Francis Joseph ManeyHoly Cross Cemetery Blair, hebr. Lot 5 Grave I Block 9
2xwMddM No. L.------.B--------S--- D ........ R ........
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CHRISTIAN BURIAL CERTIFICATE
S
---------------------------------t. Pius the Tenth-- - ____ - --- ----------------- ------ CHURCH
Omaha, Nebr - --------------------- May 10
------------- 2 -----------
U 14ts to to Tertifij
- ----------------------- -- Francis Jose -ph
--- ----------------- __ ------ ------- ------ -------------------------
(Christian Name in Full) (Family Name)
2701 forth 60th Ave. C�riaha, liebraska 68104
--"
(Street) -------------------------- (_Cit_Y)_ --------------------- (State)
_-------------
t e) ---
U Born at -----
--------------------- Age ---7--.- zrs
0 Died at ....... 0-maha, --- 11'ebra-ska ... ------------------------------------------- ......
4 .- ---- ----------- -------
Z: tu Date of Death _-May 7. 1987
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---------------------------- -----------------------------------
>. Cause of Death ------- ------------------ _ ---------- ---------------------------- ----------
ZZ:1
Q IS ENTITLED TO CHRISTIAN BURIAL
U
Date of Funeral -----May 119_-_1987 ....... ----------- -------
� Time of Funeral ----------------------10 :00 _ ------------ _ ------ a.m.-------------------p.m.
U3
(Hour) (Hour)
Qal
M4 at the above named church.
Z12'
-----------------------_ -------------------- 4
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Pastor.
Remarks: -----_-------------- _ ------ __ ------------------ _ ....... --------------- --------------------
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--------------------- ------------ ------_----_--- -------------- ------- --------------------------
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