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STATE Of ME/RASIG-OElANTMEKT Of HEALTH i~ ~ O
<br />BUREAU vs YItAL STATISTICS- gq ,...-~
<br />CfRT1FIGATf OF C1fA?H ~r ~- ~<.-
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<br />_ Lpdi_s Elizabeth Johnson ,Female' August; 28, 1983;,,:
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<br />...Tabus ova v: U.S.A. ,DSii owed ,,:Evart W°; Johasan dec
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<br />sa 523 W. 12th St. (S Tai arN•1
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<br />George- E. Dobnep Clsra Elinor, Rxzight
<br />-WAS tIltlAElO~lVlt IN U.S ARMED iOECE57 INFObMNi-NAME-REtA710N3N11-MAILING ADOE[SS (S/BEET Ot'Ll D. ND;. CIRWTOi•KStATE;~2V1
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<br />' TR No ,.Geor a Johnson son) Sar ant .Minn.
<br />RUIDA3; t..lpml», R••q.a 1983 Gzi'RFRr oe cleMAratr-NAME touroN cm OR TowN srATE- -
<br />`, Ew- Burial ~: August 31, pp. Grand Island Cemete 2De.Gzand Island -Nebra
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<br />= l/ 27Apfe1-Butler-Geddes 1123 W. 2nd. Grand Ialan
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<br />WHEN T~N~S $flPY CAk,~'E';fHE' RAISED SEAL OF THE NEBRASKA STATE
<br />QEPART -~F..KEAL~t~,_;iT CERTIFIES THE ABOVE TO BE A TRUE COPY
<br />OF AN Q~INAL jt6CQR}~tBlk FILE WITH THE STATE DEPARTMENT OF HEALTH,
<br />81JREAII:~F ,V}T°At' ~TAT1.~'LGS, WHIGH IS •THE LEGAL QEPQSITORY FOR
<br />Y)T _ 5'
<br />' h ~ ,~ ~ Issued Se tember 7 1983
<br />kS 1~~S3~j1 70,. b TN LINCOLN, °BRASKA
<br />1,ot Five (5) in Block Forty-Five (45) in Russel Wheeler's
<br />Addition to the City of Grand Island, Hall County, Nebraska,
<br />as surveyed, platted and recorded.
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