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<br />STATE OFN ®RASILM DFPAR � IN AND HUMAN S®IVECPS PDEANCE AND SUPPoRT
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<br />CERTIFICATE OF DEATH
<br />This certifies this 'vmtdbF�O�Va trrpe copy of an original record on file with Vital
<br />Statistics, Douglas CoEE,nn' - At+)A*- Wiartment, Csuha, Nebraska. Certified copies must have
<br />a raised seal in the aiea to the left. Reproductions of this green certificate are not
<br />legal copies.
<br />Date issued: AUK 1 G 199 Registrar. —9414 l ��
<br />AB of Lot One (1) and the South Half (Sl /2) of Lot We (2), Black Thirty Eight (38), Packer and Barr's
<br />Second Addition to the City of Grand Island, Hall County, Nebraska and The North Half (NI/2) of
<br />Vacated Clarence Street lying south of and adjacent to Lot One (I).
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<br />Cloette Sue Baker
<br />Female
<br />duly 28, 1998
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<br />July 25, 1955
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<br />118 N. Carey 68803
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<br />Cerrovio ..John', Guerrero Charlene "Lee". Wachholtz
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<br />Kleine Funeral Home
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<br />This certifies this 'vmtdbF�O�Va trrpe copy of an original record on file with Vital
<br />Statistics, Douglas CoEE,nn' - At+)A*- Wiartment, Csuha, Nebraska. Certified copies must have
<br />a raised seal in the aiea to the left. Reproductions of this green certificate are not
<br />legal copies.
<br />Date issued: AUK 1 G 199 Registrar. —9414 l ��
<br />AB of Lot One (1) and the South Half (Sl /2) of Lot We (2), Black Thirty Eight (38), Packer and Barr's
<br />Second Addition to the City of Grand Island, Hall County, Nebraska and The North Half (NI/2) of
<br />Vacated Clarence Street lying south of and adjacent to Lot One (I).
<br />
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