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<br />STAft OflltlllASllA-OIPMTMlIIT Of HEAlTH
<br />IUaEAlI Of VITAL STAnsncs
<br />CERTIFICATE Of . DEATH
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<br />83-005461
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<br />AuguSh".
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<br />p>< Grand Island
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<br />Herzber I Amalie
<br />II~ - HAMI- ..n.A'fQHSIi,," - M.ANJNG A.DOaSS tsntn 0.. f D MO_ (tn Of 6880i.." ,.,
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<br />" Mrs. Eda Herzber (wife) 324 W. 15th.Grand Island,NE
<br />CtId1U" 01 OtM,oi.JOeY HAMI i lOC,t.,tJOH cln 01: TOWN' - SfAtI
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<br />... Grand Island Cemetery i..., Grand Island. NE'braska
<br />NO :?1.J1 ,'UNHAlHOMl kM/ll..;u)~n.s {~'''flot..o-''tO_C\f't0l~uA,,-.zltI68801
<br />f :"Apfel- 'Ilut~u-Geddes 1123 W. 2nd. Grand Island. NE
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<br />Jj n( September 24, 1983 !!~i 1240 14 M
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<br />.... Nebraska
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<br />Albert
<br />WAS OKIASID IVft I.M U.S-- AaMlO fOtcU1
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<br />W.J. Landis. M.D.
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<br />WKEHtHIS COPY 'ARRI~S THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPAR!MENT OF HEA~TH; IT CERTIFIES THE ABOVE TO BE A TRUE COPY
<br />OF ~.a."M1It~It~COIUi'ON FILE WITH THE STATE OEPARTKENT OF HEALTH,
<br />BuREAU PF -VnAL/$TA'lJSTlCS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VI~~;_<--,
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<br />AS . '<bTRECTOR L ~
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<br />_ issued October 3. 1983
<br />liNCOLN, NEBRASKA
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