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<br />S9'ATE OF NERRAtifiA-DF.P:IRTMENT OF' HEALTH
<br />$0- (~3~34f.~ Ru~raa o, ViEai SErEaslioR ~ '7'7 0 8 9 5 3
<br />a CERTIFICATE OF DEATH -'%-,,a
<br />DKEASED-NAME riot xmue :•sr SE1 Dw1E OF DEATH ;..uv, v r••:
<br />t2AI:Pll 11LNP.Y BADY ~E Pfale ~!? $-14-77
<br />YwCE r.nt, eeo, nxeu<.» :xvM wGry-sn ____ __ _ - voe• OtA.E OF liRLH ~ »o~r„ o. , 'COUNIT OE OFATH
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<br />LDY• TpWN, OR lIXAiION OF DE ATN i:vr [:~' rr HOSPl1wl pR OTHER WSTITULIpN-NAME .~+ xJ, ix ri:•r• ~r. , .re n«o xu ttn:
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<br />$iAtE OE 4RM : x «or .x . s >., »...e G1nSEN OP WHAT COUNTRY MARRIED, NE+'ER MAR WED. ?BURN IVMEG SPOUSE : it w-re. e:•'r »>iPrx x.xe :
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<br />F_r_ieda Prtschau___~____
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<br />idHEN ~$3S COPY CARIES THE RAISE- SEAL OF THE NEBRASRA
<br />STATS'~£PARTMENT GF HEALTH, IT CERTIFIES THE ABOV£ TO BE
<br />A TAtiE?Ca;PY OF AN t3RIGLNAL RECOA- ON PILE 6'Ifi$ THE STATE
<br />_ 32~PA~ENET iDF HEALTH, Bt3BEAii c7£ VITr1L STATISTICS, L7HICE3
<br />' . 'LS-~d~- i>EGAL AEP-SiTQ$Y FOR VITAL AECOA-S,
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<br />-IFE(:S'-8 QF ViTAl STATISTICS AN- ASSISTANT STATE REGISTRAR
<br />g,ls ~A Issued January tE, 197$
<br />$ortherly L-'a feet of Lot _-i•ve (5), Bieck 2iio (2), Nagy's Addition to the
<br />City of t:rarEd Island, Hail L'ouatg, Nebraska
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