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M <br />'TT Z D <br />rn CA <br />h m to Z _ <br />p <br />Cn <br />q Con <br />-c a C=) o. <br />r <br />Cil <br />(_ <br />M \ ,. = r.rl C=) rn D oa p •fit <br />o 2 <br />r- Cn w 3 <br />cry In co CD <br />...L co 14. <br />` Cn w o <br />fi r„ <br />The Northerly Sixty -six (66) feet of the full lot described as Fractional Lot Eight <br />(8), in Fractional Block One Hundred Four (104), Railroad Addition and its <br />complement, to wit: Fractional Lot Eight (8), in Fractional Block One Hundred <br />Four (104), in Koenig & Wiebe's Addition to the City of Grand Island, Hall <br />County, Nebraska. <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH ANQ HU 0N_SERWCES <br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAkAMORQ QWME WITH <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STAT1ifllr_FBCH /S <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS _ <br />DATE OF ISSUANCE <br />MAY 3 2000 <br />LINCOLN, NEBRASKA <br />200003893 <br />HEALTH <br />STATE <br />STATE OF NEBRASKA— DEPARTMENT OF HEALTH <br />Bureau of Vital Statistics <br />CERTIFICATE OF DEATH ,:. r ,7 �, 714 3 <br />DECEASO -NAM! fuST rwletl <br />uN <br />X <br />DATE Of DEATH 1 -o»T», PA., •Tr• 1 <br />i. I <br />;six. 4"L4 <br />IlFem. <br />S. -21- <br />RACE, »IOW. Ar1&IC•N 1MoNw, <br />AGE -IAIr <br />Y«W& <br />DATE OP RIRTII I NOW", D•4,. <br />COUNTY OP DEATH <br />1 red <br />ni <br />I*c. 1 5"CW 1 1n111s.r 1 •ew•s <br />li.79 <br />»ws►- r1w. To" I <br />,11— 0- <br />_ <br />all <br />.. <br />1 6 <br />w <br />,. <br />rrr, t DEATH <br />M YES 4,/N M«e-ot Co. <br />u 1101 c/w 11w1N <br />HOSIITM Oft OTHER NS I - 1 « Mor 1» 11r»I1, owe TINY •w 1IU.ISn 1 <br />eg1 a f/o Tw <br />>.1ury its of »o <br />ACCIDENT, SUICIDE. HOMKRT;, <br />Grand Island. <br />�?, <br />HOW INAIRT OCCURRIO I Irq& WHIN Of -MQV I. ►.M 1 On 0.0 ,., •A. Ie 1 <br />f1. e <br />STATE OF 8911111 1M of 1« Y.s A., w•re CITIZEN LV WHAT COUNTRY <br />MARRIED, NEVER MARRIED, IVM SPOUSE Ito woo, owl "Ce. -we, <br />cow/Nr I <br />WIDOWED. DIVORCED 1 IfKIR I <br />:M M <br />lie <br />S <br />g USA <br />Married II <br />SOCW k ull" R <br />USUAL OrCU /ATION law time or r- Doug f+w1»o wool Of KMq Of MISINRSS OR INDUSTRY <br />I SM.N "S ON »o I <br />4,0 ON& 1'N, M» 11 Gotten I <br />f_ <br />ua6 <br />Is. 01J <br />+ 1 S�1ri "" <br />RSSIDEhICl�SfAtE COUNTY <br />ww tiff I s AT+0 Mum�" <br />CITY, TOWN. DA LOCATION Now" if <br />C[RTW_ATION- rp11» Mr NY .o1.r Mr <br />e1w& <br />I V4C/f4, VIS M 1101 <br />►M I <br />IM <br />144 IN 316 So. Walnut <br />AMR -.NAME OHM <br />r106tI <br />W/ <br />MOTHER-MAIDIN NAME Pont r1DMo Wt <br />'110 Fred <br />Johnson <br />, <br />Ito b o <br />IN WAS DECEASED EVER IN U.S. ARMED FORCES? INrveMANr - nwM& - ecNwlPVnaf1P►- •fAwll.c AWRaa 1 nNe1 w .. • 4,v . c.