Laserfiche WebLink
200100029 <br />0 -( v m <br />c — <br />m <br />-i <br />w <br />n <br />0' <br />V <br />(D <br />H <br />(p <br />w <br />rt <br />d <br />."y <br />r• <br />U) <br />O <br />(n <br />rt <br />w <br />C) 3 <br />^ri � <br />W <br />a. <br />H � <br />7 <br />D7 <br />F' <br />W = <br />� b <br />b <br />O <br />F'• <br />n <br />C1 <br />w <br />n <br />rt <br />rD <br />rt <br />Gi <br />w <br />I •� <br />a <br />H <br />F- <br />w <br />a. <br />p <br />to u• <br />C^dOW <br />by <br />0 <br />AllKdwy <br />PHYSICIAN <br />NZ <br />01. <br />-D <br />o <br />ONLY <br />v 0 <br />G <br />Y <br />m 0 <br />aa <br />3 <br />> <br />D <br />t Y <br />$~ <br />O 1 <br />y <br />N <br />v, 0 <br />c <br />2 . <br />3 <br />m <br />m <br />m <br />o <br />Q O <br />93) <br />�n <br />m <br />o <br />u N <br />u <br />o <br />m <br />m <br />° <br />Nm <br />0 <br />z <br />z <br />y Q <br />W $ <br />o <br />DO <br />0 <br />z0 <br />0 <br />o <br />o <br />O c <br />O <br />= <br />m <br />M <br />m <br />o <br />O <br />o <br />~ <br />� <br />W C <br />U <br />F <br />m <br />m <br />^ <br />v <br />z <br />3 <br />3 <br />O <br />o <br />W <br />m <br />d <br />M <br />m <br />f <br />c <br />m <br />< <br />0 <br />a <br />> <br />< <br />o <br />0 <br />D <br />n <br />n <br />1 <br />4 <br />WW_ <br />C) <br />OGG <br />G <br />z <br />O <br />o <br />q <br />f <br />�l L <br />O <br />O <br />U C <br />M <br />i <br />O <br />m <br />vv <br />p <br />m <br />Ue <br />CAW~ <br />Cun <br />by <br />r <br />D <br />= i <br />C(JWNEN <br />S PHYSICIAN, <br />< <br />Y _ <br />z <br />a COUNTY <br />ATTOWY <br />I y <br />f <br />z v <br />DO <br />(kllY <br />O <br />< rtI <br />z <br />Z <br />° zi <br />d <br />mm <br />z <br />O' <br />Ln <br />v, <br />o <br />^ <br />W n <br />0 <br />O <br />y <br />p, <br />m <br />D <br />Nm <br />0` -1 <br />W <br />N C <br />l l <br />° <br />m <br />F <br />Z m <br />im <br />i <br />o <br />v <br />mY <br />O <br />D <br />O <br />v <br />w ; <br />Z <br />0 <br />s <br />N•Q <br />nZ <br />o <br />m0 <br />° <br />!�O <br />4 <br />Z <br />n, <br />"j <br />Y <br />< K <br />W <br />O <br />II <br />m G <br />W <br />m i <br />O� "o <br />v <br />n <br />n <br />M <br />° <br />I-T r1r <br />V O <br />M r <br />(D • 0 <br />.• z <br />.. G <br />z <br />4Z- (I <br />tZA <br />V v <br />O i <br />'" 0" <br />W (DR <br />Qnr <br />Om <br />C) F'k <br />E <br />m <br />(D , <br />H N <br />y <br />,D <br />to o <br />d <br />33. NAME OF DECEDENT _ <br />For usu by physician, medical examiner or county coroner. <br />FOR VITAL STATISTICS USE ONLY <br />O n D b C <br />M. (7 o z-0 <br />n n n <br />c� ro n, Z4 <br />Sz v� <br />MIn <br />M <br />C-Arm <br />c D <br />J 1zM <br />0 a <br />M_ <br />o zz <br />z <br />° (DuN r lAQy tscD' ((DD m W. a O <br />r r c H m U 0 O n 01 D 1-+• y <br />m m 1 •� •' m Q1 F rty' rt ° "� C t r h z m <br />r� (�� 3 ��1 �1� (D i 7 u, o y <br />90 a.7 m m F� W I m i 3$c j� N t s fD M y ZI) <br />s0 a0 Tn ' 'v I m m ( ~Lo u (L 40 Q z�' o m <br />n n m c �= a Na z W O P ;� m <br />o� 00 m 0 f .i H r- m D <br />z mE u e nc O„ _� v(ZD <br />ow C� G <br />M O m <br />a S 5 <br />to k ( ° ��N ' ? }° N > PW <br />In m (D n o UI <br />a W p <br />M z <br />0 m r <br />gg F ; s <br />. (D (D <br />2 'G z O to <br />n' _ (D 3 R m p °� rt <br />M N F-1 o tS N? v g <br />i to H m n `m 0 <br />r lD c in <br />K O <br />m O 5 0 0°n <br />0 ° <br />0 <br />a ° M X <br />m V T O O 2 W �'{ <br />M (D m (D i lJ O O (( �v�, J N m <br />O O :j- n -a m S i1 = Q1 Z 0 <br />m 1 ^y <br />C <br />= t� m > (� Y ;V; it a N o H <br />In <br />o I ray Ni vs <br />IL •� _N <br />y r'i s to C �° m m f]. ° o rl <br />(D uv Dl m s D ((~�p o m 6 D< <br />Ul F••' 10 n i "0 m C7 d4 N <br />Z d <br />I~-' W 0 y m o� }C <br />w K X `ipy" o 00 ��n Rn C- , Q <br />Y <br />• ti f.d m o ; <br />m g Ln V+ 3 Z (D N Z EA <br />a n n O z 5- Ma 0 0 <br />n y 0 °a" y - >� O y <br />o O li m �' m Q C I m <br />Z� r rt �� mo <br />H W Z l'J _ :3 v , m W i <br />- -- -- -- i1 o H H on • r-I m N .x = 1 x <br />H p F' O m____ a F-•� Z lD i <br />0 0 0 <br />Cn il+ n z x F F✓ s <br />Q, f rr b n m <br />K 8 s z 0 ? rt <br />8 S p g f1. Q z > ( D a C k <br />(D U <br />m z a �_ y mho <br />(n _ <br />M Cn • 'Zm <br />m rn a , oo _ r <br />Q_ , <br />' z m O r- <br />0 <n <br />I HEREBY CERTIFY THAT THIS IS AN EXACT PHOTO -COPY OF THE ORIGINAL DEATH CERTIFICATE <br />FILED WITH THE BUREAU OF VITAL STATISTICS IN LINCOLN, NEBRASKA. <br />ANIM NOTARY&* of Nekaltkat <br />MYAAONO A. OSEKA � <br />fip Cana 4 N". 27, w APFEL -B LER- GEDDES FUN L HOME <br />-4 <br />rn <br />O <br />M amw <br />C <br />O� <br />C I <br />rn y O <br />M <br />" r n <br />v a'� <br />U) m <br />Y n� <br />(n 0 <br />11 <br />x <br />