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<br /> <br />r <br /> <br />STAll OF ........._~Ol'IlIAlTlf <br />I\IlIPUOFvn'ALstAn~s <br />CERTIfICATE OF DEATH f1 - l/ b <br /> <br />~ I.. ., (Dee) Sarah <br />. - H,U", - Q(.4tlOH$HW - MAIUNG Aaoeus (JIIHt oe . F fl.." NO" CI1'Y !Btft:n-I,lAl'f.'/J! <br />i", lurg-Wife, 1917 W I~t 'it .~rantl 1~I"ntl, <br />CIMIflI'f 01: (U..'OIT NAMI I \OCAnQN em 011 fOVrIIN nUl <br />i <br />i-.GraDClview c-tery l,...)..onjl; Pine, Nebr. <br />I - HAMf 4HO 40011SS (u." 01 U. NO _ ('N Ot towN. .r.... ;J1f1 <br />ltllloch Funeral, Ho.,. In<!~ Ainsworth, NE. 69210 <br />I ...." - t... ..... t. , roo". Of _m <br /> <br />i .. r ... lHi~L;:........c...- '::...-.:..._1.....' .. <br /> <br />r I I -i111... 0.,.'" ' <br />October 4 1~83 :,.. ..." ',.. i,... .. <br />.. .............. .,...-.-..... - .................. -... ; 1 I CIa .......... ____....,.............. ~ ..-- .... ...-.... <br /> <br />J ........... .......-..A J!Li ~1~~ .<J. /~_.rr' .!OI~ t:.:=_-:.:.:;.............. <br />ow... tf,.,. _ ,...., <br /> <br /> <br />10 Minutes <br />~...............~..... <br /> <br />Years <br />. ........ """- -- ... ..... <br /> <br />..:..- -. ~"""""''''''''''-''''''i''''''''' "~=...... ;~ <br />l~'. 1....... il........'....~ <br />'brilJUY. trac:t infe(:tion; Pt'O.static hYPJ'rt~. ...,; ,.. Yes <br />r:1liIIiI: ~ f............ .....~ '..1 ~."1NI"6T.,.,. ; 0ItC;JIM ~ .....liiliiIiii" <br />.....--.-......... I 1 ~ <br /> <br />.~~ 11~~..;::::'-_...1. I""":'" * <br /> <br />-- ,- ~-- <br /> <br />T....-u...__fO~ <br />'-00_ <br />';;--" 'ifo- <br /> <br />t.tWfoea.. ...... <br /> <br />em .. tOWN- trAIt <br /> <br />- <br /> <br />.~ <br /> <br />,:::1"" ...;e If' <br /> <br />L" ,. <br />- -'~ -4-~.AL,,~- <br /> <br />-/ <br /> <br />l")'~-A<l-~_ <br /> <br />~;(~.....~ "- ~7 ~~~" t <br /> <br />WHiM 1lt.$;~~~'TKtRAISED SEAL OF THE NEBRASKA STATE <br />DE'Aa~~Oif~lH. IT. ce&TIFIES THE AIOVE TO BE A TRUE COPY <br />Of -W'.ftW,.o lEC9b. ~d.tA( WITH THE STATE DEPARlllEMT OF HEAt. TH, <br />~~~ STltl$~QS. WHICH IS'THE l.EGAl. DEPOSITOAY FOfl <br /> <br /> <br />A~~,,- <br /> <br />Issued October 14, '983 <br />LI NeOlM, NEBRAskA <br /> <br />~ <br /> <br />L <br /> <br />-.J <br /> <br />L <br />