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<br />MEN THIS COPYCARRES THE RAISED SEAL OF TNENESRASKA STAT EDEPARTMENTOFHEAETH, "
<br />R CERTIFHS THE BELOW TOM A TRUE COPY OF AN ORIGINAL RECORD ON FB.EWRH THE STATE . `J
<br />OBDARTMENT OF HEALTH, BUREAU OF VITAL STATISTICS, WN/CH 6 THE LEGALDEmSITORY FOR
<br />VITAL RECORDS. f �,
<br />DATE OF ISSUANCE STAN EY S. COOPER
<br />.IAN 3 0 1997 200213786 ASSISTANTST TEREGISTRAK
<br />LINCOLN, NEBRASKA NEBRASKA DEPARTMENT - -HEAL TN
<br />STATE OF NEBRASKA � DEPARTMENT OF HEALTH -
<br />BUREAU OF VITAL STATISTICS -_..
<br />CERTIFICATE OF DEATH
<br />I FATE 11 TRAIN URREAR, ENE, ENNER'
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<br />MEN THIS COPYCARRES THE RAISED SEAL OF TNENESRASKA STAT EDEPARTMENTOFHEAETH, "
<br />R CERTIFHS THE BELOW TOM A TRUE COPY OF AN ORIGINAL RECORD ON FB.EWRH THE STATE . `J
<br />OBDARTMENT OF HEALTH, BUREAU OF VITAL STATISTICS, WN/CH 6 THE LEGALDEmSITORY FOR
<br />VITAL RECORDS. f �,
<br />DATE OF ISSUANCE STAN EY S. COOPER
<br />.IAN 3 0 1997 200213786 ASSISTANTST TEREGISTRAK
<br />LINCOLN, NEBRASKA NEBRASKA DEPARTMENT - -HEAL TN
<br />STATE OF NEBRASKA � DEPARTMENT OF HEALTH -
<br />BUREAU OF VITAL STATISTICS -_..
<br />CERTIFICATE OF DEATH
<br />I FATE 11 TRAIN URREAR, ENE, ENNER'
<br />Male December
<br />Fredenck Hen. Eickhoff -
<br />N1E, E TTE1D, I I FFEEPE E u
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<br />324 W. Wood River Rd. Wood River; NE, 68883
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