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a COUNT! <br />Hall 8 <br />a orwTa Nebraska. °COUNTY Hall <br />0. CITY (11 ontaM. arpan4 Ilmffe, wrib RmY) a L E N G T H O <br />a CITY (11 wbld. eerpmW Ilmite. —ft, RURAL) <br />To°wx Grand Island �rAY <br />To°wx (rend Ial anti <br />d. FULL NAME OF (It not in hospital or Institution. clue trees <br />d. 8'rBREr (U emit, edw lo_uw <br />)I u+sOBPrm'Twm°oN Lutheran Hospital 'ddrcs" <br />ADDS 1822 Rest 2nd S <br />DECEASED a <i1nU 0. (YIdd4) a (I.at) d. DATE (N—tD) (DT) Rat) <br />(TmwPd) Christina M. Horstman DLO'ATa A <br />•1 <br />L SEZ <br />s COLOR a BA <br />1. MABBIED NEVE6 YARRisD <br />WIDOWED. DIVORCm (SDSSI{s) <br />L DATE OF BIRTH <br />e. Asp �ti� Fea 11 U Y :. <br />l.st DlrtDdT) 7[oa DTs <br />M U Y <br />Hoes am. <br />Femal <br />White <br />Married <br />4-4- <br />87 <br />lea USUAL OCCUPATION ((Glw kind of wok IeD. FIND OF BUSDIF�11. BIRTH- (Cib, town or amb) (etas <br />LA <br />11. C1TIE@i of wm ? <br />t <br />dpw Be neat of waking IlI., awn if wtind) OB INDUBTRY PLACE a .-A <br />u • <br />COUI(Y' <br />+ <br />U. FATHER'S NAME Iea MOTHER'S MAIDEN NAME <br />lA. NAME OF - - OR wm <br />.Claus * * * * ** <br />A- Rpratwean <br />IN. WAS DECEASED EVER IN U. a ARMED FORCES? Id. SOCIAL BECURrrY 17. INPORYAlrCB NAYS 4 Mzwftn E A&hvm <br />ny a tmksown) (11 la.. xi" wm m data o! arele.)I NO. <br />! d0 I DTO John A_ HArafi.man <br />IL CAUSE OF DEATH WWWAL OEHTMOATION <br />blteeY <br />if.. !m' a).wt'D) and � 1. DISEASE OR CONDITION <br />DIRECTLY LEADING TO DEATH- <br />. <br />"1'DY 8a na ratan d. ANTECEDENT CAUSER <br />I� <br />Years <br />,of ylq, " a � <br />a � M.W ..Aft N tWr 4hipE <br />ae. It <br />llii w ee ieM H�'i t'a&*bw w W(t�•) rati.s w AAAd <br />DUE TO iii'_ ... •............ ._ <br />.2 <br />IL OTHER SIGNIFICANT CONDITIONS <br />Z D D ✓ <br />b'th. � «.w� D.t ..t <br />mated a <br />I DATE of O <br />IW MAJOR FINDINGS OF OPERATION 31L <br />TION <br />Ya D4 <br />311a ACCIDII(T X (8yedb) <br />13116. OF IItJUR7 (ere. Ina fie. (1!C)T'! OR TOwWrN) (OGIINZ!) (R?A:'� <br />R <br />ROMI�WDE <br />��PitmWm�aeI�, <br />HOmef.abr:. rtrat, atfiw tilde., eta.) ,r8 rrir g�,vl t' uaeLt <br />N 7l _Co. - Nebr-... <br />3114. n (MOMA) (DT) (Mar) (Ham) <br />: U Wa Q 3111. HOW DID INJURY OOOURT <br />W61b <br />nulmY -22 -5 : <br />Nat W614 at wok 13 Fall on same levol <br />31L/ Ameby th, ,P : I atfeEda tit deoeaaed rro+�t..�.o..- tY_._JI •'', ia_..— tw i um am aids. <br />teased alive Doss .:. °_.,18F%l.i., ax'. tia<z? dea(h occurred at!.� ....t'.m.,1rot1► fits Cowes atld ol► the dote #toted dibom <br />tit:) M ADDRESS 710 t4. <br />Burial k. nA V F Y O ( , OeFe, a aWe <br />A <br />MA <br />I <br />REMOVAL I el an Ep_ <br />/OC <br />8 A <br />! I ` 6. <br />�N Livingston- ondarmann brand Iti1( <br />333 <br />