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j: PA&7astvsl REV. 6-57 v STATE bF- NEBRASKA - - <br />DEPARTMENT OF PUBLIC HEALTH. <br />EDUCATION AND WELFARE DEPARTMENT OF HEALTH' n <br />Bursa of Vital Statistics <br />BIRTH NO 126 .. CERTIFICATE OF DEATH STATE FILE NO <br />I RLAO[OF DEATH I1 U.-Al Rl11D[HO[rv1.•Nr..f lr 'l8..Yr1r'- x..Y.r W..•Wwrl <br />. CONNTY .. . Six D ." TY <br />Hall � - , / T` Nebraska r all <br />D CITY TOWN ON LO[.TIJN L T" OF STAY IN Ih r CITY TJ • IOM <br />Grand Island, Nebraska Ill Vws Grand Island <br />• N.p OF 11 na rn 1m1✓.1 F. .Ir , "d—N, 7 N STN I u <br />Z " * "'N Veterans Administration Hospital lbOjSWest Charles <br />r 151111E O( 0112" INSIDE' 111 LIMITS' 111jaro❑ _— -- f_IS RE51DLRCE 1x510( CITY Li NIT51 YN51M I FAR' RESIDENCE' FES NO <br />All DECEASED D FlrH A(rlYe LY.1 Y l Afon1Y D., 110 <br />17Y/1r .r yr4u FRED R. LEONARD D[ATn Setltembe.�` <br />S S[A 6 [OLO C( 7 YA F- J&KIIII.A.R1001 0— . 9 OF In Yr.rr [Y UN RY Nd <br />lR.l DNfIIdR11 N —W D.- Hw.n Y <br />h male white wIDOw[D❑ avoRC[D _ 1//1%%�R (pp(11 /O1-• <br />ID. SUAI OC[ulxlgNlCIFr IIn1 o /ARrI E°1r Im AINO OF.USIN.S OR INOUST 11 �IIt�NrL1C[LI.lydr o•forepn r°u rrl a• 12 enlIGa• TmUn1Y11- <br />'M1+ USUAL ICCIPA uor[rnr llNrorA rJ rre+r rll <br />Retire dnusiciaa.s� Hite /J1()� ♦y Surne, Kansas D.S.A. <br />Il. r.T"lR S H.YE )(. Yd }�[I] {Lx ID(N MAN[ 11 "AY[ OF NusRA D oR wlF[ <br />Howard Leonard (deceased) Mary E. Woods (deceased) 'Thelma (�LLgCanmos) Leonard <br />IS w11 DEcl... (YE. IN U 5 .RN(D FORCE() 11 SOCIAL SECURITY NO O IHIORY•IR 1 tn! A <br />Tel'—.1— 26 -19 507347385 IMrs.Thelma Leonard .GrandY7�eland(Ns 111 on <br />11 e•Uf[ oI •iH IL'Mn Ynlr owe nor yr, llrN (11. IDL .n. tr1 I 'NYC A[N <br />"II o[AT "wAS CWXD .Y OAS. A. 04TH <br />MEDIATE clum I.) �llII4IIalq embolism <br />C -o n• '1 11 DY( o ,D) Probable phlebothrombo}sis <br />mW:YO° Postoperative open reduction & internal fixation <br />IWIn /rl4 Y 41. I DYE TO III intent o r7h4 hi— 7dy. <br />IrI11 H iwl r.IYTy YYt_� .J � p <br />I.RT II DING 51cNY1[Alll —.I— fdr A —INS M DGM F? NTe R[tJf r[0 Orn[�rtiN �61f4Y�COVwnM cIV[x p IYF It.l' III wAS 1UT-1 <br />I[AFORN[Dl <br />Oeteoarthritis, spine M-ew No <br />iDo ACCIDENT SUICIDE NI[ID[ 2m D[XRIK NOW IN,URY OCC URR[0 IEnln nYUrr RJ Inlurr 1R Por[ (w Purl l /.J Yrr. III <br />❑ ❑ Fell about 5 feet from a ladder,, while trimming a tree <br />aw 1�r TIN[ or flour MontA, D.I. Yro -- — - -- -- <br />$ := 9/7/62 <br />1 (IN III,- ocCIFR[D I211e 'LAC M 111 11 r 11 u 11,*11 n 101 CITY TOw. OR LACAIaN COUxrr STATE <br />W.IL[ AT ❑ :oT w "ILF ®! l.r; l.dorl. N "..,,. N4'. dr ) <br />w— AIYFORA I Home Grand Island Hall Nebr. <br />rD. d/rYD1 9_7 2 m -19 -02 �mrnlZ d <br />D..Ih a � n IA. dl* 1l If .Aur., .nd 1. rA. Awl o/ m/ knor110. from r� AR c.-u. 4 <br />ir1 .IOIIA . +' m ° 1711 AOD.ESS — — — — % OATE SIGNED <br />C. D. . Y�✓t%s���.L�������A"t, ichieflSLrfeI-y C Hospital Grand Island,Nebr. 9 -19-62 <br />2a .U1Al +xT D.tt Lr NAME 0 CEYE LAc 5R C. NATOIIr 2 11101 ON ICIT, Iou R. or rounryl Is1Nq <br />R Grand Island Cer)etery Gra d Island, "ebr. <br />N OATI It— .1 MC —Al h. S S'GNATU b NAYf OF MORTUARY xDDRLSS <br />A� - <br />SEP 2 7 1562 — krfel- Butler -Ge r!es; Grand Is1Rnd, Yehr. <br />