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<br /> � WHF1V THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE �
<br /> DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A �RUE C�PY
<br /> OF AN ORIGINAL AEGORD ON FTLF WzTk� TH� STATE UEPl�R74�ENT �F;HEs�.TH '
<br /> BUREAU nF VITAL STATISTICS, WHICH IS THE LEGAL DEYOSITOItY•�OR
<br /> VITAL RECORDS. '
<br /> � +
<br /> DA�E OF ISSUANCE (,���
<br /> APR 9 �T STANLEY S: COQPE�t, DIR�CTOR
<br /> LINCO NEB � BUREAU OF VITAL�ST�TISTICS
<br /> ^"�
<br /> p,��,a��ds
<br /> STATE Of qIMAtKA D['MTMENT OF MEAt?II ----- - . ----
<br /> WREAD Oi YITAL sTATISTICS
<br /> CERTIFlCATE 0�DEATH � . ~ : -
<br /> oe oeN _N�wr r� � � w h pw..a,.r..�
<br /> Leo Ernest Hickstein Male April 2, 1987
<br /> fAtt-q.�-.MIRiN.Wt�.A�rk�w O�!(i1NJDE3ClNT(�.�.,II�Ii�w.hMak�w. Af3!-4MNn4�� N R 1 tlA� UNDER 1 pA� DATlO�U�TM(JN�.,pq,T�.)
<br /> Iwl��w.M�JfS►ail�/ O�w�.�U IfSNti�l (1rn.1 MOS. . CAYS NOUp. MINi.
<br /> • IVhite ,. German � ... 70 . ; k : ,.August 30. 1916
<br /> . CI ANO CAT�p/�NTM(M wN iw Y.i#.. CIiIIlN Or WMAi COYM M11 !O.NEYl�MARlIE�, NAM�p!S/pytl(N ,�i�w�i��y���
<br /> ^�"t�*rr +na�rfte.o:ve�tsots�:�ht
<br /> ..Risin Cit Nebraska • U.S.A. ,o. Married ,,. Ilene Parks
<br /> iQC1A�3lCUbitNf�M�lf Y3YAlOCGU►ATION(Giwfiwrd.�►1�w����in��� �f1�{Q�.�USI E33Q�1 OUti�/ COYNTrpptATN
<br /> dwAi IiR1.�Nw:Ihlihll U�J �O$Z'd�
<br /> ,: SOS 16 6612 �,.. �lail Carrier 55 ,�s Service �,�. ,,, Hall
<br /> Clir.TOWM O�IOCAiION O/O(AiN IN31p!Clir llhtlTf MOS/ITAt O!OTNl�INSTITUf10N-►i�y(11 w�I in��M�r. N MOY q 11y1 hyN�pp�,
<br /> IS'Ki ��pN�) �iNd/ • OrM�+•y1Mr �..Uy�M�w1If►w�yl �
<br /> „� Grand Island ,� �es ,,,. V�►"�e�i'�al Center �w. Inpatient
<br /> f�31p�lIC!-fiAT! COYMfY CITt,TOWNWIOCATtpN STt![TANONUIM/�! IHSIOlCITIlIM11!
<br /> Nebraska Hall Grand Island a r««,v.,
<br /> �a.. ���. is�. �ee 904 W. llth ��,"�`�'e5 ,
<br /> A ' � � IA MOTMft-M1A10lN MAM IR AY ��
<br /> '�ac.' Faul
<br /> � � � iiicksiein , (iiv,j Mabel Pinney =
<br /> WAf 0!G!A!!O!Y!�IN Y.S.AUNlp/OKlS1 IH�OM{AMT-NAME-1lUhONfHI►-MAItkl6 ApOf[fS pTNt�O���O NO.C�tr q��T�,=iry ' -
<br /> ���es"���Yr1�=�'}'�'��`"10-43 „Ilene Hickstein, Wife, 9Q4 W, ilth, Grand Islan-d; �E -
<br />� ii14iA�,Ce�wveon.R�aw.oS C[+.ttTEt+f O�CRtra,4t03s-t�W.ti ►OCAiiON C1iif O�IpwH STAT!
<br /> April 3, 1987 . _
<br /> ».Removal �a. zo�. Anatomical Board �. Omaha, Nebraska --
<br /> -f1G�VAtUf[i llCFHfE NO. ���� fUNlRAt MOME-HA�Nf ANO AQptfSS �fiN/1 M�.�O MP.C�1Y 01 fONrM,�TAt(.ZN1
<br /> ?�Apfel-Butler-Geddes 1123 W. 2nd, Grand Island, NE.68801 �
<br /> tM�w..c.s.r•.� � w n tM..w�.r..� R Of 0lATN i
<br /> �f� �.. A ril 2, 1987 s�W 2N. �.r. `
<br /> £ w lM...o.i,r..l � o[w N �� � '" �C�
<br /> �� tr ROMOUNCEDOlAD �RONOUNCtODlAD(M��r)
<br /> :,�. A ril 2� 1987 �, 10•50 aM �iii f�..O•�.r•.1 .
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<br /> / `� 2N.IS+�.M.w�.s t:Iq�
<br /> N (►M IAN,C E 11 NN iY A En(i�'�M/riM)
<br /> Dorawnd E. Metcaif, M.D., VA M ical Center 2201 N. Broadwell Grand Island6aNE3 ���d�
<br /> DAT!!lCEIYE t t 1 (AN„p�,ri,� •��
<br /> _�.� -��• ' : . APR a �
<br /> ou� u reNtt!pvlr oN eAVSe►tR txvt rtl�t.1.(►),APw tcU , ,�r,,,�l�w�„«,M,,,�� `
<br /> MRT
<br /> _�,, Congestive heart failure : 30 Hours
<br /> • ....s...s.�i. � r�..d�.r.....r.r w�..�
<br /> ,., Pnetswnia ' 24 Hours
<br /> DY!f(�O�AL A COHSEOYtMC[p, . �.�w.N YwwM w�r��./ta�s
<br /> �, Squa�aous cell carcinoma of the Iung 9 Months
<br />� �A�'f ►CwiW�r t�.�wiy r Iww�M�M nNM 111�i 111 M I�YYf.Wq TMNI A �YTO�St WAf CA7��rY010�t01C.0
<br /> S M!6lY/K1 tN 1M//AfT 1 YOMTMft fjMe�tM M WJ f1MIMNf Qf Cp/pMl�
<br /> Metastatic carcinoma to the brain .«a n.o '""�'«`"",
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