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6/20/2013 11:56:01 AM
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FEDFR5((YS Y OT T" Ol N£9 xA <br />BEDEBAL EAI'Q 7 wGENCT DEPAR',TAIENT OF ALTS <br />NEALTA <br />PUBLtf BRRW. <br />I nu"" yj�vltal *UA"tk% <br />51- 7926 <br />! <br />BIRTH r0. 126 -- ERTIFICA^& OF DEATH wra[y 2E Na <br />i • cOON C T= L USUAL 6EDRNC (weal u iou , cwa.nd <br />p�i ouN Ha11 �-� e,. STATO Nebraska ► couNT' H.T r <br />( \CITY Slt -W4 —P-r t. Ilmlte, welt. R. Is L L N O II OF I . CITY (It mW& mrj, rOA Bmly wAte HUBAW <br />`!. Toowx G 'an and d Ial BiAT (� Pler.) o; ! <br />pj TOWN Grand Ialand <br />tt FULL NAl(E o/ (A at. a n VID0 W IDWt LLvO, sI treat add eu l i ti[IUtBP (x ror.b dw Ior+Uod <br />� 119W.TAL O; m Io<dd w AIIURW <br />Z mST1TUTIOx 1,S 7 Peet front 07 e o r •_ <br />L NAAR Of (MI <br />• ( 6 DATA (xontb) (Ow) (AV) <br />�p . ert.nn Michael !,—an DO sA 8 1 19b1 <br />Lan COLOR Q .1 1 YABBIED NEVE/ taABBIED L DATE O/ 11.11 � Aee (V II D dr 1 7 x II d Sa 8e1. <br />10 WIDD Drr (Byecfte) IeJ ) AaL Dye Soon x,R <br />Gale <br />White arre I S -2S -1868 ae <br />l0a U8 AL OCCUPATION ((G(w kId d wor /0►. BIND Of BUSINtS 14 BDiTH- (City tuw- Q comb (Bt.t. 1L C1TiZDf O/ <br />do0e v most d wvkira 8th r E roLLced) O; u9C8I yLACI a (ors! <br />a3orer 9 v r RailroaQ $1180 GOl1AL9 Sre U 7 <br />t i7�TATHEB / NAAS 14. MOTH=M MAIDEN NAAS t0. NAME (Y HUSBANA OR Wirs <br />.Aho*as Lanvan I Mar Vote Chambers Marie NeyenberR LangaA <br />1L NA11 D 8 EVER iA O Aldro 1/, SOCIAL 6iC17811'/ li iNPOBYANi'7 N1� a lltuatYq a .+ad=M <br />(T�1T'�tnown (xree dnnown Mrs M Lan an,Grand Ialand <br />E,en. 4rrnueyi px� lcAi. cEBM�Lfl1J /Tlok 1*11 -0 e.tw..� <br />Ilw is () CONDITION <br />O L DD , Ol CONDI EATH LE <br />LEADING TO D y <br />ANTECEDENT CAU.". <br />,., FNI d ietnf A .nt dtat DUx TO (b) - ..._.._. _.._ —« ._._ .... <br />. b�eWM, wA Pnae x p n�raue (J 42; '•. <br />i l W m W ra IM s-& Ywl -- IuL DUA TO <br />IL <br />�h. .aid Hii Eb R SIGN N TI ON/ fr tw t1 s O "% b W l datb -t a <br />a <br />L Vaia -[. <br />Ol OP • <br />lf\ MUDS YINDjNG/ OF OPERATION M AUTOPB;t <br />I ZO ❑ Ne _ <br />=le. °ACCCCmIIDDgg]]NN�� (ttyeoib) fI1 PLACE p� INIUBi t ar IIa (clT! oA ToWIt) (COUNT'>h (t31'sTp <br />t HO nCID; otp'a bHS. Al (H rurJ vwr Welt. 8{J➢AW ' <br />_i )11�T�WgI oe;fify x0otbl (Del) (!ev) (8oRr) i9bDe J Worb 1W HOW DID DUURT OCF <br />n)Jti�l{ al -It IVblle • Wod <br />r <br />t • f! !'71 "V; that ! attendel the decaaaett fmm ,..,r 1/ �, wl =L_.._ . t/ r�, that I fat sato the ti.. <br />ceaae/dA�Tnttve p11 x -.�.1 „ il,f�. cat that de xcrrratt otl�Jg -+• +1L. Inthr+ /caaar aut'oa the datayatateL apova, <br />jw itaB AtI Y DA%F f1a I A" lV ' it OE CvL&MA'IUB i/a Lam ON ((14 (ow; W rUAL <br />iA TT O e a) rB -S -S1 ` ✓ �H tn� Febl asks <br />w r A BAU OAL lElilttr B BI AI P ADDRE® <br />$I_� Llvin on- ondermann GF- <br />
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