----,.r
<br /> �J ����
<br /> � � ��'`
<br /> n �� `� ' �7ory =
<br /> � �� � �
<br /> � � �� n � �
<br /> � � � � N
<br /> � ��
<br /> � � �_ �
<br /> ' > ` � �\ � �'
<br /> Q{�
<br /> o°-W O
<br /> � ��.� c� c a �
<br /> , �� � �y ° � N � Q o
<br /> � � ` � � o �
<br /> � o �
<br /> �;�"� �W � T; rn � o ....
<br /> (" � ��_' �.� � � o
<br /> �, A � a m� o
<br /> � � � fS � r' �
<br /> � > e�' p �.,,, r" n c� ed
<br /> < t--+ cf' �
<br /> C� n �
<br /> � �..�.�. ~ `�
<br /> cn �
<br /> �
<br /> �,�
<br /> '�\
<br /> WHEN TFbS COPYC�4RR/ES TME RAISED SEAL OF THE NEBRASKA HEALTH AND Hlll1lAN SERV/CES
<br /> SYSTEII�IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE OR/O/NAL�:@A1=ElLE W/TH
<br /> THE NEBRASKA HEALTH AND HUMAN SERV/CES SYSTEM,VITAL STAT!&T/C&�E��CH/S
<br /> THE LEQAL DEPOS/TORY FOR VITAL RECORDS : - -
<br /> � _
<br /> _: .�j�q��
<br /> DATE OF/SSUANCE . � `^'"El �_
<br /> �� COE�P�R
<br /> DEC 14 1999 A���,vrtsr�;�,�,�
<br /> L/NCOLN,NEBRASKA HEALTHANff.HUlf�4(lE�SERV►I��'�1rtS�M
<br /> _ __ � �-
<br /> �1 V��!�! !!� � � � -�.�.�:._z . '
<br /> STATf OF IfEfRASxA—D�ARTMEiR Of HEAITN
<br /> su�w aF mu sun3ncs $3 �� '��S -
<br /> cERTi�cn�� o� o�n� _ a
<br /> DKEDE -M�wt fe lwS SEic Cw w N t�we..Dor.Y..) ��
<br /> Sharon I.ouise Kalk�r :: Femal� October 18, 1983
<br /> �ACE-N.Y-.��. t w�.:cw aR1G1WDESCEMt�.p-.l�aliew.�W.icew. AGE-t.r s:w.r U►�DER 1 IEA� UNOFR i DwY DwtE OF�sRSH�:ao..Go�.r../
<br /> c..�......�arsv«+r► � rr...� �+as. . owrs nbi►a. wNs.I March 13 1938 �
<br /> i (sa«;ti) � � ,
<br /> ��h��e s American � ei,. �+5 eb. • � � �. �
<br />�wwo wre o uen+n •«%.v.sa.. cm EN Oi WftAT COUMTRT 1AA11lEO.MEVEt MARM[O. NAME Q!S►OUSE fN.i/�,pw.�we:d.n eo,,,�) \
<br /> WI EO. EO(SA«i11'S J � �
<br /> �ra`�'n� Zsland, Nebraska ,_ u.S.A. ,a�arz� „ £dward Walker 9,
<br /> sot�u ucwm� u octu►�na�(s:..a�.s d...t e.�..Iw:�.w KiNO Of 6USt!lESS W tNOl1R�Y COUNTr Of DCP�M
<br /> ,j„ •;•s;
<br /> �:. 506-50-2101 ,.. �c�e.asec��ractical Nurse � 116.NuL$iAQ R°a'e -" ,b. F'ali,
<br /> CIi7.10M�N OA LOCAi10N OF OfAT}I IN310f Ui1 tIMtTS 1ASMTAI AR 4TME!INSTIiUTY'••N-No�(N iwl iw�iN�. t�+�OY.p NtSI.fw6'Ken OW, .
