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<br />;;t ~ ;;..s- f3.t."dJ.... , <br /> <br />,J).t.tL ~~ ~~. <br /> <br />I <br /> <br />WHEN THIS COPY CARRIES Tl\E RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH. IT CERTIFIES THE BELOW TO BE A TRUE 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 />DATE OF ISSUANCE <br />APR 2. 4 1986 <br />LINCOLN, NEBRASKA <br /> <br />~J~ <br />STANLEY S. COOPER. DIRECTOR <br />BUREAU OFV,IT"~ STATISTICS <br /> <br />Olel DINT - HAM! <br /> <br /> <br />STAn Of NElWIlA-DEPAIIT1IIIEIIT or HEALTH <br />tUREAU OF VITAL $TAnSnCS ~ " <br />CERTIFICATE OF DEATH 1I ...1-- <br /> <br />88- 106404 <br /> <br />tAb Grand <br />usrP!....c:f StAn <br /> <br />1123 W. 2nd, Grand Island. NE.68801 <br /> <br />~ <br />JV 2'1_ <br />.~ <br />j~ 21.. U. <br />J] ,.............~...-".........,--,.....-"'_............... <br />: -........ <br /> <br />: ..............-........ <br /> <br />Ikl ~........... .-.... .- <br />---ouIiD. 01 All. CONHOUINCI! Of, <br /> <br />; '--'...... -........ <br /> <br />..cOot"" sue-. tIQIIIaM, UHDII. DAti (Ill .,un 1_.0.,. ,. I <br />-=-...-.0 ~,iOI; ,__"', <br />.... <br />...........1__ <br />,~,_.- <br /> <br /> <br />1 <br /> <br />,... <br />" <br />