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I STATE OF NEBRASKA - O&ANTNIEMT OF TH
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<br />Wausa, Nebraska �"� 76 '° ME>s
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<br />St. Francis Medical center
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<br />*IWN TM COPY CARRIES TIE RAISED SEAL OF THE NEBRASKA HEALThfAMUfUMAN SERWC 9
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<br />Wanda Dempsay
<br />SYSTEM, R CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORL[L!@B!( FILE WITH
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<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTE14 WTA4 TA 7'ie j�SEC G)f IA�H /CH is
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<br />THER F1T1$T MIDDLE MAIDEN SI MNAME
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS
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<br />DATE OF ISSUANCE -
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<br />OCT 11998 '® °PER
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<br />WWII 11/42 - Wanda Rosenbach
<br />:ASSISTANT Sr%IT�ff Q*TRAR
<br />1012 S. Greenwich, Grand Island, Nebraska 68801
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<br />LINCOLN, NEBRASKA HEALTWANOWUMAN $iERIIICE, i`YSTEM
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<br />®e.r ❑I%p -8I Nov- 28, 1994 Grand Island City - Cemetery
<br />i714 CtwtERf OR 7'IWipwr LOCA11Gy
<br />❑u""Na ❑°�^ -R� Grand Island, Nebraska
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<br />I STATE OF NEBRASKA - O&ANTNIEMT OF TH
<br />BUREAU OF VrTAL 5TAT1STICS
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<br />CER FICA?E 04: DFA �,.:.: 9 4 13298
<br />T 0axwn • "Aw FIRST ,FIDDLE LAST
<br />7 SETT S DAti OF DEATH qb,+r pA, Nos' —
<br />Melvin Carlyle Rosenbach
<br />Male Nvv_ember 26 1994
<br />E O7TY AAIDSTAaEEIF eNRI Arrl«w USA. r.latwM►r Via AGE • W aAeRy Iso m I TUA
<br />1■EDER 1 DAV a DATE CIF e.TP AM.NTM OAM 11A«T
<br />Wausa, Nebraska �"� 76 '° ME>s
<br />'` "41"� ""� December 5, 1917
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<br />St. Francis Medical center
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<br />er /Owner �`+� Oil & TT -uckin Business
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<br />Williarl NMN RoFPnharh
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<br />a NEp111M, MAILING ADDRESS ISTRFEt ORRFD NO C"ORTONw $TATF ZM'1
<br />1012 S. Greenwich, Grand Island, Nebraska 68801
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<br />®e.r ❑I%p -8I Nov- 28, 1994 Grand Island City - Cemetery
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<br />❑u""Na ❑°�^ -R� Grand Island, Nebraska
<br />7A rUNERAL NAME
<br />Livingston- Sondermann F.H.
<br />1'1E'UF{pAL NOW ADDTIE SS �STREET ORRFO ND CITY [)iITOWN ST1ITE. DPI '
<br />505 West Koenig, Grand Island, Nebraska 68801
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<br />3/ NAME ANDADDr'1FS$GFFCCCE"RIIRTIFIER IPHYSICIAKC0 H[ WERSPHVSICNNOH( ;QV%1V AT1C/FWkYI lt- 701 "Ii'l�
<br />DAVID R. COLAV, M.D., 729 N. CUSTER, GRAND ISLAND,, NE 68603
<br />ZIA REGISTRAR "'•
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<br />37p DATE 1`0099 REGI ST R pb, n
<br />BE iV Y ■VIIJ-
<br />Lot Nine (9), Block One (1), Sothman's Subdivision, in the City of Grand Island, Hall County, Nebraska.
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<br />Form Software by Automated Real Estate Services, Inc. 1 -800 -370 -1295 05 -5789 / 05 -5789
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