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STATE OF NEBRASKA <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE STATE OF NEBRASKA, IT <br />CERTIFIES THE DOCUMENT BELOW TO BE "A TRUE COPY OF THE ORIGINAL RECORD <br />ON FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, VITAL <br />RECORDS OFFICE, WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS <br />DATE OF ISSUANCE <br />3/23/2017 <br />LINCOLN, NEBRASKA <br />DECEDENT - NI <br />CITY AND STATE OF BIRTH. WI in USAAWN. Pc+M* ( <br />Cad Island, Nebraska <br />I <br />URT1Y NUARIEA <br />506 -12- -7876 <br />Ain FACILITY - <br />iF. ilY, TEIVOTL R LOCATU4 OF DEATi <br />St- Francis Medical Center <br />Grand Island, Nebras. <br />IM RESIDENCE-STATE SO COUNTY <br />Nebraska Hall <br />1R RACE. WAIN <br />F.l MAgw,IM White <br />Mow NAMAINt MY* Ors AV NATWAT <br />14& USUAL OCCUPATION (EN14I4M 5Or* s ciwrI91n48 <br />dewing bit .1.1rrrwralp Ap �� <br />-is FATH'EN-Not* FIRST MDOLE <br />DECEASED Us. ABASED <br />(Yes na Or Wl( dY+%9Me Mr <br />Yes Air Force12 -23 -40/12 -5-45 <br />19Q l OWNANT:. : MAUROADDRESS (STREET ORRF.D. NO _CRY OR TOWN.. STATE. OP) <br />2207 Park Drive, <br />Shill# NMI Sorahan <br />tE fin^&?+.: FORCES" Me <br />24 EAMA LlIER - SIGNATURE3.MORE NO. <br />Not Embalmed <br />22a FUNERAL HOE- NAME <br />Kleine Punera l Hoene <br />27th. FI1NEliaL NOME ADDRESS (STREET OR RF.D. NO CITY <br />3213 W. North Front St. <br />O. Im ermaE CAUSE <br />fu _ <br />D4�TG,I�R AS L4NSfi0UENGL OF t <br />1M a <br />Q . ,fir. p LIT aalw .red <br />Q S+ac+4e L:st PlbiteN 26e. WARN AT WORE 1 a IL!tebWMl9.m <br />H01nclde •aREWfea01+ Tee D Sy O L <br />4 <br />DATE cif DEATH (ab. Dey. Yrj <br />11. ANCESTRY (0g.. IRMA tWawL Gannr0, acl 12. <br />{ (Sp 'Irish/American 0 q ,. <br />27c TIRE OF DEATH <br />TOWN. STATE ZIP; <br />I 7) <br />201702010 <br />bNS1E CITY LIMI <br />Yae (3it N4 <br />Sc . CITY, TOWN OR LOCATION <br />Grand Island <br />RIND OF HUSIWESS INDUSTRY <br />5b. MOS 1 a DAYS <br />Ea : PLACE : DEATH <br />HOSPITAL: AIFa ieNI <br />[..] ES OlAdaliere <br />D o0A <br />Ba: COUNTY Of DEATH <br />Hall <br />Hall County Assessor <br />LAST Ti ' FIRST <br />Ellen <br />190 E4POREIIANT SAME ' _. <br />Evalyn Sorahan <br />Grand Island, Nebraska 68801 <br />Grand Island, Nebraska 68803 <br />(ENTER ONLY ONE CAUSE PER LINE fOR lei. (A). ANO k0 <br />I _ <br />M <br />2804.' DATE SIGNED (MP. Day. Yr 1 <br />2207 Park <br />PRONOUNCED DEAD <br />Ej WIDOWED <br />STANLEY COOPER <br />ASSISTA STATE REGISTRAR <br />DEPARTMENT HEALTH AND <br />HUMAN SERVICES <br />STATE OF NEBRASKA — DEPARTMENT OF AEAI.TN <br />B MEAD OF VITAL STATISTICS 7 r. <br />CERTIFICATE OF DEATH <br />FAST MODLE .LAST S SEX 3 DATE OF DEATH (aaa++ Clip Yaad <br />Michael Alfred Sorahan 'Male April 30, 1994 <br />is. AGE - IAN &+ LYNDEA I YEAR UNDER 1 DAY a. DATE OF BIRTH Abaft Os, Yuri <br />HOURS (.11N5 <br />May 31, 1922 <br />Q Nyr,aq Mbnle <br />El DAN ISpdy1 <br />OTHER: <br />9d. STREET AND NUMBER ideolu a'rQZer Code( <br />Drive <br />13. NAME OF SPOUSE (a.aaA. 9+• "RAW r W <br />Evalyn M. Erdbruger <br />N OIYORCED <br />IS EDUCATION )Spacdy NW NOW NOM coIPAFM <br />ReineAMy a Second., (0-12) c,„6, <br />'1 Year College <br />MAIDEN SURNAME, <br />-NMI Whyte <br />!ADDLE <br />9e INSIDE CITY LOTS <br />Yaa� NbD <br />21c. CEMETERY OR CREMATORY - NAME <br />Central Nebraska Cremaation <br />21e. METHOD OF DISPOSITION 21fl DA <br />BuiaI © 0Removal April 3, 1994 <br />214. CEMETERY OR CREMATORY LOCATION CITY OR TOWN STATE <br />Gibbon, Nebraska <br />DUE TO. OR AS A flIAEHGE ' <br />flPNSSC uNE4CANT CONSE O NVD{TDNc.. -Cq�4 a.ln*b. 348 YY Orafn di nab pebbled P ART N w FEMALE WASTHFAE - A UTOPSY <br />AR' PREGNANCY 8N THE PA`SST MONTHS' No j <br />266. DATE (b.. Day. Yr) Arc HOUR OF *MAY C 254. DESCRIBE ((OW INJURY OCCURRED YM El <br />(Mb. DA1! Vol <br />284 TIRE OF DEATH <br />deaN 000x0,4 aro eme. 4)114 an0 Plate and dbe b nr_ <br />oAes M wed. <br />ISqua:re end TNel f p <br />DID TOEACCO USECONTRISUTE TO THE DEATH? <br />Q TES c3 UNKNOWN <br />AND OF CERTIPER IPHYIL;IAN, CORONERS PHYSICIAN OR COUNTY ATTOP.NEYI (Type a P14M1 <br />B. D. Urbauer, j24444 W. Faiq.ley Ave., Grand Island, Nebraska 68803 <br />32b. DATE FILED BY REGISTRAR IAa_. Dee Yr.) <br />IMP,* ONwaen awe and 05514 <br />f <br />Iaara womb and s <br />STREET OR R.E.D. NO CITY OR TOWN <br />tamMn Nom aro dean <br />tea PRONOUNCED DEAD ;l <br />2de. On ll+e nape of 4014.0alan and;br i ewagaAOn. in rlIp COMM Oeaa10CGged it <br />/� ' die dine. Dab and pace and due b RA Cadse(s) ARAM ...---... ✓1.-4 (Spna4%e and Tdel► <br />HAS ORGAN OR TISSUE DONATION BEEN CONSIDERED' XD WAS CONSENT GRANTED" ' <br />YES [ [3 YES <br />STATE <br />M <br />CD <br />N <br />C <br />CO <br />CO <br />