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86- ..103927
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORf _
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />,o
<br />M1, P,,`( ! 1986 Si A EY•, S.y " COOP,EB DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF'VITAL'STATISTICS
<br />STATE OF NfORASKA— OE►AATNEIR OF HEALTH
<br />BM" OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />DECEDENT -NAA/E ELKS `>
<br />� LA All CN DEATH (M•., D.,, Y•) —' —"-
<br />,. Paul Carl Schuster Male , 29 April 1986
<br />Neck, Are•ic ORIGIN /DESCENT(•.R., N.I:.w,MNit.II, AGI R:wee•, UNDER 1 YEAR UNDER 1 DAY
<br />Whi t(Srr:FY) GN•..w, •N ) (S..c:yl (T".) DATE OF 81(M•., D.T. r• )
<br />Am n 11 � a 4 MOS. DAYS HOURS , MINS.
<br />ANO STATE OF BIRTH. MI iw U.S.A., CIT7EEN OF WHAT COUNTRY IL 6b. bc. T. 1902
<br />EVER MARMID. NAME Or SEWS!(N w:i•, R:••.w.:d•w w.r•)
<br />"" wF•r) WIDOWED, DIVORCED(SII.c:r,)
<br />R: Philli s N a ka •. ,D. n
<br />SOCIAL SECUMTY NUMRER USUAL OCCUPATION (G:•. i:nd •f _, Mw• 1xri..R wine NNO 0I WS/NESS OR INDUSTRY COUNTY OF DEATH
<br />I , . 507 -44 -0 9 la.. Fe bm' e1 "'r"""d,
<br />136 ,b
<br />CITY, TOWN
<br />Oft LOCATION OF DEATH ,INSIDE CNY LIMITS HOSPITAL CN[ OTHER INSTITU .rTM•, 1/ NOSI W INir ,N:eNe DOA,
<br />/SIT Jy Y• N•J Qi.•WN.wd wxn,be•) O.y1:•nl /lxN. M.)w••w...(S.. A,I
<br />,a Hastin a Iee.Y ,.a. Ma nn n IA. Patient
<br />flSIDINCF -STATE COUNTY CIMTOWN OILOCATION TREETANDMUMEER _ Ir
<br />INSIDE CITY OMITS
<br />17.. Nebraska ,sb. Hamilton ISc. Aurora Isd. tSPN: /Yr•co•Ne)
<br />A M -NAME 1 MI E lA T MOTHER -MAID NNAME 041RPa k an MI [ 1IS•.
<br />U T
<br />,. Frederick William Schuster , Fr dericka W Tiemeyer
<br />WAS DECEASED EVER IN U.S. ARMlD i0lCE57 INFORMANT- NAME - RELATIONSHIP- MAILING ADOEESS
<br />IIn. w•, «.w.)1 IN r, y,., .•• •N x.N. I, r..v.l i 151N[I 01 • I D HO, CIf1 De TOwH, SIAI[. LIII
<br />U I+ Donald h t r (Son) RR #1 Phitlfps acs
<br />BURIAL, Cr•w.otien, R•wxNOl DA1 CEMETERY OR CREMATORY - NAME --- l i1.1_ „Ne
<br />..v " rgflNtX 2151 i FUNERAL NOME -NOME AND ADDRESS ISie[A Oe er D No. CITY oe 1pwN. STAB, ill) -
<br />77H1 0 Mortuar In g. 1404 " 11 t. Aurora, Ne 68818
<br />ATN (M.. D.,, Y•.) 1 NED (AI•. Oor, r•) MOOR OE DEATN
<br />29 A ril 1986 '': NED (M... W r• YY 1 NOURM DEATN �IRONOUNCED DEAD NOUNCEO DEAD(Hee•)
<br />/" 5:28 AM .1 .Y w.l.N.. x..w .«...N .. x» w.. e....wi ..•N M
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<br />- 206. MAY
<br />5 1986
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