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WHEN THIS COPY CARRIES THE 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 />s VITAL RECORDS. <br />DATE OF ISSUANCE <br />STANLEY S. COOPER, DIRECTOR <br />E. <br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS <br />87-- 1014OB <br />STATS OF fQ=A=A –D6TA� OF RZALTH <br />ser"m Of Vila SwWw <br />312 <br />CrwnFICATE OF DEATH <br />=Z OWMV 08 CRINATOmn �&OCATki.r Mw O A Mum <br />rr <br />K Rl P.-A Kftbr- <br />OtOod"" Poo.* —90%W w Joo m ,Mew. r' J. •e -.... a ..� .•• <br />Afjjjj# <br />a2atd tahirealha.rt <br />. bMi <br />q /I6/ <br />f <br />Fl <br />li <br />n <br />I <br />}! 7 a <br />. — <br />! - <br />NC.t; .R ew.•s, rMt... war.w. AW —uM <br />MR Q aelr r r•� re, C01aA� a <br />wr•r <br />w. .e,.[w. ewae•reWar we a.e• <br />wa,M• r <br />I <br />• <br />L4 ~ Hal <br />�reM M er•A <br />•L ra riP •wrw. a.w Mqr ra ra.a. r <br />resw eH a r <br />T l! <br />+ « h m <br />w <br />a0. ra .w, aw rar M..a r <br />O! IR7p e e was ..a+...r rpl•t <br />ttrFawa9, mwt <br />Ol.Oa00 r M•ne <br />Is%.F-dna <br />w.w., <br />a • <br />r.00'MO. <br />F- Christensen <br />locwL locumv mummy <br />twYAt raw• a w .wa tara aorra rw a <br />00 O! atll�Qi 0a a'�taln <br />w•r.a eat wr . wrr r <br />� <br /># S 09 6128 <br />T <br />w <br />RaFO�rQ —!i•w CRT. l4••K 0a ►OCa11Qr Jr. M rr <br />comwv . eeacae ses � r <br />w M w rta Zen w <br />Je.aa —ea•r( ..r .ar. e.M tl011i� —aHOM r�rr rwt uw <br />t► M <br />Mp4MM!— pYrl— MWIOat.r� 77.00Sit rfa.r w uJ, r_ m r+w+. e..r4 re <br />! CfAwi" a CA&Vm w. WAN oral ore CMwl.M M[ Rw ft Ft J.O WI <br />w <br />4 M v <br />k! <br />MMwoaMrara W a"- bM ww ft ►wa . ira[ s • ft—L T*NwnT <br />/ vas wJ. wwMS• !�► <br />weerw.+a i.Pa <br />arr a M!• mm p' w C.Oearwwr co ow"co. <br />e0 C..a• r eM M • ealow. wy w wa 0.0 ee[MrMee . M r rr <br />eaa C Z. <br />- <br />/R <br />. rt.•r. •u., wr. <br />Mow M+1Uaa OCC7!•aaD t ewe ...+ra w ..n.er r e.•r r w rr q ra. k e <br />CFa �M' ,n•nre. <br />� w1 <br />Sk s w! <br />M•R!e At MCAK <br />w N �a.a, ....e. Maw. YPtw. <br />iClCA11p• f ..•en M as J- tea.. M M rer.a Mw , <br />r.wv. ree a w, <br />w,e¢ .v.cwr <br />�FaK/.'�. -- Rat eae 1•. rw rI rW M r.er M �/� rwe P �. err.M +er we. <br />�� iM RB MMP �'ifA <br />r•1w O(�wa w ea •..d. aw e,a <br />,l,ai 1at<. rs, O t• ..ee <br />.MeKy.wy -.t � <br />O Je r�ra. ai <br />...e..w o H q •t :y M. <br />M .eds.o we. <br />r ro w rwr wr. <br />7V 4Ck <br />CONDOM O .Mw � MIe� ... <br />reeve r resOrrs <br />r.owe er. w cave <br />eo.�.s • ria rrr .tea ..• �.•MaenPl � s r...Y... <br />eM� [ ai® fw M Y! .ra A O eA faA.Y M.a• r !w <br />ML <br />_ _. _ ___ �.Y <br />=Z OWMV 08 CRINATOmn �&OCATki.r Mw O A Mum <br />rr <br />K Rl P.-A Kftbr- <br />OtOod"" Poo.* —90%W w Joo m ,Mew. r' J. •e -.... a ..� .•• <br />Afjjjj# <br />a2atd tahirealha.rt <br />. bMi <br />q /I6/ <br />f <br />Fl <br />li <br />n <br />I <br />