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<br />T"S NAME
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<br />DECEDENT'S ALIAS
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<br />D�A►T'H CERTIFICATE
<br />CHERYL LEWIS�',TytIPLETT
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<br />Sac, SOCIAL SECURITY FEMALE 508-54-38$Q_
<br />P{UMBER, NWIDEN NAME
<br />RESFDENCE (COUNTY AND HALL °
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<br />DATE AND PLACE OF BIRTH DL=CEMBER 16 ,'1944
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<br />MARITAL StATUS
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<br />PAREIVT(S�' NAME(S
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<br />D�A,TE OF DEATH
<br />PL�10E OF'DEATH
<br />(COUNTY AND CITY)
<br />�'�NERAL HOME
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<br />�' 'CAUSE OF QEA'1'H
<br />IMMEDIATE
<br />UNQERLYING
<br />KEARNEY,NEBRASKA
<br />MARRIED �—
<br />KENNETH TRIPtETT
<br />) ARNOLD HAGG� '
<br />7HELMA LUNGER` .
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<br />5CtYR SHAKOPEE
<br />MG NEARNEY I�UN�RAI. HOM� :
<br />MAI,IGNANT NE�K CANCER
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<br />MANNER i NATURAL
<br />QQRONER, MEDICAL STEPHEN A READY, M.D.
<br />' �1N��t pR PHYSICIAN
<br />' ,, 7373 FRANCE AVENUE SOUTH, MINNEAPOLIS, MINNESOTA 55435
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<br />,-„� �,,�'�� �� TMIS,IS A TRGE AND OFFICIAL F�ECORD OF THE DEATH REGISTERED IN THE
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<br />OFFICE C)F THE STATE REGISTRAR. 'DATL�1=lLED: FEBRIJARY02, 2019
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<br />__ � k � - .� 4,4TE /SSUED: FEBRUARY 04,'2011 State Regfsfrar'
<br />� :. �A�� - 7HiS CERTIFICATION IS VALID ONLY WHEN REPRODUCED ON WATERMARKED SECURITY PAPER
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<br />O WI7H A RAISED BQRD£R ANb RA�S6D �TAT� SEAL OF MI(�NESOTA.
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<br />HAGGE
<br />GRANDISLAND,NEBRASKA:
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