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<br />STATE Oi NEMASIU-OE-AR/MtNT Of NEALTN ~~
<br />auauw or YIT~I STATISTICS O /1 .^~I j I ~l Q 9 Q~
<br />CERTIFICATE OF DEATH
<br />_ M V SE[ W ATM W., wr. r• 1
<br />Elizabeth- Caroline Scheel Fanale ~February 2, 198k
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<br />I~_ ;," Oct. 3, 1910
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<br />~' Grand- Island, Ne .. U.S.A. ,oD~arr~e~D
<br />(,[ Roy. H. Scheel
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<br />, cnL13e_d~Ln '`"i3f"'t~.: ""."~' Ovn Home , Hnll
<br />,~Graad Zsland, Ne. ~«,
<br />r fEfgENC[-sT•T! COUNTY
<br />tx Nsbraek• ,>r. Hall
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<br />~• Julius NMN
<br />~ W3 DECEASED' EY[E IN U.3. ArNFD fOKE3T
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<br />ea ,.s.""$ta~[i~'"~F~ancis .,...Inpatient-
<br />~CITr,TOwNM/OC•TWN ST!lET ANO NUNrEr INSIDE CITY IIWtr
<br />,,,,Grand Inland sa. 1910 Stolley Park, Rd. ,~,. ~~k_
<br />u -.aUlpIM MANE EI Mt '
<br />Ewldt („ Minnie NMN Schviager
<br />IN/OtWANt-NAM[-fFW [IONSM,-w1UNG RODE ( D -Pw {ul/ lV)
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<br />tE Roy y H, Scheel - husband- 1910 Stolley )3ar~[~Itd.-_--
<br />C[YFT[WOEC[ENAfOfr-NANf _ lOC•TtON CITI Of TOwN- sl•Ir-'
<br />~~ WestlaTFn Memorial Psrk ~,a Grand Ielsnd; Ne. 68801"
<br />}fUNltlI HONE-NANF'AND ADDIES3 R[Hn 1f D.NO:onwm ! ti,i
<br />505 W. Koenig; Crnnd island, Ne.~$~~1
<br />.„r.ivinECStaa-Sondermann Funeral-Home _
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<br />COUNir •nOEN[Y) (t.pp e. E.:w•}
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<br />E) INfIFDIATI •[piF _ ~.Nllf
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<br />WHEN ~1'RIS;COpY CGRRIES THE RAISED SERI. OF THE NEBRASKA
<br />STATE DBISAYTMEtiT OF HEALTH, IT CERTIFIES THE ABOVE TO. BE
<br />A TRUE COPY OF. AN ORIGINAL RECORD ON FILE WITH THE STATE
<br />DEPARTNENT.,gF HEALTH, BUREAU OF VITAL STATISTICS, WBICH
<br />I5 -E?OSITORY FOR VITAL RECORDS.
<br />~' ~R
<br />RIC N. BECK issued February 17, 19,Bk
<br />ASSISTANT DIRECTOR OF AEALTH LINCOLN, NEBRASKA `
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