•• o. •..�.... �. <br />IT&. ad, «..sw.wwl 1 II ..1. she ..1.wr 41101.1.1 NI.+I.I Grand s18d Ne 68H0 <br />v. a , t1 <br />An I DEATH WAS CAUSED ST, <br />ItNTtR ONtr ON/ CADS/ MR 104 /d (0). fD►, AND (III <br />mtoft ousof •Mo Own <br />-- - <br />N u AY , /u_ <br />( <br />AZ <br />;six. 4"L4 <br />1e1 C a <br />�. j �.% _ <br />V <br />co«enlo «s 4,r .u4, <br />rw/cw O•r� nsI Td <br />� <br />1rroMtlo cwWO Eel. M to, W •s • co »wow»c1 a <br />$I&1r«e Two Y «014 <br />I <br />IrI1.e caw" last <br />IARI R CTTHRO w011NKMo CowoflQri Co"WIN)nl Co"r"Wfwo To oQAT/1 DUT PoW 1Q4AftO ►AM 0 M f1MA►1, WAS I1NM A ALROPiT <br />M YES 4,/N M«e-ot Co. <br />TO CAVED o1Y1N IN &ART M &1 <br />dD10f1AfK& M 1111 V"T f e1OMewer • M «01 !IM.fe - erns. ««w twrV <br />M OgAIw <br />eg1 a f/o Tw <br />Iw <br />ACCIDENT, SUICIDE. HOMKRT;, <br />DATIJOVOWN 1 woiil », 0414,• •I•& 1 <br />HOW INAIRT OCCURRIO I Irq& WHIN Of -MQV I. ►.M 1 On 0.0 ,., •A. Ie 1 <br />Oa UNDETERMINED 1 VKwv 1 <br />ING, <br />iM <br />:M M <br />M <br />INJURY AT WORK <br />PLACE OF INJURY./ -Ord. 1..4, $'Nor, I.e•On, <br />LOCATION 1 Infer W & r e Ile . CM O& 4,o+«, V•1e <br />I SM.N "S ON »o I <br />o«K1 woo. I Y .%W I <br />121011 <br />-no <br />C[RTW_ATION- rp11» Mr NY .o1.r Mr <br />e1w& <br />•Mo MV S.4, —/-#& MM O« <br />I owtoo 4,O/ 4,114, Mo <br />DgA/w OCC~D .I M 1uca, &M• Ily <br />&HTLICUINt I [- _ <br />�� TO <br />// <br />rlb.P« N• •IY <br />� /, <br />&o01 Nff& N•Irr <br />.wOY&r <br />0.1&, -0, O &r MV <br />4,t M <br />1 wrN Mo10 fIN 1 t <br />IN OIC1.116 Poor lc fn 4' <br />, <br />„1 �� T' <br />!IC / <br />!h <br />_ , <br />4,i : i?{ T'M loop w.d cAYrnl H.ue <br />CWV0CAT1004-MI0 EXAMINTR OR C0000419 o« 110 MvT Or 114 <br />.p1.Of M.wI »I 6&c1a«t ..s 110 O/N <br />c1A.wlwno» of No 9064, •Moto& M I»4,i&rw•IIO«, w w o.rro.1. <br />«e <br />4,o».» e.• .f.& <br />J." <br />rOM <br />!� p <br />«awl occumm ON so Mon .«e M 90".1 CwY111e1 Irw <br />/ ! <br />._......_. <br />CERTIPRR -NAME Im1 W <br />" �/"��� • � <br />A IO1•, M•. rig", I S <br />% 41 <br />2% William Merr.%th 4, <br />` I <br />751 <br />MALver, ADDRESS- asives •rN#109010 <br />.o c1 ror« uwn f1. <br />TN T A <br />BURIAL. CREMATKMN, REMOVAL <br />tRT W ClA1ATOn- <br />I cm 00 row+ <br />04•1& <br />t WWWV, <br />Ne <br />N. Gr�S.•tl.%nA <br />ate= <br />1 Grand Taland_ <br />N hr- <br />ao4,, n&I <br />. <br />PUNHAL HOM1 -NAME ANO ADODeSS I srNn oe &.r e. »o . cm o& w•N. fa P <br />go". <br />I _ <br />T_�_. -A s!_ LeanX <br />