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DOUGLAS COUNTY NEALI <br />VNIII $600111"0111 <br />CERTIFICATE 01 <br />Dolores Helen Aso <br />57 <br />USA <br />rse <br />14c s <br />TMOW oil <br />-vs., Nebr Ift Hall is.. Grand kkwod <br />f. - - - <br />WAS <br />F (4. Z <br />!k Is. <br />'=4:�V.L"Wo 0OKU? <br />4w..,......•( <br />26 <br />n.- April Q&, Y986 <br />R <br />I <br />DEPARTMENT <br />If" 2307119 <br />DEATH 87 <br />F A pri t 26,1986 <br />O"A 'rj <br />Feb. 10, 1929 <br />Charles N. Aso <br />Hog *tOl Douglas <br />Hospital In tlent <br />4013 1 Lang fso«# <br />Mt <br />-AAqwacMwet rigid r <br />WA44NO AOMSS 4"IMIT 04 1 F D <br />No 68114 <br />hapel, 72nd & Western Ave. <br />23► 4-28-06, 2,3, 12:16 AM I <br />b— .0 <br />K. ftekley, M.D. <br />KrYn" Buckley, 7804 Hickory Omaha, Nebr. 68124 <br />b'6�� '-, = - �—; - i �: M.D. : <br />(Ww' —0." <br />ADO APR 2 <br />OWN OWV'0Kf CAU&VPI4 IINt W(.). fill. A.0 W) <br />ftepiratory failure <br />VW Of A& A <br />Mulmetrial aancer - iv <br />aw 10, 06 AS Dx. 10-16-85 <br />'I'll" 01111ruft" th"—.'aoCU%@9W to be a true copy of an original record on file <br />with the Vit4d statisti <br />C* '80,%ti <br />-1246" _, QP of the Douglas County Health Department, <br />Cart"f'"'Oo0i" "wt have A raised seal in the area to the <br />I*ft- 1AV=duct4Ons Of this green certificate are not legal copies. <br />Date iiwp,o 2 IM <br />(Registrar) <br />a <br />-i I <br />