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<br />STATE OF NESUSKA- DEPARTNIENY OF HEALTH
<br />11161mU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH 87--° 1
<br />.-N -Ntu 1 MIDDLE LAST SEX (DATE OF DEATH (M,., Da,, 1
<br />DO MARIE TRUPP : FEMALE L,. SEPT. 2E V
<br />RACE- (•.[., WbiT•, RI•Eb. Ae k- ORIGI 5.C1SW (• -[. LV:iap,M..ka , AGE -' -' EinWr UNDEE i EAR UNDEE t DAY DATEOF RII
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<br />-CI AND • RMTH( wN 7•D.S.A.; CIE /[EN OF WHAT COL/NIRY AIAltl D, NEVHAE,ERRIEO. NAME OF SPOUSE (IF.(h,I
<br />wa .a•+Frll WtDow . DIVORCED(5P.6fr)
<br />E. GRAND ISLAND NEBR. �. U.S.A. ID. MARRIED
<br />!0R G R T R F nRY COUNTY OF D[AtF SOCAL{ECImw "WRITER RINDOf BUSINESS OR INDUST
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<br />CITY, TOWN d LOCATION OF DEATH
<br />ONCE CITY LLMIt1
<br />HOSPITAL OR OTHER INSTITUTION -N• (It a*1iw•irb•,, ~nNO51. aINST.Idiu+. DOw.
<br />14b. LINCOLN NE
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<br />HOSPITAL u+. INPATIENT
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<br />CIn, 01 LOCATION STREET AND NVMRFR - INSIDE C17r LIMITS
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<br />HE[- MAIDEN NAME -
<br />FIRS7 MIDDLElA
<br />LAURENCE
<br />CATES
<br />,) EDITH
<br />MAY ALDRICH
<br />WAS DECEASED !VE[ IN U.S. AWED FORCEST
<br />MFORAEAN2- NAME- R[ufIONSHI /- MAiIING AD
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<br />GEORGE TRUPP, 426
<br />NORMAL BLVD., LINCOLN, _NE
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<br />;pp. REMOVAL 2o6 T. 27, 1984 .o- ANATOMICAL BOARD „oa. QM� iA, NEBRASKA
<br />IT SIGN TYR[ { NO. I FUNERAL HOME -NAME AND ADDRESS (STREET DE R.F.D MD.. CITY OR TOwH. STATE. Jol
<br />m. tJ : �x: ROPER AND SONS, TNC., 4300 T01 ST. LINCOLN, NE 68510
<br />DATE OF DEATH (A%., D•,, Tr.) : } DATE SIGNED (M•. Dpr, Y+.) +HONK OF DEATH
<br />,a. September 26, 1984 =c;
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<br />t 2 OA (A4.. DeY; Y..) NODE d DEATH S =i }PRONOUNCED DEAD PRONOUNCED DEAD (Mov+)
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<br />z>k September 28, 1984 x 12:46 P.M. M ti E x.R.
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<br />NAM[ ANO OF HE !� p Y . CORONERS FHTSK COUN7r ATTOWEr) (Trp• e+ I.i.+l)
<br />James A. Fosnau h M.D.: 120 ew od D Suite A• Linco n "v,
<br />T� DATE REECbEFrvED RT EGISIRAR (M•., Dpr. Tr.)
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<br />--- RECORDERS MEMO. S�fS' }5 �y v Aua��Cars-�s- ir- 9= �b4arl.�s�
<br />_—.
<br />- _ iiF of Deecp
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE ABOVE 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 />tiL+ Issued Oct. 2, 1984
<br />DJ&_ IRECTOR, BUREAU OF VITAL STATISTICS _. LZNCOi•ru NEBRASKA
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