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<br />Amended :i ~.: ~ STATE OF COILfRADO
<br />CERTIFlCATE:OF t1EgTH
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<br />• fiRlEOfIMTN~w ra,-»:ua. CIT12EN OF NMJTCOtINTRY M
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<br />' i-!4}~---. - 4rr-o.rlrn -Yi1lMIG ADORE3E iM}t prRr.D. •~ Pn p1 TOw, 1(arf. SR"'~.:
<br />Beulah:Brenda a Mother. ,. Cairo, Nebraska 68824
<br />1 tRGMRTION, RlrfDVRI DR Rrr-b..rr, CEMETERY OR CREWTORY-xMIE~M 10[>TION -UTr o~r'oxr,• - - Half.. .
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<br />Mt. Pleasant Cemete
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<br />'„ I. M.D. DEnves Cameral Ho 1 Darner. Ctalaxado 80204-
<br />0}TE RECEiVEO ~Y REdiTRaRaxrr,. n-•-
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<br />T,~pO0f,M01gpL aR7t'MOxQIM1011rwRT O!lCR1ff MDY iN1URV OCCURRED
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<br />:. STATE. OF COLORADO, CITY ANO COUNTY OF DELAYER, SS,
<br />I harepy certify-that-this document is a true and correct copy of the„`
<br />cartifirate`~ricN`on f#te and'in ~ custody. Issued in said State, this ~ni.
<br />d17 Qf ~t1(c A~~Dr~ 1980 ,
<br />*_ /t~i~~..7~tt.
<br />Nat w~id wi~hou"f the. ra?sed s rar o tat~sttcs
<br />- seal; of the_ ~Ipptf~ of Nealth b Ci .and County of Denver j
<br />Hospitals. qty i' County of /~/~. j
<br />Dertver,. Ca?lo~adq ~ t,
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<br />pENAi.TY BY LAM( if arty'. person alters, uses, attempts to useor
<br />fyrRishes to anutfier for deceptive use any vital' sta#istics certificate.
<br />pro}reTty in ........._..fla11L..._........__. s..--.e......_...__ CtrunEy, ;vebras}Ca:
<br />The heat Half of the Norteeat Quarter (iJxF'ii11~), of Settion Thirty-Onc {}1), Tvvuship
<br />` Tvelre (12), North Bangr~T"yelve (12}, i7est of the 6th P.H., in Hall County. Nebraska;
<br />The South Half of Yhir~}~ort~ieast Quarter (S~`dF.}L), of Section Thirty-Two (32), Township
<br />`'helve (12) North, ?~, a helve (1.2), ~esi of the 6th P.H., in }}all County, Nebraska;
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<br />The i:eat Half of t~` ~~io:t ~st Quarter {W}~;1~), of 5e::tian Thirty-Three (33), Trh-nahi}
<br />Twelve (12) harsh, ,R ` e Tv lve (12), `„'est of [he 6th P.H., in Hali County, Na6raska;
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<br />~ The East Half of the'_,'v~rtheAat ~uartez {E~"7F~}, and ttre East Half of the r~utheast OTIe
<br />(S~SSi;), of Section p?our {4), To:•nship Eleven (II) Nort}:, ~an~e '\reive (i4), hest of 1
<br />6th P.H., in Hall County, Nebraska; _'!1.'~-rLi~y-~,-{~~-r1.:1~, ~,
<br />+Lots Pive (5) snd Six~~{fi), Rlock Pour (4), Cric;2nai 7~vr. ,~f ;'e~;ro, F?sll t'nunt~, Nebrca~
<br />o~Te RECISreReo sr surf RfpfTRRR ~ .
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<br />. ST4TEFrtE NYfrRER
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