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PRS Ta�v .,I sZ►rs of
<br /> ►IDRRA A°ExCT
<br /> PUBLIC HEALTH SSSVICS ARP or J
<br /> Si SWIM VIW 8182M008
<br /> BIRTH NO. 12{_ CERTIFICATE OF DEATH
<br /> n.�1 t.PLACB O/DSATS S.USUAL RATS PNi HO.L
<br /> COUNTT ..fl'A!S (wMt-+rri S..A N .d.,I�at
<br /> 'b ` Hall Rehr ►0"1"Tliall ""'r+rs
<br /> ►C (U..Iri..ati,.r R.W.vfi.ir.0 A=S N UT I a CITY(Y..1117 lqr r Soak TRW RURAL/
<br /> N i Toowx(}rand Island. 28Yrs. rove Grand Island.
<br /> A e LL RAMC OF (14 not r heal>rwl,.ue.. t a RBRIP (H. .L ea.rrui.)
<br /> A, INsTTTl LC 09 West 3rd. St 1DD"M 909 West 3rd. St
<br /> Se 4.DAT, MAW) (W) (Ti)
<br /> Roe l P.rt)
<br /> rtha - - Olsen- - I.Dern Feb. 11,1954 -
<br /> .SEX .COLOR!RAC'1.YABBB�NBVI HABBI�1 L DAIS O►.BIITH,.As II. H Cedar 1 Tr.I(UMr M a..
<br /> Female I White r �y 4IVOBCRD(ID.rb Sept.29.18�rt'r's '4 ° I
<br /> lI.USUAL OCCUPATION(CI..blot wort/N:f1KIND OF BUBW IL BUSTS-(qy,p.......�4)( LL 1 OP wLt
<br /> x"1118 R6.r,a.«a..uts....H.D.w) PI.AC'kill fb4aL°'l�84'. OSE"'
<br /> � I Hous$ T�
<br /> a 1 \Is.PATHBB'$NATI tar NOTHER'B miaow:woe N.NAYS OP HUSRAND OR WWI
<br /> August Brandt I Minnie Irkfetz Oren C Olsen.
<br /> O II.WAS DDCBASBD EVILS IN U.S.ARYID PORCPRT M.SOCIAL SBCURITTT°ic Is.DIPOSNASrS NAYS!Ryeatr.•Aet... i
<br /> Yon,.,or rlownwOI(H t..On Ran or ir..(WOW
<br /> Irk-
<br /> ercella Olsen,Gr nd Island
<br /> m law Uaas OF DEATH !�iCAL CEaTIIIIQATT<►N ws R.tw
<br /> * Liu fur(.1.ib).W j) L DISSAS/OR CONDITION I Dr0
<br /> DIRRCPLT LSADINO TO SWATH.(•) '
<br /> •Tti,a...t.w` AIt7'KRaSN't CAUSY I G►t �J
<br /> ..I. at 44. wA DOS TO P).— t'
<br /> 4 wn s.Br.. .mrl: Y«yI SrrS
<br /> .s. It ..... Sr S.- .y S. atw(U�.r1YSS i i
<br /> • ■ a°NmCA T cONDbn
<br /> 1 W •f 4/ .I.orW.W d .. «r w.W mr is.r
<br /> ►. FF
<br /> .g II..DAYS OP OPOBINDINGS
<br /> ,
<br /> WON D.AUTOPSY? '.
<br /> ' I El
<br /> Sir AO®EN7' /si.rb) sl►PLACR OF 8f7[R) 041...labile!. sIr °PPE OR TOWN/ mown)- T..d N.
<br /> aOMICI �...ratat,tlt..P, +.) t..I at+..rW Roaww (7-'ITS/ ■
<br /> HOMICIDE
<br /> ,
<br /> S4 PISS (Y..W (D!) Mow) Bawd YnIr l at T.100
<br /> °�Watt
<br /> au.HOW DID YJOS =wit i INJURE a NM MI6 at
<br /> LL(hereby certify that I attended the demoted/relie •f)!
<br /> ya._/=,l.L u ,that f-ts.e the a..
<br /> 1 ceased alive on............-_,J,._ ,w that death tl...t754(Ita&Jf-reete IIVPI IM.. mid on the aw
<br /> ss..YW/ATORS Q!!' ti.(Desna'
<br /> ..DAWN, t.■� 1'' 1 '
<br /> 24a.Maul
<br /> ■�OVALCie -
<br /> .w1f �'aL;:,.19/.♦ of eh Cemetery to]baeh, Nebr.
<br /> .
<br /> THIS CIrT}j I 's riii. A :ri1 4) 1,1 .1 , 1 , Opl OI \ 1)},I(.I\•\I
<br /> CEP I'll,IcAV s. 1,1 .A1 4.: 1 "I V1I I� }'AI-:iVI N. ' :)I l,, .1: Iii
<br /> Bt. I:CAI! 4 j.$T'7 kT1( Ali! ( fI ;� •I! : ■ u k-. :)t ■ Oil l(0 ',
<br /> I=Ok 1'I I 1I.'i r Ffl), v -
<br /> ' �.- Lt.l.
<br /> Issued March 10, 1834
<br /> '1,j7( 33/ ,•-� .-�I ,, ✓ t //
<br /> �'-,�.,_'z,.. s/ 'ir
<br /> State of Nebraska '
<br /> County of H l! ( ss
<br /> Entered on Num.?rical it !ex arc; T
<br /> for record in tffice of ::eg;;,
<br /> Deeds on the 5/ _
<br /> ----C-_ - 195 -.. /
<br /> o'clock and _4' rn.
<br /> and recorded in ,f,.:cF, /_
<br /> of
<br /> _...,../2_2,-....:v ... _:__ at pa,_;
<br /> Register of Deeds
<br /> Deputy
<br /> -ees $ -
<br /> ---. _ fir---."-------_ --– –.-----_ —.--_ ----------------
<br />
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