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° Lot 15, Block 23, College Addition to west Lawn, an Addition to the City
<br />of Grand Island, Hall County, Nebraska.
<br />1 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 DEPARTMT OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />MAR 2 4 1987 STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF*''VITAL STATISTICS
<br />STATE OF NEBRUKA- OE►AKTMENT OF UMTH 87- 101646
<br />RUREM! OF VITAL STATISTICS
<br />CERTIFICATE OF OEA _
<br />EOEMT -NAME (. . D.,. 1,)
<br />, Doris B. Dubbs 2Female 2.February 5, 1987
<br />RACE -1. • -. vfwM . •4e1. Aw 'w— (wmvq ESCENT We_ hmi-, M-is AGE -,o "- r UWE• I TEAE IAOIt t Owr DATE Of mm(M ... Dwt. T'.)
<br />)s! it M,J rS"'r) a—w _)(S/KAV) nom-/ MOi OATS NOIIEE. MINS.
<br />White . American 7 s. January 10
<br />COW Arta TATS Of 9W14 ..t :." "A CITREN OT WNATC +MME OE Swp)SE (w.:E., n:.. ww:W +awe!
<br />Tb'Mr`kiver, Nebraska U.S.A. wT00ww'0ft EaDTSw.tar�
<br />• E. 1o. Married n- Ra nd Dubbs
<br />SOCIAw SEcuEm N J"111 Uwu CKCU►A110/1 fO:.. Eiw/.r.wa r... A r we OF N771M. on w1DU•Tn C0101M OF DEATH
<br />./,w.w:q
<br />12. 50 -22 -88 ,fl o wife 7y IE► Of ,a.
<br />CITT. TOWN OR 10CAn1ON Of DEAN 81510E GITT uM.If3 MOS►lTAw THEE wt571Ti)TION -Nw� , eat a..:MA.r. w M011 MOMS, ,.Mew Opq
<br />(S►atiET««N.l E,9ert aele.wiw) o.y.r,eeInpa .Menc tSr.Yp
<br />„b.Grand Island, Ne. ,.eXes ,.,$t. Francis Medical Center ,... Zn atient
<br />RESIDENCE -STATE cou CIT'r, TOWN OR w0CAT#0N STEEETAND NYMER N/Sm CITT IErE[S
<br />ye (Sw.ey fat«N.)
<br />Nebraska 1 Hall m -Grand Island Ts 2110 N. Grand 18nd
<br />Iw Max -- Bly !v. Minnie Kate Hodees
<br />� WAS DMASED ETEE ON U.S. ARMED EORCEST TINEORttANT- N,wE- EEtwigNSw► -tw1NG ADDRESS rye�n oa On oR To.+*M. mf
<br />,.,.....«.......M ..., ( Ne. 68803
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<br />c.waMw.. ' CEMETM q C26,MTOR -NAME LOCATION C1TT OE TOWN STATE
<br />Burial web. 9, 1987 1— W-1— rawa,n� „brand Island, Nebraska
<br />2U` r E February 5, 1987 24-
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<br />Dr. J. Wagoner'lr. 729 rth Custer Grand Island, Nebraska 68803
<br />TIEGISTEAR DATE CCE'"o iT nFG6TW (AM -. 0". T..)
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