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<br /> Legal Description: Wiebe's
<br /> Lot Four (4), in Block Two (2) , in�i���A�idition to the City of Grand Island,
<br /> Hall County, rlebraska. ^
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<br /> WF�N TMS COPY CARft�S iFE RAISED SEAL OF THE NE9RASKA HEALTH AND_HUM�b�ERll►�E$
<br /> Sl^STEII�IT CERT�ES Tff BELOW TO BE A TR!/E COPY OF THE ORIQINAL�, _.i��
<br /> THE NEBRASKA HEALTH AND HUMAN SERVICES SY3TEM,VITAL STATIS����i�IS
<br /> THE LEOAL DEPOSlTORY FOR VITAL RECORD3 -_ ==.-�-; =_ --
<br /> DATE OF 133UANCE � �`- . -�:
<br /> JAN 2 1 2000 = ' �
<br /> �ss� �`_, ^
<br /> UNCOLN,NEBRASKA � V O O V O V�C� HEALTH AND _ ����
<br /> __ Y�---�-= —
<br /> =TAT[Oi IIENtAtKA-OQARTML111 OF NEALTH 8'7 0 8 210
<br /> �u a v�r�sun:ncx
<br /> CERTIfiCATE Of DEATH .
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<br /> Frances Marie Ma female ' Jul 1 8
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<br /> 'Grand I Neb sk • S .�� � _.
<br /> v eur�now re+..�.,..�r...a.+�.+w K�o u�Meu o�n+ousnr cou�m oenrN
<br /> � .`508-30-4236 � �'stere,t�N��r�e reti red , Nur°�P� al�j/ Hal l
<br /> m, � noN a wwrN cm::wn MosnT�u w mwe�x,�nrurww-►a..n«.���.+�••. +Moa.w r+�,..w«s.ew.
<br /> �taii►h r««w.� ar►�" Yl��d 1 l °"..".w'"'....w..«�a...w� (
<br /> 6rand Island �k, es cai Center , , in atlent
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<br /> � ��.,Nebraska ,�►. Hall ,k. Gran�d Islar�d _ ��. 821�West Charles �s., es
<br /> (dec) Lorenzo Godfre Mentzer (dec Marie Malor����
<br /> � wa acweo eve�n�u.�.w�q rwces� n+row�«r-wwr-•r�rw�+s++v_ . 40011�4 t Gh@l1'1'eS•r.o No..a,.o�ww .ua.�.►
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<br /> ��,yes ��/�5��3:'11-19-45 ,,.Leo B. Ma husban�, Grand Island, NE 68�ot _
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<br /> �o.. . Burial �o�.Jul 8 �.Fort McPhereon National �or.Maxwell, Nebra@$a
<br /> _ uN�u -w�wr•No�coR s nnsn a�r.o.►w.tm w roww,nwn,�+6E801
<br /> � : ' ' " o� zz. Livingeton-Snndermann 505 W. Koeni Gra�nd I_eJ.and, NE
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<br /> ,,,. Jul 5 198� � �... :.�. .,
<br /> . �. � ��OIIOtJiiCED DtA6 �80Nb1! (N��r/
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<br /> �, Jul 5 198 �k. 7:20 a M
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<br /> '�. Jay liclntyre, M.D.�,.VA Medtcal ter, frand Island, NE 68801 �
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<br /> ��'. Cardfc�respiratory arrest mtnutes ' �1
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<br /> „; «,';Massive .myo�ard;f;a}` inferction, lateral wal l � 58 hFs. ,j �
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<br /> �::,a �Dilated;:cardi;omjropathy,� etiology undetermined Over. t0 ycs
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