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Mary Lanning Memorial Hospital � bOA ❑ a�„5�,�.ti� Ec C��V IOWN OR LOCAIIpN OF pEATN Bd INSIDE CIfV LIMIIS Be COUN/V OF�EATH Hastings Y�� No � � 9a PES�DENCE•S1AIE 9b COUNIV 9e CIIV.IOWNO�IOCAt1pN 9d STREEIANDNUMBEA UnciudmplbCaAel 9�1NSiDECITVInAif9 Nebraska Ilall Grand Island 1131 S. Lincoln 68801 Y•�� "�❑ 10 AACE�Ieg.Whne Black Amer�ceahd�n� I1.A1lCESIRYIaq Ilellen,Mancen,0ermen.ekl ��MAPRIEO (�WIDOWED 1J NAMEOF9POUSE IMwA�p.v�m�(d�nnirrw/ U • ekl�Sorc�Ml ISper.�iyl NEVER DIVORCED � White Amer��n S ��vers � — O` t�a USUAIOCCUPAIION i(uvrAmdolwnddoneAuringmoli IIb NINOOPBUSINESS�NOUS�RY 15 EDUCATION �SpltAyor�M�MtlqrW�tampMlW� _ p Man�A�npGM.eronMroroMl E�ems��IrryaSecax1uy10�11) Cdlpel�.�a5•1 ;. ___.___ ._ Assembly__Fir�islier___ ____Manuf�_ tu�-�ng___ 1_2tti Gr��e . ._ _ __ C 16 F�tHE��NAME FII15T MIUOLE 1n5� 7 MUIHHI ('IR51 MIUCIE MAIpP�SV�NAMF. � : (Dec. ) Haward NMI Yarns (Dec. ) l�lice [�Il�II Thorson O IB W�5 OECEASED EVE�7 IN US.ARMED fORCES7 �[� �9e �NFOFIMANT-N�ME � • Ives�o o�vnk.� In yes p��e we��nd dnies o�eervlcb�Yr�Il � �.�9.OJ Sandra Yarns � tgb �NeFOnM�Nf �LINO�nUnESS IStREETORAfU NO.CITYOR70WN Sin1E.21P) � 1131 S. Lincoln Ave., Grand Island, Nebraska 68801 � 70 EMBAIMER-S�GNniUnE6UCENSENO 7�e ME��ODOFDtSPOS�fION YI6 OAIE 2ie CEMETERVO�CnEM��Onv NAME U z E Not ��aLneci � ❑A��•� ❑�em�� Jan. 12 2000 Central NE Cremation Service W 1ta iVNERAL HOMF�NAME 21d CFMEIERV On Cf�EMntOnv IOCAIION f,�iv OA IOWN B1��E Q C �J,J � �C�nT�Iian �Onnel�fM � � Kleine F�ri�r�l_��___^_ ibk�on, NPI-�rf3Ska UJ T q7b FU�JEMIHOMEl100t7E55 IS1flEElORRFONO CiIVO11IpWNS1l1tE,ZIP� � L u- n 3213 h1,_�Lo�t�E'ront St�, c'�a.._1 Xand��l_..k�ra. o D nc3 G P ska FAA[l� ?J IMMEUTAtE CAUSE� ^ IFNIEh ON�Y ONE C�US. UNE FO�lel Ibl��D�t�� i heo�ei Mr.�s�n omst��e eeem d f'AtiT 1 � I �� � N , .� . - `�T 4�'9'c'�r - ).i'��.�.,_� i _-7!�...-.,�-7r_ �7 _ ' �p� /'� i . r],- . r � � a DUE 70.ON AS A CONSEOVENCE OK � ��s��V°��°"�°��`��m 1 O / �� Z LL ��,� C •0..�. ( `. ' .) C `'1 � I.J `�-s'r�'�r'`� . M IGI C."' 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C11v Oi110WN S/AtE � Rpm�ide In�eelipnUon ve!a No� _,__ 27e DA�EOFDEAIH /Mo OSY✓r) tAe OAtESI�NEO !Mo O+�Y Yrl 4Sb /1MEOFOEATH � / •' �, �1 l� � a� . 4 y M 27A DATE SIGNED !Mo Day Vr I 2le tIME OF DEA1H �� 8c PRONWNCED DEAD lMo.O+ry.Yrl 2Sd.PRONOUNCED OEAD /Ibwl �� _ � lr-�C�� s J (� M ,� r5 M_ E� — a � 27d �o�he besl o�my Mrrow�e�pe dnam c��eA e�me�ims.,a"7eie n f pince end dua lo Iha � 2Se.On Ihe beele ol e.eminauon s�M a bvnsfpelbn.In my opinbn dnih xcv�M N CRU3P13I SIBIBA. _ � /�� ~�. ^ M�e Ilme.d�ie snd M�e�nd dve ro IM uveN�l NNsd. rt IS neluro end iilk �z-"T-^--... Si n�lur��td TNb 29 O�b 10DACC0 USE CONIRiBUTE O it�E DE�iH� JO�HAS OROAN OR 71SSUE DONAt10N BEEN CONSIDERED7 90b WAS CONSEN(ORANTED� �/1�yES � NO � UNNNOWN ,� YE3 �.NO � YE3 �NO �.�, �I N�ME AN�AOD�ESS OF CE�IiFIER IrNVSiC�AN,CORONE�S t�HYSICIAN OR COUNfV AiIO�NEVI I�YPs a P�inll David L. Hdwe NID 2115 N. Kansas Hastin s Nebraska 68901 37e.REG�5IRAR J26 OAIEFlLEOBrREG�SIPAR (Mb.O�yY�.1 FOR VITAL STATISTICS USE ONLY Place.......................A................................8...:............:...............C.....................,..........D............................ E Part II......................TMV........................... � .... ................................ NSC...................................................................................:...............................................................................................................................................................Census Tracf No. Wo r k.........................................................................................................................................................................................................:................................................................................ 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