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<br />~~ ! Vt ~ ~ ~ __ ~ STATEOF NfRItASIU-OEPARTMFNT:.Of NEAITH
<br />..c.. ``,~ BUREAU OF YITAI STATiSTitS
<br />CERTIFICATE OF DEATH
<br />{EDEN-NAME 'RfSi MlDOIF : uST ccx n.xc n. ~......._. .,_
<br />LT Geor F Yostos ~, I~tale.. 1, i~iarch e}..1482
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<br />WHEY '~'HiS~,~dPY, CARRIES THE RAISED $EAL QF THE 2tE$RASKA
<br />STA~• R,Epillt'r'~rffit`L, OF HEALT€(, iT CEIRTIFItS TH£ Aff(J4E TQ EE
<br />A T~~.•' tY~-O'F. A:~ GRICIAiAL RECOBD :OS!6 FIL£ G€ITH TH£ 6TAT£
<br />DEPA~'I;-D~LK~AP,TH, Ei.'REslli t3F uZZAL STATISTICS, WHIC€t
<br />I5; ~~"'L lj°-POSITOR~Y ~F/CS~/R 1'ITAL RECORDS,
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<br />TIRE ^• S~Y~,-STATIaT2CS A*iU aSSTYS'f3~A? SfiATE s~£GISTR?sR
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