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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />SYSTEM, IT CERTJFIES THE BELOW TO BE A TRUE COpy OF THE ORIGINAL REemmONFlLE WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATlSTlc:t'sl;cUOH.WHICH IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. " ,=---~ -'o,,'c:~l ~r~,: ',--
<br />
<br />
<br />
<br />DA~~~~A:4 200605438 ~~
<br />LINCOLN, NEBRASKA HEAL TH ANtf,1tIllf~S:~'!:S S~ST~fd
<br />
<br />":.. . --,,:~:.-,
<br />
<br />STATE OF NEBItASKA-DEP.tBTIIENT OF BEALm -,
<br />a...-. of Vital Staaietia
<br />CERTIFICATE OF DEATH w"'$~.r
<br />
<br />, ,,-"aB'~,-06958
<br />
<br />sr." .... _
<br />
<br />I
<br />
<br />; lT30S/22
<br />
<br />
<br />'AI Sf X
<br />
<br />DATE Of DEAtH 'MON'", DU, flAI)
<br />
<br />H. VETERANS A N
<br />III1M I" MO' IN U.I,... ...... MMIlED, NEVU MAIIIlED.
<br />~ I WlDOWtO. DNOIICEO ,1It(1f'f 1
<br />t. U.S.A. It,MARRIED
<br />USUM OCCUMlION._ "_Of _ _ _ - Of
<br />..,.101O &III, _ If _I
<br />'Jo. "'EAT CUTTER
<br />QTf, TC_. OIlOCAlION
<br />
<br />
<br />CORD) WATSON
<br />
<br />BUFFALO
<br />
<br />,..,
<br />-
<br />
<br />SHELTON
<br />
<br />
<br />15
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<br />1.&$1
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<br />1$, E l N ERA L. ICE
<br />lNfCliIMI\NJ-NAMl-IlLA~ ......oe ..,.... NO.. em oe _. ".". '.1
<br />MRS. NASEl WATSON WIFE SHELTON NB 68816
<br />I. OUftt WAS CAUMO ,y, {fNTf' OHlY 0Hf CA/ISl H. tM KA ("I. /tol. ..NO (</I
<br />It . -- UUM A. A CUT E COR P U L NON ALE, 0 U E T I) :
<br />."ll::;? l~/o( :. ! ~ ~ ~ ~ N_~~': w,. N FAR C T ION MULTIPLE, BILATERAL
<br />
<br />~::.'i ~~~ ll~l rza I s Disease
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<br />cox
<br />
<br />..,..,..." 0"'" .... oe..nc
<br />
<br />2 WEEKS
<br />
<br />lei
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<br />... .. __ WMfICANI' cO!f:!lll'- c~ CON__ ft) 11M'" Mlt MOt ....no PAl' III. If '1lIlMI. WA$tl'tft "
<br />IOCM*_"_W f'ULMONARY HYPERTENSION WI ~YIN,"fP.uJ)MDN,"s'
<br />YIID MOO
<br />
<br />'..oM1". 1.\1', ......1 t
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<br />
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<br />~';'O"'- ....... .... ..... -....-
<br />
<br />~.=.. ,JUNE 9,1969 i-. ,JUNE 12,19
<br />aIIlfICAlIQN-~ ....... 0- COIlQNIII, ON "" ....., 00 ""
<br />.__ OI.. _ .....'01 "" __. '" WI_.
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<br />AHS ADM
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<br />._1:f(~2':"6~' -~
<br />
<br />tlA" 1'-
<br />GRANO ISLANg NO
<br />1M.
<br />
<br />and Eight Tenths (12.8)
<br />Lot Six (6) and the Westerly Twelve/Feet of Lot SeTen (7),
<br />
<br />Block Sixty-three (63), Wheeler and Bennett's Addition
<br />
<br />
<br />to the City of Grand Is land, fia 11 Count:l, Nebraska
<br />
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