIIARIAIRNTOFIRALTIIANDNUMAUS[R VR [AMR'f�.N1 �11(�1Qo <br />VRAI. STATIST II :S bl/V 1 l7 <br />CERTIFICATE OF DEA 111 <br />` Leopold - 89 _. le August 3 2002 <br />Le nard lesm r Ma _ _ <br />xPaylin,� Nebraska � -. January 22, 1911 <br />• 505 -18 -7882 <br />.118 N Custer <br />Grand Island Ilall <br />T, A er icnn and l2 /116 N Ca ter 68803. I Ni <br />Nebraska I Ball Grand Isl <br />8hi White <br />IT. <br />-. _ �� a ,ara WadTe, <br />8 in Manager n. .. <br />— ads <br />.PPS I . -Pump manufacturing turf ng l2 th Gr <br />Leon Tesmer Barbara Jarzynka <br />r <br />No _ Bub Tesmer_ _ -... <br />T � n� o�„w, x T x <br />2309 W Division,- Grand Island /_Nebraska 68803 -, <br />�f� 1e1 r J/ /O-N O�yy 77 %iXl Aug_ 6 2002 Westlawn Memorial Pork <br />w E �IAF <br />- I..�- <br />I, t. � U ... <br />wT Livingstor ..derma nn F rI Ia Grand Island, Nebraska <br />O a 6U1 N Wen bb r Road Gr and rna^ n d- Island J.SNui eb ras- ka 6S68 03 n n U <br />SU <br />0 r.. <br />In <br />” c�« Natural causes <br />-- - ., -.. <br />1 <br />u�' u F, L3 u u <br />iI <br />❑ LJ <br />- e:1 <br />.d, August 6, 2002 <br />L7 0 ., <br />�`Jerom L. Janulewicz Hall County Attorney, <br />FOR VITAL STATISTICS USE ONLY <br />e <br />3:00 1m <br />8:25 am <br />Hall Co A' <br />IF 7-1 <br />Lx� <br />E 1st Grandl Island <br />L; <br />Place _A.. P. _._C'. D _.__.F _._. Patl 11 TMV <br />NSG <br />_... GonSlla l,q�. <br />Work _... _. ..... _... _...... <br />UC_...... ..,........ __... .. _.... _....... _...... . <br />Reject _. _... __. _...... _.. _.. <br />I hereby certify this to be a true and correct copy of the original <br />filed with the State of Nebraska /Jy� <br />Signed in my rr day of�'����/ <br />Notary Public <br />��Ti:. -�� L. }.....,µ l MYCOM6IISSION EXPIRES I <br />'�'6. °. MRy2, 2006 <br />