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<br />WHEN THIS COPY CARRIES THE RAISED SEAT. 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 DKF t T'.O ?'HF.,A,TH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL b$PALITORY FOR
<br />VITAL. RECORDS.
<br />DATE OF ISSUANCE
<br />OCT 807 STANLEY 1'. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />STATE OF NEBRASKA- DIFFARTI4EI9T OF HEALTH
<br />"recto of VHa) Stal{Nle. f- -)
<br />CERTIFICATE OF DEATH, 1; �i v fr•rii `rurwf 4 A 4 C e
<br />-A,AAy "..1 r1MJ ' x
<br />DA A r0 .,#." • 1
<br />Tracy Henry Tucker Male
<br />December 5, 1975
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<br />40 wwM, M..O, uracAw I"0 "w,
<br />AGE -I.1r
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<br />DATE Of bwm I•o"w. 0."
<br />COUNTY OF HAT"
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<br />"` I"""' White
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<br />, N'Jan. 1, 1899
<br />Hall
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<br />Lutheran Hospital
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<br />Or WHAT COUNTRY
<br />MARRIED, NEVI! AWRNED,
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<br />Nebraska COYM"r1
<br />U.S.A.
<br />H1DOM�iArii`e�a1"ff-
<br />Edna Deininger
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<br />USUAL OCCUMTION I aff .w0 W 'A'OOf OO•r1 MNwo war or
<br />END .1 NJW*SS OR INDUSTRY
<br />505 -12 -0016
<br />„alesman I Se1F- employed
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<br />John -- Tucker
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