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<br />WHEN77ASCOPYCARRES THE RAAEU SEAL OF INE NEBRASKA IIEALTNANO NUMAN.BERVICES - -- --
<br />SYSTEMI7CERT STNEBELOWiOBEATRUECOPYOFTHEORIOINALRECORDONFIEWI TH
<br />THE NEBRASKA HEALTH AM HUMAN SERVICES SYSIEN, WAL STATISTICS SECTION, WNICHIS ,
<br />THE LEGAL DEPOSITORYFORWAL RECORDS
<br />DATE OF ISSUANCE MAY 2 6 2000 200214284 �STAIW 9: )SUER
<br />A33HUFANT BERME EGISTRkR,..;
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN 8ERVICE3 _SYSTEM`=
<br />STgTF OF NEBMSRA DEPMTA¢!ff OF fffALTH AND HfIMAN SERVIGPS- FD_lAN_CEhiO SHPPORT
<br />VffAL STATISTICS - -
<br />CHRI(FfCAIDOFDEATH -
<br />Margar,c Ethel Dss Wolfe Female D`Ma 21 2000«
<br />Lexington, Nebraska I «A
<br />fifl . RAN
<br />iAS w. oADKust 19, 1931
<br />505-32-2077 - L1 '"" °" U
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<br />White American ""`
<br />N
<br />Lzaensed Pr ac [Areal Nur ooE. I Hcalrhs Care /Hosp1[al
<br />Ira Dell Vance ArDAM,A « „Georg
<br />N -- «e
<br />No L Ronald Wolfe
<br />-.�, �„a�AM..r «.,,,I s,HSU OR Aro no R.. OR wwA Sr ,E nn
<br />M 608 W. Charles, Grand Island, Nebraska 68801
<br />`��
<br />608 W. Charles 68801
<br />F-] Dimecsu I Ronald E.
<br />I Livings Lon- Sondermann F.H I El,.-.- L1'"' and Island, Nebraska
<br />.j i`za,- rJriA<. AO« ADDER ti -- ,ss.r„DR Al o AD TRY DA IDANI I'll I'll
<br />601 N. Webb Road, Grand Island, Nebraska 68807 -4050 M- TIRN - ,Ni non, AA
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<br />WHEN77ASCOPYCARRES THE RAAEU SEAL OF INE NEBRASKA IIEALTNANO NUMAN.BERVICES - -- --
<br />SYSTEMI7CERT STNEBELOWiOBEATRUECOPYOFTHEORIOINALRECORDONFIEWI TH
<br />THE NEBRASKA HEALTH AM HUMAN SERVICES SYSIEN, WAL STATISTICS SECTION, WNICHIS ,
<br />THE LEGAL DEPOSITORYFORWAL RECORDS
<br />DATE OF ISSUANCE MAY 2 6 2000 200214284 �STAIW 9: )SUER
<br />A33HUFANT BERME EGISTRkR,..;
<br />LINCOLN, NEBRASKA HEALTH AND HUMAN 8ERVICE3 _SYSTEM`=
<br />STgTF OF NEBMSRA DEPMTA¢!ff OF fffALTH AND HfIMAN SERVIGPS- FD_lAN_CEhiO SHPPORT
<br />VffAL STATISTICS - -
<br />CHRI(FfCAIDOFDEATH -
<br />Margar,c Ethel Dss Wolfe Female D`Ma 21 2000«
<br />Lexington, Nebraska I «A
<br />fifl . RAN
<br />iAS w. oADKust 19, 1931
<br />505-32-2077 - L1 '"" °" U
<br />Xe" F.c�,y A,,. ITT m mPo, o,, w, — 7 EAaw.... n A-
<br />St ❑ — I,,,,,
<br />0 5 Francis M dt� 1 C __- -
<br />t. ranc s e ca enter
<br />-Grand
<br />�a s Nebraska Island _
<br />ro.
<br />Nebraska Grand Island
<br />RICE �.» �1 , ,. ,. . Amom. ® «ww.n
<br />White American ""`
<br />N
<br />Lzaensed Pr ac [Areal Nur ooE. I Hcalrhs Care /Hosp1[al
<br />Ira Dell Vance ArDAM,A « „Georg
<br />N -- «e
<br />No L Ronald Wolfe
<br />-.�, �„a�AM..r «.,,,I s,HSU OR Aro no R.. OR wwA Sr ,E nn
<br />M 608 W. Charles, Grand Island, Nebraska 68801
<br />`��
<br />608 W. Charles 68801
<br />F-] Dimecsu I Ronald E.
<br />I Livings Lon- Sondermann F.H I El,.-.- L1'"' and Island, Nebraska
<br />.j i`za,- rJriA<. AO« ADDER ti -- ,ss.r„DR Al o AD TRY DA IDANI I'll I'll
<br />601 N. Webb Road, Grand Island, Nebraska 68807 -4050 M- TIRN - ,Ni non, AA
<br />o S EA
<br />EAI, E NP m ME .11
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<br />D MAY 2 5 2000
<br />505-32-2077 - L1 '"" °" U
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<br />St ❑ — I,,,,,
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<br />t. ranc s e ca enter
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<br />Ira Dell Vance ArDAM,A « „Georg
<br />N -- «e
<br />No L Ronald Wolfe
<br />-.�, �„a�AM..r «.,,,I s,HSU OR Aro no R.. OR wwA Sr ,E nn
<br />M 608 W. Charles, Grand Island, Nebraska 68801
<br />`��
<br />608 W. Charles 68801
<br />F-] Dimecsu I Ronald E.
<br />I Livings Lon- Sondermann F.H I El,.-.- L1'"' and Island, Nebraska
<br />.j i`za,- rJriA<. AO« ADDER ti -- ,ss.r„DR Al o AD TRY DA IDANI I'll I'll
<br />601 N. Webb Road, Grand Island, Nebraska 68807 -4050 M- TIRN - ,Ni non, AA
<br />o S EA
<br />EAI, E NP m ME .11
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<br />D MAY 2 5 2000
<br />t. ranc s e ca enter
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<br />N
<br />Lzaensed Pr ac [Areal Nur ooE. I Hcalrhs Care /Hosp1[al
<br />Ira Dell Vance ArDAM,A « „Georg
<br />N -- «e
<br />No L Ronald Wolfe
<br />-.�, �„a�AM..r «.,,,I s,HSU OR Aro no R.. OR wwA Sr ,E nn
<br />M 608 W. Charles, Grand Island, Nebraska 68801
<br />`��
<br />608 W. Charles 68801
<br />F-] Dimecsu I Ronald E.
<br />I Livings Lon- Sondermann F.H I El,.-.- L1'"' and Island, Nebraska
<br />.j i`za,- rJriA<. AO« ADDER ti -- ,ss.r„DR Al o AD TRY DA IDANI I'll I'll
<br />601 N. Webb Road, Grand Island, Nebraska 68807 -4050 M- TIRN - ,Ni non, AA
<br />o S EA
<br />EAI, E NP m ME .11
<br />�A.A
<br />7C" Cardlooulnonary arrest
<br />.
<br />,A,F. DD -11 A„DSOA
<br />I
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<br />A, „e ..E=DAEO µ
<br />6 P� R.- — Fl ART—, m" . m..
<br />[� 111 ❑ A ffl « FNI 1 1
<br />31 DRAE, «o REl cannrira ...sci,A COAOAaa— FlE.A
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<br />£11en T. Totzke ,AHall_Cqu t
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<br />D MAY 2 5 2000
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