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.— ..NC lid DATE OF OEAnc r - TM,.. ,w.. _ .. <br />DEtASW -MAW ^Mr <br />HAROLD MAX SLY : MALE , AUGUST 179. 1973 <br />is <br />DAM OF N,qw ..n,aa_ o... COPNNY OF DFATN - <br />.>< .,.K:., ««.........,, ... ..., w., Z6 120 i. HALL <br />ll •NITE +. • « <br />. TONNw, O• tOC.Ow AM ...w an .rW. Ng3111A1 ON OINK <br />a YES ApMIMISTRATIDN HOSrtTAL <br />.VETERANS <br />-;IAIN or M!N M w.....s-- ....... OIIITM d W,IMt COMTI.Y .MNEtD, Nevt...A�ED. SI/WN.K SPOUSE f,. �+..6M <br />,NEVER MANRIE01.1 N/A <br />w,l.,en uwK omw► now .a.,�.... a.... -o.. m vo OF vs ss oe w+m"ff -.. <br />.asr .rw, ..N.. r.... <br />n X18— 0 ,>.. RET. ORONANCE MAN ,a CIVIL SERVICE <br />- -s CouNNY CRY, TOWN, Os LOCATION f.... c.. Nis, SlsltT AND <br />f«.c...m...e <br />412 NORTH ADAMS <br />NEDRASKA ,Ne MALL ,. CRAMO ISLAND YES <br />"° <br />.I.E.- Nfu,.E .,.. � un <br />SLY <br />sDelE+I- r.oN+NA.E •,.. -+•• <br />(SEC*- MINNIE HDDGES <br />,�- DEC.' MAX <br />,. <br />,AE�orwa- N�eE- Nru,►awEwle <br />.,,.u�eADDEess . ....a...�.,.e.<.. >,o.........., <br />WE 68801 <br />"d at. EL SIMPSON& SISTER <br />,r 412 NORTH ADANII GRANDISLANO <br />MAI" t«.S CAWND A rts : - - IEw ONLY ONE CAUSE N$ LIT FOE #.t k AND fcN <br />forts w Y <br />a <br />% In *DIAL INFARCTION <br />2 mots <br />I J <br />R 0 EMOTIC HEART DISEASE <br />YRS. <br />U . mrYMrd a <br />.M GM MM <br />OII�YIwIR A1RCD1WNe�CwNNON�GO1Mr11w /O M�111 K'N.1Of dII. <br />PAN t W fWML TIYL!♦ <br />w\DIYKY N /li /.EN , N.DN.NN6T +.e. <br />_ <br />,]O Gtllr wNNIw M.Nt N - <br />AO E MELLITUS <br />nsa Non NO <br />NL <br />- ACdNb11, sloe. wroeN. <br />•...f... «, ..r. <br />NOW ,w1WY ommm •..a .�N.s e....r.... -.:r. , a...s a s ... <br />ON toompolklooD.— <br />7. <br />+oc+wow - <br />s <br />i° <br />r"G.,17.if <br />q' <br />.Y.tN oeU,rs n are NNra..r are <br />2i25A. LN <br />A .17,1973 <br />p/ D <br />EfA.NEN :..wa.NS.aa. .w <br />.w.NC�rrNr.fsaWO.w w <br />* � LISTEI <br />. <br />K <br />L <br />a L. D. <br />1 NORTM CaNOAD E GRAN PSLAN0. me am <br />ON .LOCATION <br />tlNtl.K NOTE -.t..E At1D ADOIIESS w . T" , - .. - - <br />I. �•.`'ei- st' -+' 'c:e ,3 � _s?:�r or „ rs:� isiarsc - •etr.i�R�3 <br />ti. <br />7 <br />