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<br />83-')05382
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<br />STATE OF IIEIIlASllA-DE'AIlTMEIIT Of MEAL'"
<br />IUIEAU OF VITAl. STAnSTICS
<br />CERTIFICATE OF DEATH
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<br />83 08292
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<br />, NAME AND ADDUS5 CmWIEI (
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<br />tis .. 'IlONOUNC'D DEAD
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<br />Irs 'Ml'51ClAN 01 COUNTY ATTOINEY) {Type 0' ',ittfJ
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<br />PaONOUNCED DEAD (Hov"
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<br />David R. Colan, MD. 729 N. Custer Grand Island Ne
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<br />. IMMfOIATI uS! (INTE. ONlY ONE CA.USf ,,. UNE FOI (oj. (b/. AHD tel)
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<br />WHI8........".. :'rfJ.. vs...CO.Py....~.'.R....~IES THE RAI SED SEAL OF THE NEBRASKA STATE
<br />OE~~Tt1Ettl,.O.F tl~teT.J:I, IT CERTIFIES THE ABOVE TO BE A TRUE COPY
<br />OF".~.~IG;IM~t~WRD ON FILE WI TH THE STATE DEPARTMENT OF HEALTH,
<br />BUR~~I{bfVll~S~TISTICS, WHICH IS'THE LEGAL DEPOSITORY FOR
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<br />ASSISTAN D REC 0 OF
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<br />Issued September ]0, 198]
<br />liNCOLN, NEBRASKA
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