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<br />I
<br />
<br />88- 101512
<br />
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRU~.COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT' oF. HEALtH
<br />BUREAU OF VITAL STATISTICS. WHICH IS THE LEGAL DEPOSITORY' ,FOR.," .
<br />VITAL RECORDS. \,',' .
<br />
<br />~I~;'-.;.:L:'
<br />
<br />STANLEY S. COOP'ER~:--:~~R.F;(::r.tr~\,"":'
<br />~. .- :.' _' f\ .
<br />BUREAU OF VITAL STAT~S~t~~
<br />
<br />I
<br />
<br />DATE OF ISSUANCE
<br />
<br />AUG 1
<br />LINCOLN. NEBRASKA
<br />
<br />1985
<br />
<br />~
<br />
<br />
<br />STan Of NESWKA-DfPMTHENT OF HEALTH
<br />IUREAU Of VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />
<br />r OICIDlNT NoWI
<br />
<br />'UI$T
<br />
<br />All DOli
<br />
<br />;,,<-,31
<br />
<br />Ruth
<br />
<br />E.
<br />
<br />12.508-28-978,5
<br />cln. TOWHQI\~.T
<br />
<br />...., Grand Island Ne.
<br />IISlDeNCe-ST.n COUNTY
<br />
<br />I~. Nebraska Hall
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<br />V
<br />James W.
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<br />19. Leo De Ermand Husband 2316 Park Dr. Grand Islalia: Ne.
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<br />20111. Grand Island, Ne.
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<br />Grand Island, Ne.68B01
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