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' STkTE OF NEfiRA~KA-i?t:t'ART1YtEN't' 4F tlEALTta
<br />Hureua oi' Vitai Statis¢ieR ~-- -,
<br />DKEASEO-NA+AE suss xeaoo! .na. SEk a DATE OF DEATH r.ox n, o. r, rewa.
<br />,. Frank 3psenh Slonsky , Male , Gctpber 3, 1976
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<br />r~. asr3 island. Nebraska ~i Xis ~ u. taebr~ska Veterans iic~e
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<br />E. t4ietrigan ~r ItSA i>b Married _ n. Lillian Itatilda Slatt
<br />SOCtAE SECt3RfTl' i{UMRER - USflA£.CKCU#ATAN iG+vE kNtx ar waea aoxr oWfxa cost ark KNJD OF bUSi1~5T OR INDUSTRY -- - -
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<br />rH. Rinhard Fx DeMay, MxG. ~~ f fl, Oct. ~S~ 197E+
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<br />°~ ~}~~; Street GXa_>7d ?sla__ Nebraskai 6880
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<br />1 EMRAE3AE iGNAl67RE 6 LICENSE NO - RFGi57RAR-SiGNA f J oArf s~. Eo it ocAt sapLtiTRAa -
<br />~E~~i ~+~v--fa CARRIES THE RAISED SEAL OF THE NEBRASKA
<br />5 r~x9~~ENT a~,F I'.EA3'.`=Y, .TAT GERTIEIES '_'°i'E A$.9rJE T€) $E
<br />~~ ~~U$ t;~P~r ~- Ate .ORIGINAL RECORD ON FILE WITH THE STATE
<br />~D~~RTINT ~;R.HEALTH, BFTAEAI3 OF VITAL STATISTICS; WHICH
<br />~',~'tiE,,,~~~,~,`13EPOSZTORY FOR :'iTAL RECORDS .
<br />DIRECTOR OF VITAL STATISTICS ARiD ASSISTANT STATE REGISTRAR
<br />LINCOLN; NEBRASItA Issued Bc~ptrer 2~, 197
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