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<br />STATE Of NEIMSIlA-DE'AIlTMENT DF HEALTH
<br />BUREAU Of VITAl. STATISTICS
<br />CERTIFICATE OF DEATH ~:,
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<br />/ 83- 005324
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<br />7. March 22 1929
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<br />SeYlllour I Neva Wagner
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<br />".Helen Se ur Wife 923 N. Wheeler Grand IslandNe.
<br />CfMIlflrY oe CIfMAJOIY _ tu.Ml lOO.flON eln o. TOWN "ATl
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<br />... W..stlawn Memorial Parle. 20d Grand Island Nebraska
<br />'UNUAL KOMI ""AMI"'NO ~ts.s. t!IHtI oa ..'_0 "-0., C'N 01: row.... ".". lli1
<br />fel-Butler-Geddes 1123 W. 2nd Grand Island N~~aOl
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<br />WHEN THIs...tQfl.C"~Itt,~~~t~,RAISED SEAL Of THE NEBRASKA STATE
<br />DEPARTtlEH1 <cf.'.I!~TH, ~,j.:T.:t.ERTI FI ES THE ABOVE TO BE A TRUE COpy
<br />Of All ?RI~!.,R,ECORD Q~'FtLE WI TH THE STATE DEPARTMENT OF HEALTH.
<br />:~~AUOF~~~:}!A~IS~~~'WtlICH IS THE LEGAL DEPOSITORY FOR
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<br />AS IS ...<6f~~Toi~;" 'VL '
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<br />Issued September 13. 1983
<br />LINCOLN, NEBRASKA
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