<br /> � ( rw or Ne1 9� w�«) O.+r.Nw/[�...a....ar+w«.1s►«�tpl
<br /> �� Grand Island ,�s „s.`�ui�'ieran Memarial Hospital ,�, In at
<br /> t[S1pf►rCt-STI►T! COtiNi7 C1T7,TOwM O�IOCATIOM STtEET ANO NU�lt6Et iNS10E Cttt IINUt3
<br /> (S y��r 1H)
<br /> 13o.Nebraska ,� Ball �,k. Grand Island „�,224 E. 19th �t. ,�"�''es ,�
<br /> A _ py . -MA1 N fl t � MI E [A
<br />� E2mer ---- Palmer e�ilda ---- Untie3t ��
<br />' i _ -- M, � �
<br /> wAS OKEwSED MR�N U.S.�.RME��ORtEST �►�OR►uWT-Nw►�E-RE1wil0►tSM�►-aWU►NG ADOSESS �tieen w�.r.a wo..c�n w ip7�6���e zrf
<br />, n.,..�.«..a ro)'�..a»...e.e a.�«N,...�e.� S'i S �\ �
<br /> �� Na „ Edward Walk�r {Husband) 22�i E. 19th. Grand Ialanci, NE
<br /> SUtlAt,Cre�e►iw�.R�we.el a► CEMETEtV Olt Ctf.MJ1TORV-N�ME l0`ATIOM GtTV OR TOWN S�I�iE �� , .
<br /> k... Burial �os.Oct. 21 1983 �.G�and Islend Cemete �oe.Grand Island, Ne'nzaslcs_ � $'
<br /> a ueEws�ra. �tL3 FUNEMI►IO�tE-MAMf wND ADORESS ;sr�en o��.�.o..�o..cm o�ro..n.iuic,t+n 6F�S01 �
<br /> � r�. A fel-Butler-Geddes. 1123 W. 2nd. Grand Island N�
<br /> (w-.oar,r..1 oA (�. r.r..1 noue or:.�wr::
<br /> L
<br /> J�
<br /> � �3�• � �� �'� j tv. 7/b- M
<br /> �� t�ts.. .1'r.) t OEA j��� /MOMOUNCEOOEAP ED lMew)
<br /> �»t i l,w..oor,r,.)
<br /> 3 :�.. tD- Z�l -£3 :k. C�z � Z M .�= z . _�._
<br /> f T.�..:ai�.�.i.'''"'�'''....�. �.a M�.....a..�/S�P....r....�.. ��� o.+.w�.a..�.+..,i....+.�..�...w..�.;, w+.�.,a.r..n....a a
<br /> s +w w...�.....�.�...a w»r r».....co.�.�.
<br /> .t'+a�.»o.+rNe.�� r � :sa.r��.�t ss�r.►�
<br /> AN INEt lAN.C . ER' ►HYSKIAN Ol COUN ATTORNEIn(r��r PriM)
<br /> S.T. An�erson, M.D. 18I1 W. 2nd. Grand Island NebraQ':a b8801 _
<br /> tEGiS7RAR . ^ DAR i.:��IVEO�T iEGISTRM(Mo..Do•.Y�.1
<br /> � 3 ` ' '���i1J C.iL.J / ���
<br /> TM.( o.�w.l� t.� ---r;----r-,
<br /> ' : . . ... �..::.•.�'......... -.. y:.�.n• . .�.:r�....:�.............�:
<br /> i ....+.� '/i:...:.�.w � .�...fGi.i�n � � ;
<br /> .��.... . v �w . .,, , �
<br />�I �r�-sr�e C;,��t���� �{„ � •l 1, '
<br /> '�Dti[f V,V��a E t . . . � MM�I►.�..a,.......�e»w
<br /> � � �.v-'ll�^'ti�L�! A�y_1��/�+! ___ `��'��� �Lti� 'R�/
<br /> ous to.w ws A eowxeouEwce o�, � '`»'�'••+-•••««....a..�►
<br /> w �.� 5�.�+
<br /> ►� t -c..�r�........rw�.��o i..M�.+�.r..w.w ►/ur�r.a r w�,s tNcre w � wutars v ._w+�_�t�i►d�t Mewt�t
<br /> ..• mG►ur+[t rist 7 w0�+►Kt !is«�rt,�1� /���}
<br /> � M�Mf)
<br /> r«O r+.. 4t. ) p.� ��►«..r+u !V lJ
<br /> �toase.twoM. woir. wn a ruun p+...o...•..i Now a uuv�+ oesc Now a�uun accu�eo
<br /> oe re�m.w r�anoK a�.rxil �
<br />
|