A. Fae ChristensenBlair Cemetery
Blair, Nebraska
Permit for Interment
Complete the Following
Number
Name of Deceased:
A. Fae Christensen
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Date of Birth:
September 20, 1907 Age 90
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Home Address:
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7915 N. 30th Street
Place of Death:
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Omaha, Nebraska
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Marital Status: ........................................
Widowed
Race: ..............
White
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Cause of Death: ..............
Pending
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Date of Death:
December 7, 1997
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Date of Interment:
December11, 1997
Nearest Relative:
Dean Christensen
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Lot: #7 Block# 83
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Vault: Vaulcoa Concrete Box Box: Tent:
SIGNATURE OF DIRECTOR: Brad B. Brodhagen
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I hereby authorize the interment of
A. Fae Christensen
in the lot and grave space designated above
Signature of Relative or
Legal Representive:
Son: Dean Christensen
Address: 9810 Florence Rights Blvd.
City,State: Omaha, NE 68112
Phone: (402) 455-1476