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<br /> � DEFAF�HII3T OF a'tEA�.Tu, IT �EF.TYFIES T�,'� B�(!T� TO 3E !�. ���:PY �
<br /> � OF AN OgIGL�lL RECORD �N BLLE WITk TI�E STATE DEPARTM�►D}�.OF �l�AI.TH —
<br /> HttRFAtJ 4F t�ITA�. STATISTICS, i���C4€ IS THE LEGAI. B�i�&I�t�R'� �Qt�'-.;;'; � .
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<br /> LINCOLti, N�BRASRA B13REAII OF YY'1"!�L`:�,3�A��TYC�
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<br /> STATE OF ME�RASKA—OEPAAfiIENi OF NEAL11t .
<br /> �tJl��i7 OF YITAL StATISTICS
<br /> CERTIFICATE OF OEATH ' •
<br /> i OEGEOENT.NM1E iia5t If�D�E LAST 2 SE+t J 0�7E Of IIfJ17H .I�r.tR Ot�reu�
<br /> Sohn � Ward maZe : February 7, 199Q
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<br /> ,Thief Riv�r Fa12s: Minnesotaa`�� �3 � FebruAry. I6, 1916
<br /> � 7 5p�1K E�{lNTY ML'MDEp 6a OuICE Oi CEAT�t �
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<br /> VA Htx�#.cal�Center Granc� ��3and ��s Aa11 �
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<br /> I gail Grand Island 3104 West 14th Street `��s�""
<br /> . 10 RACE•[�p W!NlBht►.Aer�rr.YruiyaR tt 1WCESTiiYr�q.Cahs�fyttan Gymin�j 12 YARr71EONEVERYAqq1E0. �tl NA4EGGf�CUSE lNwM.�v�m7WniWy�
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<br /> White English/Swedfsh'J� Marrfe� ; Etta Jean Willeman
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<br /> " ' Hi.g�iw'ay department for� State D�g�rtQent of Roads �2 � _ . •
<br /> t�,iATYIEN•W1YE FMST 1Mpp1E U{$i 1)YpT11Ep.YA�H tU{yf fINST �OOLE UlST '
<br /> (dec.� J'aan Ward (dec.) Ester Wilson
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<br /> Yes WWI118-28-4I�'�2-3-45 Etta J. Ward, 3104 West 14th, Grand Is�d, i�ii. � •
<br /> 10a ChnMM.11MnrY. IQ OATE 27t CEAIETERY Oi'i CAEMATONV.NMIE I200 IOCATfOli CITY OR TOMM STATE, '
<br /> Burial Feb. 12 1990 Westlawn Memorial Park Grand IEland NebrasGkaO 1
<br /> 21 EYM11�11•�IC'�IMTWIE i 4CEl1iE h0 ?2 iUN€i1K 110{�.N1lME MIO 15T(i�ET ON N F O N�C�Y OH TOMM STA1E.ZIPI�lSH�i . � .
<br /> � � Livfn sr.on-Sondermarn 505 W. Koenf , Grand Island, Ne. •-.'�r -.
<br /> IAAT�7 GWlE IEMTEAOMivM1ECAU5EPER1nrtFGn.u,i01.lWDttl) MnvatOrw�nu�wwCtF� - .
<br /> ' Res irato failure ; Several Da s "�
<br /> WE TO.OR AS A CChEt�a�EMCE M' . I�wxwi e�n onsh ru au+
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<br /> Pn�umonia Several Da s
<br /> , 'i�.0(IASACOM6EOU[NCEOF i �AY��1t11111�1U1QN1YO0�n1 k•
<br /> t�t.ronic obstructive ulnwna � dise��s ; Years '�"� '�
<br /> : pM„C-�'tASONIi1CAMTCONpff101N"CppMOrNWAibylnpbd�bNMt�iM/A PAfITW1ifEYA�EWIISTMEREA 21 4lJTOG°Y JS WFSCASEt�iER11EDtOMEIXCJIL �� �
<br /> VMa1f�11CYIN 1/1C VA513 YONTNS� l :�ly Yy oW.f EXAIMNEq pq COqp11ER''
<br /> �CVA• CHF• atrial £ibrillation .y� �,❑ N�o , «NY«p^�� No �'T�'
<br /> - �fl OC 6U�GDE.IIGIICIOf.UMGET.. t�0i OATE Oi(fWRY lLa.Dly ril 2!G MOVH Oi tNJVRY SEO OESCNeE r10W MJURV OCCUAREO �•
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<br /> l6IKN�N C✓HO/ p�p�pyldrp.� (� ,fyl �• T6p LOCATpN STREEi ON�7 f 0 NO CIT►pN t0'AT1 STATE .
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<br /> ?K t}G'Y'AFCCO USE COXTHMUTE T07ME pEATH� Ji.i MAS OpOAN OR TISSUE OOHATICh BEEN CONS�DEqE7' luo WA$CONS:NT GifANTEO•
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<br /> Leticia M. �'fnto, M.D., VA Medicgl Center, 2201 N. Braad::a11, Grand Island, NE 68843
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