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<br /> � WHEN THIS COPY CARRI�S THE RAISED SF.AL OF THE NEBRASRA STATE ��::?%�'�"`"`
<br /> DEPARTMENT OF HEALTH, IT GERTIFIES THE BELOW ^10 BE A TRUE COPY � - =- --
<br /> OF AN ORIG INAL RECORD ON FILE WITH THE STATE DBP?rRTMENT OF HEAI.TH �
<br /> �' i BUREAU OF VITAL STATISTICS. WHICH IS THE LEG/�L.,.bEP09TTOR7� FOR � ;` ---
<br /> I VITAL IZECOItDS. � � � '
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<br /> , � DATE OF IS SUANCE ������� . \ . -
<br /> MAR 3 199� sTaN�,�Y .��COOPER,.'Di�tECTOR ,- �
<br /> LINCaLN , NEBRASKA BUREAU'O�,�V�.�'�r;�_$T!►`fISTICS � �"�
<br /> � � 97� �.6i2�`�' ,.. .. ��;'.,.
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<br /> STATE OF NE�RASIG—Of�AlITMENT OF NEALTN ,:L��,�r,_�
<br /> i �UAEAU OF YITAI STATISTICS ��• �-_
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<br /> . � f CERTIFICATE OF DEATH ' �.. .•,��
<br />__ - . _ 4 ns��MNr-Naau n�T AUODI lA !% y DAi!O/DEATM(AM.,Oo�.Yr 1 �
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<br /> i. PHYLLI S YOST STILWELL EMAL� JANUARY 13, 1988 �£"''��
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<br /> ' . s. AMERICAN ��... � � � � �AUGUST 28 1921 � :��• �5;�
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<br /> �. NOR P o io IED � JAMES L. STILWELL
<br /> SOCIAt SECUR1Tt NUM{!� USUAI O(CU�AfION(GiH►in1�lw�6 J�w�Jrnw�ny�� KIND OI�U�INE33 W INOUSiR''f COUNfY OI GIATN
<br /> u 505-'10-8453 ��.«k: w�...»,.��..r..ri _�-——
<br /> � �i�MEMAKER � ub. 9G/ �.a L.ANCASTER _
<br /> CIiV,TOWN O�LOCATION O/DlA1M IHS10t CITY lIM TS NOS►IfAI W OiNE�INSTITUTIpH-NO�flf nel in�i�h�r, U n0y q iNft ie14�t�Opa.
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<br /> iee. �s�. �_ �k N OLN »d 4315 FRANKLIN ��.. YES �„�,�:.
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<br /> ,, HOWARD YOST GATT ��.•.�-�
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<br /> ` � � io.. VAL :a. ANA I BOARD za. OMAHA� NEBRASKA _ �`�"°��'"
<br /> : !M� IU�E i � � /UNE�AI NCM!-HAMt AND AODRfSS ISTNIT p��1.0-NO-.0111 W tOWK tTA16 t�►1 ��',`=---'--�
<br /> „ , � zaROPER & SONS. INC.� 4300 '0' ST.. LINCOLN. NE 68510 ��=�=-_
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<br /> ' �Jahn F. Pnrter '
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<br /> II S2NE4 ax�d NzN;N��SE 4 8-10-10 Hall County, Nebraska EX: W-D. 168-269
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