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<br />STAll! Of IIQUSIlA-DlPAllTIQJff Of IllAl.nt
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<br />CBmF'CAIEcWAoWHS. &30 83--006348
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<br />MIODU --v;gr- DAff out" 1M... D.,. Yr.;
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<br />,...Nebraska!lso Hall
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<br />I"MOV ott"Sl,'j...t.c_OO4;
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<br />'4 Inpatiert:.
<br />! INSIDE CITY UMlTS
<br />W. 8th St. i~~~esO'HOI
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<br />Wi'l-liam ~yrd ~lizabeth Caven
<br />WA$ atCUQD MI ,,.. ttS ....lMfD- 'OICU" i IHk)a.fMHl .. 1'#~ ,- ,Ut.t.UONSH" - ~tUNG AOOIUS (STun ~ ll'fi-~ - Cjh~O 1'''''1-. ll'l
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<br />,I .... Burial. I... 1983 :... 'orand Island City!... Crand Island, l\ebr.
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<br />L ;;~~! 2148 '" L~v~nQstQn-;:,ondermann's. ~rand ISland, 1I'e.
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<br />lliiSiiiU.".,li<W<oaCOUNIT. AfJl'j"',,,;r,,,..,'''M, Mar1zi'ldi. R~~ ~
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<br />... va-...'-"'r i"~-'/""""",'-' / ',.1(. : MA'i 111983
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<br />l >0. '''''__________~_.__,._,~!'!L__".___.__________,.__._~___~
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<br />w~~~;~f'~;~A&RIES rUE RAISED SEAL OF THE NEBRASKA
<br />~.c,'$EPAai'~ OF HEALTH, IT CERTIFIES THE ABOVE TO BE
<br />'~?~€-ll'9J'r'--;". OlHGINAL RECORD ON FILE WITH TUE STATE
<br />~~~~.t~l,.. ").Tli, BUREAU OF VITAL STATISTICS. WHICH
<br />~~.~ .SITORY FOR VITAL RECORDS.
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