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<br />88- 100900
<br />I HEREBY CERTIfY THAT THE JMOVE IS A PHOTO-COPY OF THE ORIGINAL VEAlH CERTIFICATE
<br />FlLEO fIIInI THE BUREAU OF VITAL STATISnCS. .'
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<br />J:GmIlAL IlOTAPV.sta1a of lIelll~ka
<br />RAYMOND OSEKA
<br />My Comrn. Up. 1IaY, 27. 19l18
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<br />NOT AR'I 1'II3U C
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<br />I Donald Edward
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<br />CITY "'ND $I...n Of I..TH III _. .. u.s......
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<br />I Grand Island '.
<br />SOCI...L SlCUIITY t~UMIEI
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<br />BUIlEAU 0' VITAL STATISTICS
<br />CERTIFICATE OF DEATH
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<br />Omaha
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<br />Hall
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<br />w...~ DlClAStD tVEI IN U.$. ...AMlD fOReU'
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<br />II. No
<br />IUlJAL Cr..alion. IetMwet
<br />B . 1 Nov. 4, 1987
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<br />fJd~~$':N...rulf}' LlCfH$! NO.
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<br />21~~ ... ~J.j-~
<br />...... D...n Of DI...TH IMe.. De,. 'r,/
<br />October 30. 1987
<br />HOUI
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<br />Troth I Mary
<br />INfORlolANT - NAME - IftAIIONSH" """lUNG ...DOIl"
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<br />Grace Faye
<br />"'till 01 . , 0 NO. (In 01 tOWN. StAtL 'IPI
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<br />19Ma Ellen Troth-Wife-408 E. 18th-Grand Island.NE.68801
<br />ClMnuy OR CIlMATORY N.....I LOC...TION CITY OR TOWN ST...TE
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<br />2~. Grand Island Cereeter ~. Grand Island Nebraska
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<br />4 fel-Butler-Geddes 1123 W. 2nd
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