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<br /> STATE BUREAUSUf VITA! STATISTICS HEALTH ~ ~y ~7 ry
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<br /> GERTlFlGATE OF DEATH _
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<br />~CEDFNE-NAME fit~t
<br />1DDLE A5T ~ . $fx - - - -- -
<br />' flA1E OF DFwiN Iv». DaY. Yr)
<br />('- ,_ Lawrence Arthur
<br />Strohl '7_ male ', September 25~ 1976
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<br />white !, unknown «e 56 IAa ,Seot. 10, 1922
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<br />Hastines. Nebraska ?. U.S.A. .D married ,~ Soohia Duesterhoft
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<br />WAS OECEAlED EVER IN ll S AWED EpR[ii? ~ fNfQlMANT- NwAaE 4(IAirONSNH ~ MAi41Nti ADptE$S b! • Y D r+0 C+~~CRYN. 5 • . Z~fl
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<br />ia»AC.c,..w«a..a..a:aN`"'ai4""Sept. Z8 "E~ETErT~RC t.,ATOiY-..-An.t ocArbN~ c,noRtowN STATE
<br />,a, BER#tl ,a, 1978 w, Phillips C~secery _ :,~ Phiilipt,_Nebraska
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<br />September '?,_.=`?''1 .a _~.z___-___ +
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<br />~~~~}}~~~~Alfred _Y _, Sisan,, Vii. t~. 1',1.11osPt_a _l~ "(11 ~. __Ero,rdwgl l t=rand lsl_anay ~E_ 66801 T~_
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<br />ii~/'`2'I3~:.GntT CASRiES THE RAISED SEAL OF THE NEBRASK9
<br />3?eET$ DEPtI$Ttl$NT t1F HEALT!?, IT CERTIFIES THE ABOVE TO BE
<br />t~&DE COPY AN t1R1GINAL RELOAD ON FILE 41TH THE STATE
<br />1!$PA1ZTliENT-QF HEALTH, BGREAJ i1P VITAL STATI5TTCS, WHICH
<br />T3 IHH i~6G~FL DEPOSITOAX FOR t`ITAL RECORDS.
<br />'S-.. ,
<br />DIBECIilfl OFt4ITAL STATISTZCS~~ ZP~e STATE REGISTRAR
<br />LZi1COldi, NEBRASKA Issued Octotrer i6, 1979
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