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CERTIFICATE OF DEATH
<br />STATE FA.E NUMKR STATE OF CALIFORNIA
<br />F
<br />In
<br />87-103674
<br />LEGAL DESCRIPTION: Lot Eight (8), Blo
<br />8 , Koehler Place T" i'R A TRUC CERTiFiEO CnRT nF Ti1F RECORD
<br />Subdivision of the Fri �.AL10fsCRViCESO IF ` 1'T BEARS` THIS r SEALS IN
<br />Grand Island, Nebr @li[pL INS.
<br />15 198'S
<br />mailer N HSAtm Seldols x>a Rf�dnr
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<br />IA NAME Df DECEDENT -ESPY + IE. MAMAS I /C. " *I
<br />Donald
<br />LOL.I
<br />NARSr.•TRDM aftRlCt AM CNTRICATE
<br />2A OATS OF OEATN AIOMTN. DAY. TEAM Ian NOVA
<br />Victor Reher
<br />January
<br />10,1985 ;2130
<br />S. M% 1. SAC[ /@rMMCIT E. YAMMP /NRFANC E, DATE OF SIRTH
<br />Male
<br />7 AGE M u,10[F 1 YfA11 M IFIOI. E4 NOM,f
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<br />White American tsa Ma 26, 1927
<br />V
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<br />PAIS NO1M1• ftWUIff
<br />57 Yf.Ef
<br />5
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<br />S. NAM w1AD EwnlrLwl:E 01 PwrMEE
<br />MAC OA FOFSIEM CORMTFrI
<br />-
<br />MPM NRlrs AND S4IHIRF4JCf OF MOr„E1,
<br />DAAO:AL
<br />Nebraska Hugo Reher - Nebraska
<br />Olga Heesch- Nebraska
<br />11. CPP6SI a W— cD{FLTE, IE. SOCI., Set:— NURSER li. MAEOAL STATUE
<br />14. NAME OF SURVIVIND SPOUSE M —E. EM[.
<br />�. A• 506- 1 -6574 Married
<br />IRS- N11Yf1
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<br />,S. f'fEMwT OCEAIAflON IE. IwAfN11 OP YWIS t7. E1llOTE11 M TIES
<br />VpOYW, b STATE, 1E. Rlro p NADINAY M
<br />I
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<br />/M. uEe1.L R@EtltE„eE -ETENT ADpRSSI ME ET NVYNE a, LIE.,M L291 ing
<br />Inc ,SC. crrY Ml Fittings
<br />7737 W. 80th Street
<br />USUAL
<br />Los An less
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<br />IED. C1IY 11 _ ETAn
<br />20. NAME AND ADDRCSS OF INFORMANT -RB ATNXN
<br />Los Angeles ',California
<br />E.A. fcACE OF DEATH :Ela. COUNTY
<br />Lorretta Reher (Wife)
<br />7737 W. 80th S, rest
<br />mJ"
<br />Of
<br />Residence :Los Angeles
<br />Los Angeles, California 90045
<br />DfATN
<br />S/C. STREET ADORS» NT p ifw1 AAS, AAAy W LOCAT1pM i2, D. C." OR TOWN
<br />7737 80th Street Los Angeles
<br />» DEATH WAS CAUSED EY: RINTER ONLY ONE CAUSE PER LINE FOR A. S. AND CI
<br />IMM[dAT[ CAUSE
<br />44. wwf OEATN FEFOFTEp
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<br />CONpTIONf, f
<br />TO COEPRo
<br />CASK
<br />III
<br />FA- GSIA MSS TO o� TO. 011 AS • CONSEOVMACE d
<br />MATE
<br />25. WAS NOFET FEFFOF ?
<br />INTERVAL
<br />D<ATN
<br />T.,f waawn cAUf6 Im
<br />,
<br />E EEN
<br />ONSET
<br />.14i
<br />ST.- TM Y1iaF two TO. OR AS A COFNSOUENCS
<br />LTfN CwVN tAfT CfFFA�/ lN[EL, e/
<br />1,
<br />AND
<br />DEATH
<br />E@, WAS wUTOFSV yMOANEOT
<br />•'
<br />1 Jr`I
<br />KI X1241zo.
<br />22. 2A SRE,MKANT CO,EEnpNS TO M NOT wfurfD M GARM GUS,
<br />1N YEA
<br />>h. wAf OFEAATON FE,WOR,ASD FOw ANT COND0ION M ITEES 22 OF
<br />r TYFS OF DATe p
<br />ESA. P C.- T-, oE.T,. OOC11,Mip M 1 ESE. FHTSIGIAN- EMWATU.f AMp
<br />OF TTILf
<br />CIAN'i
<br />.DAR FMTECIAW'f LKENN NYYE[.
<br />11p1R1,. DATE .M KALE STAY® fAOM TM GAwaf I �7 � I
<br />I A"`M`DDfcNO1r SA1ca I 1 LAST SAW DaeSDa.T ALNE '!HfllC ?�! fllf-!.+✓!Ff/' f �t //"� I /�j/�FS I CY Z.'7Z �2
<br />COITMICA-
<br />T,ofl
<br />R1FTM 110. nA TFJ i eF,ro, NO. gee TYPE F1AYSICRANS NAME AND
<br />'-P
<br />ES9 10833 Le Conte Ave., L. A.
<br />7- 7- P,<- Kenneth P. Rammin
<br />M.D. Louis Factor Bld F
<br />» srESwr Acaoart. EIACwE. ETC. Eo. nACE a NAAI. 31 STS a T-DY TuF 12». -Um
<br />[fMY
<br />IIf-
<br />TION
<br />?i- LOCATFON IiTN[T •nD MYRYEOw LOCATION AAM C,n Ow TOwM
<br />>• QSCEtEK HOW INJURY OCCURRED Rrq,Tf wMCM yfYLTEO wRRAAMYI
<br />CORIONWS
<br />{ME
<br />o►aT
<br />ESA. 1 CEE V T- DRAM OCCUM RS) AT TM HOVE. DATE AND PLACE $TAT= FFON i SSE CORONER- 4KN•TURf AND NMMS DA VTTU ; aSG. DAY[ Sg1lD
<br />M CAIRNS STATSO. AS fte E ti 4w 1 H." H6D
<br />AN 0W1UtST-- MgTNI.TgNI
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<br />- wORTM. pAT. TEY
<br />wYE AOD If OF - r- C....-T
<br />o1"y Cross i�auso eum�
<br />K. M.EALW1 -LCfMN
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<br />ADA. INIMOFFLf1mF MEECTog DIE •cTtM •E SYCp ADE. UCCNSS NO
<br />McCormick Mortuary 292 -T
<br />41 LOCAL Tw fwrR.rlRy
<br />DAT /wC LEfMET11AE
<br />A. E'
<br />RATE
<br />IISWTRM
<br />G D
<br />E
<br />F.
<br />vat . n.Ea
<br />LEGAL DESCRIPTION: Lot Eight (8), Blo
<br />8 , Koehler Place T" i'R A TRUC CERTiFiEO CnRT nF Ti1F RECORD
<br />Subdivision of the Fri �.AL10fsCRViCESO IF ` 1'T BEARS` THIS r SEALS IN
<br />Grand Island, Nebr @li[pL INS.
<br />15 198'S
<br />mailer N HSAtm Seldols x>a Rf�dnr
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<br />9
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