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C m z Q �� m � � n � � S� , � � (s rn � ! � h �' r'�1 � � (1 :.i: � o � _.�.y- '� �� .� -� CU -�� ��`�, . �� "�'{ -+ rn Q� �- � � . .y � '\��\ �.1`� ` ,i �• �'p � � � � � �jJ � � � ;' �1 �, � �� o r�. � 1 � � � t� � � � � � �` n ��. �'' � � � C � � ._..,_., fV o � � o _--___ ;�;� _ WFEN THIS COPY CAlil�E3 THE RA/SED SEAL OF THE NEBRA3KA HEAL 1 H AND HUMAN"4E�I1C�.iS_ SYST'EIY�,IT CERTFES TFE BELOW TO BE A TRUE COPY OF THE OR/aINAL RECOR�ON fN:E WITN'�==�_ THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEII�VITAL STAT/STICS�GlIQ_'111�I6�lQCH1��: =��_ THE LEOAL DEPO�TORY FOR VITAL RECORD�. z .� -Y-- .r � =_ ' - � fi�, v'= DATE OF ISSUANCE -.�--�"' =�=�_ `�'`= MAY 51998 � � ��+�R _ _ �ss�sr !� �re�oisrnaR= LNVCOLN,NEBRASKA HEALTH AND hRNN�U�R�S�Y81fAF �A•:. r- -= - =-- � _: •r- �- r � ' ' = O - . 9$=- � � N • . STATE OF NEBIiASKA—DEPARTIIEtfT Of NEALTN�`; +,.,;. : wi . �MI1MV . . , -, , g��►��,�sT�� x.��,� ' ��` 94...09603 , CERTIFICATE OF DEATH��(,3 �. .wWe a�s� , :;� ua :rcr a ar[awrM ,�rwnrr►+.r Edna Basten Donald � Female � August 23, 1994 �. wo sutt a MrM A�a�as�+.�.aw�rp �.�•ur s�wrr u�oFw i�rtM U�RKR 1 DA► •wte a awi» r�a.►«n Kearney, Nebraska ^'"' 95 "10` � °' "N01M1: ""' June 20, 1899 m r.,�ac� �.w�a a ourN . 505-60-3933 t�oeni� ❑ ti+.+ ,�� ❑ «�...,+w*. � •w. A�.«..v,w......�e1.wlw! ..� ❑ cnow+r. � � Mws. . Home -1803 W. Charlea [] � � Q„�„�, � . a�wur�ow or oun. w.�aoe cm uns r aowrv a ourN Grand Island � ' w. Q w Q Hall � � . t�r s . . te tnr.lowMOAWCAtwM w stAEONOMJY�t11 �+�Iacoa�v r�+locptrwrs '' Nebraska Hall Grand Island 1803 W. Charlea 68803 w.� w❑ �ws.w�.�•+M.�sww.r. n.iwasrwr r�w.�r..sw .a ��a ww�[o ��wowro n►wt a voun �r.r r..�+..��w,w �e °o�" American U� "�`�" �o Bruce Donald -Deceased w us�w�cm��no+ �awwrw.�r�.w ��oaaw�asroua�r n�ouu►nN r.�q�wwiw�nr � ��p1 �l�a�� 4 Homemake + �{ � Domestic `"'� ��°r' A •1M1! i�K ,. tA� 1/WII� . � YOR! . � WIO[M*�W� . . ' C. Van Dyck Basten Adah ' NI�1 Seaman� y aE�� .�.a.w� . . �s�oal I�w�MMdawrrway � . . . : .. '. . . . � . . � NO Diana Rammer ; �.sa�wn �oonas anrtc�a�� o tio.an a��aw s��rc.� ' Box 3608, San Clemente, California 92674 � � w�a• w n,riwovoarornw � m arere�ro�ww�o�. wMe . o�tit�c�#//43 �jw ❑�..... Au ust 26,1994 Grand Island Cit Cemeter 7� NOrR ww[ fN ttYt W!w 0� t[7N GrrON dw ft�rf Livingston-Sondermann F.H. [��[]� Grand Island. Nebraeka v+[M►noM�ooness tf�t O�� ow0 atr0� oww s�•rtA1 SOS West Koenig. Crand Island. Nebraska 68801 if �RWrt !M►t�O�arOMt�uftr[M► 1d��wMwo�f � wr..iw.ww.r.r�..� ►Mf ' ' � A L.J�C � W � . t4 0�Af A CO�KtOU[�C! . • � tir�r w.w+�wr rw M � � . ► 01��1t�COM'!(OUlMCt . . � Mrwi M��w��rM a�/r� � M � � � �t�LOK�CiwtWMOrt�OM•C�wrawr�rw��rw�r�rw�r.� ►�wt�lftWlf w�itH.tlA � MltO►ir 2!wulSUSEMIttlwto�0�4DK�L � rwbWt�«n4Mi�IralM�N6+ ta�r�aAp�CpApMtw y4.�os�l rw w w w w. �,�, � s aaawW. re a.�1 �•auwor.w. a�asc�tww.uw. o ❑ n°a�'� ❑ U�Mr"rr . Y ❑ 3K0 � hbrq 1w MJtM At M�OnI 7'I��-LII b�.�Iti�l�cbti 9y IOCJ�hON SI�EEI ON hi D NO qt�011 ICW�� . RAi� R�M ❑ a.,s+ w..+o+v� rw� rr� . . l7�0►IEOiOEAtN �b Giw„! 7r MtE90MED Ab Ua nl 1!��40fOEAM ��- K - �3.- � `��r _ � y» Y 71�O�IESY,MtO Ab O�w n� fh 1�EG� M F a N�wouMCEOOUO A�au�n� :a�owCEOOfAO ,w�.r ,�� 8— 30 y 8 �� s re�w.��+was� •w..,a .�.e. � . �' a�.a..e...u«.n�.ra,�eo y � �/�A 8 w��,y�ry0rc�wAw�r��eP��w4/�aar�Or �. Ytl TM �� i'�1` \(/ � � . u�i T 7f0O/0�Ki00t15[COMtASU 10t1E0UfM ...' ioayl�iO�6M1011►4S31ROOMIOIIKEN !0►WASCwBfNIGnN1iF0� ❑ ns „o � vw,ow„ ��"_ � -- � vcs Mo � � � a� �rrE�uo�oonEsscsc[wrs �ooup�rt�srHVSCUNOp now�c�n rrrw JUHN J. CA NELLA, M.D. 729 N. CUSTER. GRA,ti'D ISLAIrD NE 68803 rECr31RM —. 27s O►tE illDB�N[fi5lNM Ab qry WI . 1 1994 