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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 DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE 4wif
<br />6 STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />87-- 104,62
<br />STATE OF MEMASU- DEPARTMENT Of HEALTH
<br />BUREAU Of VITAL STATISTIBS (� L
<br />CERTIFICATE OF DEATH t:. 8 U 00723
<br />t -N AA18-- F114T AMM u
<br />TI OF DEATH (Al.. D.,, r,.)
<br />Margaret Mary Dolan
<br />Female
<br />January 26, 1986
<br />1 -400• / 'L A�«wM O�IXNNw/,0lxes �( MIiM.AM.KM. AGt -&« 4"04" UNOta 1 r!A$ uNDlt 1 DAr DA1l 01 WH rA4.. a,, r..)
<br />fw"Qa�Tr�es i�Ior��an " ") s +s Xouls wNS.
<br />(j 66 K ; �ptesber 29,1919
<br />f A f w., :w Y.fal., CITI#INp WMAi COUN/RT MA [pN�IVIA WH�pINED. NAM► Of f10Ui!(N nN., M•+.:Mww.fl.l
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<br />« ` i�nEque,
<br />Ion U.S.A. Ambrose Dolan
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<br />.MI SECURITY NUMMR UtUMOCCU ATION(Gl.. Q.M.I.« /I.w.Iw:wt .«I RINDpIYSINllf Ol lNWfilf COW'/rl'p DIAM
<br />4T9- 18 -31T2 •t.••l','!a ®a7iii�
<br />t u► Own Home ,M Hall
<br />f. 1010010 OR LOCATION Of DEATH INSIDICITr lNA1T5 NOSXTMWO►N! ■INS11TU110N -M.r fNw«.w .:M «, YNOM Of Np1 NYI,.,. DOA,
<br />Grand Island fs""r is N.) !:".".v ,,�lijt 18th o.l«w.ln— a- ,wf -w.N lso.al
<br />• 14.
<br />HNC!- fTA1'! COUMr CITY, TOWN OR LOCATION STf!l1 AND NUMIlf
<br />�Ii"Z Nebraska ,,, Hall Grand Island 21T West 18th
<br />u
<br />X -MA
<br />P�atrick NMI McEnany
<br />Edna HMI King
<br />VAS OlC /AflD IM IN U.S. AYAID fORCIST INWA&ANT- NAM#- Rf'ArpoNSXN -M"INO ADDRESS IfTf/I1 W /1 O NO.. Clir �IAi /. IN)
<br />No
<br />-- — If Ambrose Dolan(Husband) 21T W. 18th, Grand Is No.
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<br />NALCNNMT:M. CEWTler W CREMATORY -NAM! LOCATION CITY go TOWN $TAT!
<br />Burial fa. Jan, 28 1 Calr Cemetery�iof. Rvaa Ion
<br />!- lNfi NO. FUNIAM N0A1! -NAM! AND ADDR#ff IfTNff of A.f D No, VIP Of TOWN, /IAN. ,1X 68801
<br />s:Tdri ston- Sondermann 0 W Ko i Grand Island, No.
<br />h W DIATN rtl.., . r,.) Mf. r. e)
<br />2j..January 26 1986
<br />'#!'ONOUNCID
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<br />Dr. W. J. Landis 2444 Faidley, Grand Island, Nebraska 68803
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