i ;P:7 :., ��.,; ,r _�� ..1 ij d :x ; .M. I ,�;.X/° ::.4 V,��,,���,''� ', ✓,;;:/7's..0M., 1I ,( ",,4 si ',kr,a irj.. !r ro a'� 0 j. a,. x ": N 51 ;" q1R
<br /> 41,-,-',T, 1
<br /> � U p ,r�.� v�� �! � p '� � X13 (y,,�' ` � YXX i
<br /> ,N n 4 , -,'=-5-A- STATE OF MINNESOTA , ; " m, ,• 6['l H�t� � yti�� I '.�
<br /> II''i , ,, 1 CERTIFICATION OF VITAL RECORD �{` y p,k
<br /> ryl.1 II4I +",,—","-----*4—', Ili ,,, tr 4,-t" :.),.Wr .. v "-` :� ``� "y"AK .::)=� "'' , V �'8"y' Fr°�I �u�ikir w 1 P�r''
<br /> gyp/ 'e `p
<br />`� �s 'Aar,�{ I, ,or. �\ I�IIId, �I,1,, A,A ti:L.,,.'s
<br /> ° �5���lI %� CERTIFICATE OF DEATH ` ',,"74 s�,
<br /> g. STATE FILE NUMBER 2015-MN-001623
<br /> DECEDENT NED JOEL NELSON
<br />�'�'i- NAME PRIOR TO 2U5 � � 9 �I ;
<br />�f
<br /> K,, ' FIRST MARRIAGE �i r�,q,,
<br /> WI' ALSO KNOWN AS 1;1;
<br /> SOCIAL SECURITY NUMBER 505-60-2547
<br />�
<br /> ,` SEX MALE
<br />,, !. BORN DECEMBER 30, 1945
<br />#'i ` PLACE OF BIRTH MINDEN NEBRASKA I`
<br /> 0 i-; DATE OF DEATH JANUARY 10,2015 1
<br /> it 01; ,:'..e".-
<br /> PLACE OF DEATH ROCHESTER OLMSTED MINNESOTA 'j
<br /> MARITAL STATUS MARRIED
<br /> FA SPOUSE LAURA MORROW i^,
<br /> io ` RESIDENCE ALDA HALL NEBRASKA "'"
<br /> Yell f
<br /> PARENT IDA JOHANNESEN
<br /> 0:" PARENT VERNON NELSON
<br /> FUNERAL HOME MAHN FAMILY FH-ROCHESTER CHAPEL
<br /> a.
<br /> `
<br /> DISPOSITION CREMATION
<br />+ i s
<br /> CAUSE OF DEATH i
<br /> 4r.
<br /> IMMEDIATE PULMONARY HYPERTENSION ;<
<br /> OhUNDERLYING PULMONARY VENO-OCCLUSIVE DISEASE
<br /> klE ,. ,
<br /> iii)30
<br /> V ii kr
<br /> OTHER CONTRIBUTING
<br /> Oli li,'":',,
<br /> CONDITIONS
<br />∎1.! MANNER NATURAL
<br /> 2` MEDICAL EXAMINER, PETER T LIN,M.D.
<br /> il '
<br /> 0:1
<br /> x�
<br /> CORONER OR PHYSICIAN 200 1ST ST SW,ROCHESTER,MINNESOTA,55905
<br /> i THIS RECORD HAS NOT BEEN AMENDED
<br />$11 I f
<br /> Oii ..
<br /> THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS.
<br /> MR&C Certificate ID
<br /> Ii 9227269
<br /> : ,
<br /> ,:, ,
<br /> hii 11111111111111
<br /> 000161976 FILED: JANUARY 14,2015
<br /> i.
<br /> F,:•-i )4141‘)/tukaii.64,40/riz . x ,
<br /> � THE S2 41 .400 m Pt '
<br /> �o���� R•
<br /> ?� Molly Mulcahy Crawford ��: ...Dy ,//-
<br /> 44F� `' ty..9; STATE REGISTRAR ,"cp..���o��.en�v ��°,���i
<br /> •`x x ;a. ISSUED: FEBRUARY 11,2015 OLMSTED COUNTY LICENSE BUREAU :.._�" :�•
<br /> d 1 -� xy.` ,� x
<br /> i�tv - I �Ay THIS CERTIFICATION IS VALID ONLY WHEN REPRODUCED ON WATERMARKED SECURITY PAPER w •
<br /> a .ts+� • -4:N, , WITH A RAISED BORDER AND RAISED STATE SEAL OF MINNESOTA C••. 1 �`•
<br />'" 1 l �` ,E 7.7...` , ANY ALTERATION OR ERASURE VOIDS THIS CERTIFICATE `.` xh �I EST '
<br /> w.l ,.;NV,.� .. s 143 Al,4,„1,.,„,.1._„,,f,,,,,,,%,„r r, ��... .,. ,. '. 1"'t .``,. ,., , Li 1`±^ r .,, � Zl�' _ l/5.} 1 �\
<br />
|