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<br />DEFAR MEtiT .�F' ^rA.T?i, F+.R w3TU TE` STATE DEPART--NT 'OF REALT..
<br />OF AN ORIGINA' RECORD ', `;LE 1 -,E L£GAL P ITORY FOR
<br />1 _ rE. us
<br />BUREAU OF VITAL STATISTIC
<br />VITAi. RECORDS •
<br />DATE OF ISSUANCE yf ITiFcECTI�R
<br />JAN I -
<br />�AL' G•F VI Ai_ STATISTICS
<br />LINCOLN, ti 3R3S a M ♦ 0096 }
<br />STATE OF WMAM- DOUTWXT OF HEALTH 8 4 09969
<br />&IMEAtI OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH -
<br />n77 (����) ��
<br />' Z*CEpfNT - NAM EHST i7frt
<br />�2ACF �raw�:� FEMALE '., StPTEA�ER ,
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<br />tl •t Of OTNfr. ST„UTION - N-r tel .- •. --w.-•
<br />,- IWATIENT
<br />,NLDE em efrrz
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<br />BEATRICE_._ - -LA �r,.
<br />n ISLAND, NEBRASKA -.
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<br />cfal" ,,
<br />M.D•, platte 'v'aIIev Medical Group, p• IS e}-
<br />Richard A. Hranac _ -- :�fcu- n• -���
<br />� ELI
<br />♦ ONE C•USE If! uNf For b; _ _ - -_
<br />►.T ,.,•max _ 36 Hours
<br />raiiure and Sepsis - - -- �.�--
<br />Res irat
<br />- -
<br />-- E To. cx u • cn«sxrf +cE m -- - - -- - — Days _
<br />Spleric abscess
<br />I - -pelf To OF .s . COt4lOUENCt d
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<br />UrinaU tract infection. recurrent.Ulo.s, `-.f [•ff rf.f-waro^fnc.
<br />t•rr IES
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