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WHEN 11U.4 COPYCARRffS lIff RAISED SEAL OF ME NEBRASKA HEALMANO HUMAN SERVIONS
<br />SYSTEM& IT CERT STHE BELOW TO BE A TRUE COPY OF ME ORIGINAL RECDRD O#Fxs, WMf
<br />THE NEBRASKA HEAL M AND HUMAN SERVICES SYSTEM, VITAL STA nsricS SEOTKNJ,*"CH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.'
<br />DATE OF ISSUANCE 200214316
<br />NOV 222002 AKEY&COOPER
<br />ASSISTANT STA irREGISTRAR
<br />LINCOLN, NEBRASKA HEALMAND HUMANSERVICES SYSTEM: "
<br />STATE OF NEwuEA- 10PAIIIM[MT OF NEALTN $ $ 12080
<br />KWAD OF VITAL ITAT12M
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<br />WHEN 11U.4 COPYCARRffS lIff RAISED SEAL OF ME NEBRASKA HEALMANO HUMAN SERVIONS
<br />SYSTEM& IT CERT STHE BELOW TO BE A TRUE COPY OF ME ORIGINAL RECDRD O#Fxs, WMf
<br />THE NEBRASKA HEAL M AND HUMAN SERVICES SYSTEM, VITAL STA nsricS SEOTKNJ,*"CH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS.'
<br />DATE OF ISSUANCE 200214316
<br />NOV 222002 AKEY&COOPER
<br />ASSISTANT STA irREGISTRAR
<br />LINCOLN, NEBRASKA HEALMAND HUMANSERVICES SYSTEM: "
<br />STATE OF NEwuEA- 10PAIIIM[MT OF NEALTN $ $ 12080
<br />KWAD OF VITAL ITAT12M
<br />CERTIFICATE OF DEATNIS L-; C
<br />_N —fin 6EQ—
<br />.. Div. YIJ
<br />Robert Gale Sears
<br />Male
<br />October 27, 1988
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<br />*' LuAnne G. Allen
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<br />1�i'3�N"
<br />lam,
<br />Ik. Isa.
<br />Earl R. Sears
<br />I - NNM I
<br />Ida Elizabeth Garner
<br />WM pKf•Yp EYIf IN U.S. AWEp I 161
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<br />Oct. 29, 1988
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<br />Burial
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