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Nebraska USWI OCCU►AtKJN �a������o O�wwa oo��oW'�o"`ou or KINO 0�WSIHE55 O��NDUSTRY i -- <br />- SQ(IAISECURITYNUM{E� „o,,,,,o,,,�,..,�.��.n�no� (/Q ��� Deooratin i ; <br /> tin oontraotor . �.:': <br /> • u 06-0�— 9 0 ��Pain �,,,�o�a+.��wm sr�Ftr AND HUM{fl . _ <br /> pTY,IOWr�.OR WCAtiON �fru��.rn o��o� 108 E� �. }ikl r�ti• � � - <br /> � �lSIDENCE-S1A�[ COUNTY ��� Xeg ��� � <br />' u� I�till u. Grand Island ��ooa a'"s` � ' <br /> ia Nebraska "°' , - <br /> �F�� MOTHE�-MAIOlN NIMF - <br /> M-00�l _ <br /> ' IAIMER-NAME ����� 4u L8B If► SuB� � ' � <br /> John T L �+ �f�nn o��r.o ..o.u�.o��o.�,ft•n.nr� ;•4. <br /> ', . W IN�ORAMNT-NAME-�EIAiIONSHl1-MAIUHGADCRESS d Ne. 6BBO1 ���-.- <br /> � - - IIWAS DEGlASlO tVE��H U.S.A�MlD FORCt51 � 1 tt] Grand Ielan , __�_�� . <br /> ar.��.jt0..•.,i m>.�.v�»...a.a ee�..s��.M.�i �r�Titi e. Fj11 hes Wi.fe� lOts F�• , <br /> ��twtaw owNt� R�`�x^- <br />- ►ART I OUTM WAS CAUSID{Y- �[NTFR UNLY ONE UUS[►ft LMF f0!fol.(bl.AND(dI ��`-_ <br /> L /.�1, .��,. <br /> . . " �y' ��11 C�V1l + � V'��v '___'. <br /> .�� -as �- <br /> . t•apf76-6�-c�'ribs��dtT " _'_ <br /> {, . Coeo�nOwf ��wM. I (01 ' _ <br /> wMKx b�v(��f�t9 <br /> �Mrtolwll C�Vft�al. i pyf IO.0��1��O�NOVlMI O� <br /> ' 1}�IIMO 1MI YMOIt• 1 <br /> ' \tIMO CAY11���1 A�aS� �YES WI�1 �INOIMO{COM• �,-- <br />' 1�1 �.t►o��o� NDltlO IM D111�YIMIMO C6VH <br /> rna��►NCr�N�Ne resr o Mor+rNV or o�.�� =- <br /> �A�T li- OTNf�316NI/KANt COXOItIOHb�CONDIT1pNS Cp�Tti/Y�IHO 10 DlATN�VT MOl YMflD M�t 11/ 11 iT�� NO O!l!A 1~ � IN =_--- <br /> ' :�� 10 CAVS!OIVtN IN�AlT l�l „/��'/. ��� ��Nii�M�IV�I OI INIYt� IM/��T 1 O\���f 1�' -- <br />_ C� a�..G How �N�wr octut�to ��-:�, <br /> - , . � ��oMiM.Dw�,�1��1 �ar..u� <br /> . ACCIOlN�MIGIpE. • �-�.. <br /> QR UNDETERMMEO��MO��� �. 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LOCAt10N <br /> ' f INJUtY AT WO�K ' '�f r' <br /> � ��..�,�..�.o.�a, o,,,��Koo.„� �..K,,.� ta <br /> w tx� <br /> Y � � ,t1�t �ND 411 Yw MIIr/x1�I.P;;Ow ,OD�.�I OI�IMw ml CtOV.110CW�01D O.t/,n D�iO nN Ntt . .._ <br /> .�.� ..o.a o.. � ro�,x o.� '" oi r.■w.n�oa�,ow �,f_. <br />= � CERTIHCATION- "o'^" 0�• �0 J ,� - ' }1i ,'!�f M w��t auum HalO -_, <br /> �M�SICIAN: /- �/ tll � }I� L�`� <br /> Y . •m�o�o��� �` �, Z.+� U1 � �w�otuww��..�no«w�to m.o .e.� �oW <br /> �1• OICI�SIO I�OM fM111S�L OI�xl MOYt Oi 0l�TM N��N M <br /> ' CER111�GT�ON-M L E%AMINER OR CGRCNtR M f <br /> , Ia�rw�t�ow o�m1 W0.��0/O��Me��.tf��o��Wx.�r+.�O►�xq.., ...l1 ?t1 DAtE SIW�E .�ro o�r.���y <br /> OlwM OCCYt�ID M+MI D�tl�MO DVt 10�wi</�Y4I�1��t��IG ...�• 016��1 O�tit� � � . <br /> - p� .�---- SiGN�UPE � ' L t ?� (�% �f <br /> � CEllti� R- �MF mr�o�tt�wn M• D• �^�'r�•/•Lt C t, NE <br />_ , ►�. �. �. r,a�;�;zore +» � �ow� 6�801 <br /> lt�ll�west Secoud S�. Grand Iel.�und <br /> MAllINO ADDRESS-CfRi1/1fR C�uite �UG (�n ot�Or� s���� " <br /> !� - J l(xAt10N 1.1 . <br /> SU�I�I.CREMAt10N.RFMOVAI J GtMfTE�tOR CtlMATORY-rUME G�'3TSd I.°•1.8T1C� j�E •� <br />_ "„""� :n Grand Islaaid Cit, ��� /�p/� <br /> - 7p ��'l'�� �- NAME AND ADO�ESS �I����T a�• �o �O,u��o��owM,fr�n•1'�� I sland�NB• C3V V V-L <br /> , D�1! �w�w,D��,n��� fUNERPINOM!- U W•KUQjll Grand <br /> " } ts� Jun� � ��1�5 _ �s� Livin�;atori-Sonderm�u�'s �J ���� nreo u�x�t Rtoisas� <br /> ...•_er.N�tURE�IiGENSf NO. <br /> 1820 REaisi�wR-s�cr.�ru�.. ! /l �.� '�� ��l.rdl� �i ��/� <br /> ` : '��se.. ..- .V/ �t:•7GC � � �7M ��i1��� Cl��f6��� U^ � _ _, _ <br /> i �;�l� <br /> _ 1 r, ' <br />° � WHEN TAIS COPY' CARRIES THE RiTS����IFIES�THE�ABOVEATOABE <br /> � STATE A.�pARTrI�NT OF�HEALTH, <br /> A TR[1E CI�PY OE AN ORIGINAI R�CORD ON F ILE WITH THE STAT� <br /> � DEPARTMENT OF fiEALTTORYU�'ORUV�ITALIRECORDSTISTICS, WHICH . <br /> IS THE L�GAL DE�OSI � <br /> - , �)/ (LiQ_ �J�A ( <br /> -. DIItECTOR OF VITAL S'fATISTICS AND A:�SISTANI� STATE R�.GISTRl�R I <br /> 4 <br /> - LINCOLN, NEARASKA Issucd June l�, 1J7. <br /> " � _ - <br /> _ <br /> _ _ _ <br />