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200103354 <br />a«. I,I07 STA18 (* lit3 &AftA. DBPAXU*Nf G* W&IN AND HUMAM iMVM t?04AM AND WMM <br />VITAL ftAU "IM <br />C)SitMcAn OF n#ATu <br />s <br />E� <br />W <br />Z <br />W <br />0 <br />0.& <br />W <br />2 tai <br />FOR VITAL STATISTICS USE ONLY <br />Place....................... A .............. ................. 8 .......................... ..... C ................................ D ................................ E ................................ Part It ..... _ ... .. .......... TMV ..... ..................... <br />NSC........................................................................................................................................................................................... ............................... ....................._...Census Tract No. <br />Work............................................................................................................................................................................................................................................._. ..._......_.._................. <br />UC.................................................................................................................................................................................................................... ...................._.......... <br />Reject...................................... _ ....................................................................................................................................................................................... .. ........ <br />__. <br />6 YMM.I wIM /fir IM M N.Y.N.ONW <br />..�4 �a <br />j J „i t...'' 7;aska <br />Q <br />r <br />!. <br />T <br />l NMN Killefer <br />S. <br />Male <br />June 17, 1999 <br />N NOWPPU .nrnNepmYy <br />•UIM <br />UNOIRI <br />t Y <br />Y„y <br />e�. 1 <br />�. <br />California <br />"NI 70. <br />October 13, 1928 <br />gLosAngeles, <br />NUMBER <br />34- 7510 <br />ft PLACE OF DEATH <br />`!!� � '"w'" 'r ❑ <br />❑ !naow" ❑ <br />MANOW"M#A.,..w*VMNRW <br />cis Medical Center <br />❑ MA 0"mvc* <br />M. Gtr UNIT6 <br />N. COUNTY 0 DOT" <br />Grand Island <br />I v« [1,* ❑ <br />Hall <br />00. RES91INN . STATE <br />b. COUNTY <br />te. CRY. TOWN ON LOCATM <br />b. AND 801 w uMm <br />O <br />Nebraska <br />Hall <br />Grand Island <br />f8 Kuester Lake ® ❑ <br />10. - N.,. NIIrN. Y�dNn, I t. STRr N.O. IIIMn. Mel 1!. MARRIED ❑ WDOWID tl. MAME OF M011![ IIoa m" wMM +nww <br />.N.I+twev <br />White American El ""m OA!ORCE0 Chong Sook Park <br />tK ab. KW OFNUMNE00lIOUSTRr 10. t .ATM <br />" bier "'""""0wwwav"0" 10 <br />military U.S. vorce 5 Mre "�" <br />+ wax" LAST IT. MOTMER <br />Robert NMN Killefer Sr Edith Mae Baldwin <br />t . W 9 <br />IYM!.ft <br />Yes <br />- ANAW POPlOW <br />OfYM. tWrwOAMNdtNINNq <br />151 -1973 <br />I <br />1k INPOPPANT -NAM <br />Chon gook killefer - Wife <br />Ift PAFOPMIANT ADDRESS (STREET 09 KF.D .. CITY 001 TOWN. STATE. <br />08 Kuester Lake Road, Grand talandi N6 68801 U <br />b. T! t1c.O <br />TORT <br />Not Embalmed <br />❑ �„N, , <br />June 18, 1999 <br />Central Nee Cremation Seri <br />W& PURIM Now on <br />Livin st:on- Sondermann F.H. <br />1d r AT <br />Gibbon, Nebraska <br />® d°"'r'°" <br />FOR VITAL STATISTICS USE ONLY <br />Place....................... A .............. ................. 8 .......................... ..... C ................................ D ................................ E ................................ Part It ..... _ ... .. .......... TMV ..... ..................... <br />NSC........................................................................................................................................................................................... ............................... ....................._...Census Tract No. <br />Work............................................................................................................................................................................................................................................._. ..._......_.._................. <br />UC.................................................................................................................................................................................................................... ...................._.......... <br />Reject...................................... _ ....................................................................................................................................................................................... .. ........ <br />__. <br />6 YMM.I wIM /fir IM M N.Y.N.ONW <br />..�4 �a <br />j J „i t...'' 7;aska <br />Q <br />