| 
								        					.   _ .. 	�      _  •			---.�..       ..�_�.'.�_::as����i:..,.....�t._:-_Ss" 1k:11�i____t.:._.�.:ili�.-     "i:'�._ _,i.nS��...,
<br />   i																								`_  ..
<br />   7
<br />  _�
<br />:. �
<br />_  'Y
<br />  ^												�											�
<br />   	I
<br />   	'
<br />   		ci�� r��    rn A y �i F.�.�   vr � �.�..   `r � nn    rv ri�    �� 4�   � �-  ��� /�   �� � ���
<br />  																	.��.� �.�.
<br />       �		HHI�1 THIS COPY CARRI�S TH� RAISF.0 SEAI. OF TNE NBaRASKA SZiRT6  ,					�
<br />    			DEPART!lENT OF HEALTH.  IT CERTIFIES TtIE BELOW TO 8� !l TAl�£� CQP�G�  ',
<br />    			0�+' AN pRIa�I�Ab R��QRD OH FILC kITH THE STA'�E DEPA$�l�t3Tt•�OF'R�bU`T�l  :,
<br />    			BUREAII OF VITAL STATISTICS.  WHICN IS THE L�GAL DBPQ�IT41tY FOIt   •;� � 	.
<br />    			Vx�AI. RECORpS.  							=``'r       		-
<br />     				.       								_�    ;    �     	;e.   ,
<br />     																e� -:
<br />    			DATB OF  ISSUANCB  							�'•���,° ; C
<br /> 				APR �S �     				STANLEY S. ca�oP�i�,:A���?�+`' .
<br />   														,
<br />    			LINCOLN.  NEHRASKA  				BUR$AU OF VITAL S�11'fI��I6�
<br />  								STATE OF iiENtASKA—OEPAIRMENT OF HFALTH  	QO      10 2 4 2 2
<br />   									�UHEAN OF YRAI STATIS?�CS�  		V  .�..
<br />     									CERTIFICATE OF DEATM f   �   .'�
<br />   		� DECEOEMI�NAYE      	iut5t      	H•»tE      	�4ST      	2 SEy 	;7 D�tEJ�
<br />      															,y.�in  K 2�D!r�ll��
<br />     					Maroin      	H   	Price   	'  Male      April 6.  1990
<br />   		•ur uro er�rt oc MnTn rn�ae u s� wti cw�er   	sa .c:�uo a�ar 				e oatc cs e�A�� .K^w a. �w.
<br /> .    								I   .Yh�  	yp h109   UATS  Sc MQ�/H$   MNS
<br />      		York   Nebraska 			'  	74     				Jaauar   6,  1916
<br /> � 		�lOCW.lEhllrh'Mu�NE11		Y h�CE t�OF./�iw
<br /> �    	.   							!��  �CO�OMM�  .�'+ER pYbMN�t  „pOA
<br />    		506  09  5720			1   s�   �M.w�.  �ww�.   �oa..�so.�.►•
<br />   		�FK•R17Y.MMM     l��011M4b1�lMf�'tl n/Mw+      �t CIT'TOWN OR IOC�TION OF OEIITF�    	�0 h510E C�TV UMTS  M C01MTr OF O(ITM
<br />  														ISp/Ch YM 0�iq.
<br />    		Br an Memorial Hos ital      	Lincoln      			Yes   	Lancaster
<br />   		M IIESiDENCE�S1�TE 	ie COUMiv 		p� C�TV TOWN OR IOCAI�ON   	pp STPEET�40 N,.49Ep .rc
<br />   															+ LOYq SO L'PON       9� �NSiDE CITY INMTS
<br /> .       																	�SaaA�N a No,
<br />  		� Nebraska    	Custer		Broken How		841  N 14th      68$22   	Yes
<br />  		:ip qA(.E•N�.y1IM�p1K�A��cNVU�ri  17 11l1GEStqY I�p�NY�W�ei�Gv�flc�     �2 waR:EO kEvER M�1HtLEC	�] h�ME 0�SPOUSE ,O r9I p»mi�pyn n�nyi       					.  .
<br /> 		�    McllSptyl       		�S�OaM     	t 		MnDGWED WVORCED�Spr.A•    �
<br />    		White			American    p`�		Married      	i Wave  Freeman   							�
<br />   		ta usuwa oCCw�*�rl�.v�+va.w�a�a,.�g�nw       �IO KMID Oi luSINE55 N�W STa�r       			�i� ,se.�w,n„em..,y.e.m,,,e,..a,
<br />     		r'SL'ID8I'�Rnw�s�       	(,^�  						Eww�ry a s�comw ia�A	co�t�.a a a•� 					�
<br /> 							`t � 	A  riculture  ��( �       		12
<br />   		t�/ATHEI�.NIIME      iH�57     	1rpp�E      	lAST       t: w7�A.MA�DENNAYE  	cM51 	rnpp�E  	U14i      					I
<br />    				Dsv3d     	R      	Pticn       			Birdie   	B   Hoffmaster
<br />   		1�WAS OlCIASEO E1ER N V S AMIEO fQll�[S+      		tf WiOiWANT•WtMF�YAqMp Ap,'�Sy 	tST11F.Ei OR Ri.Q hQ_C�Tf 011 T�IA��9t�TE.DM     					'     .
<br />     '       	1�R�O:OR7 ° S��PA�1/�100�O�1tYG7�1  											'      				'      .  _
<br />     		No    						Wave Price   841 N 14th St�  Broken Bow, NE 68822 					•    -
<br />   		30l SUIML pwtilalhnwal.    2O� �A�E  		20c CEMETE11v Oi1 CREYATORY.NAYE       	100 IOC�i�ON	GT1�d1 TOMM	STATE   					-
<br />      		OOnWOn 																					�
<br />     		Burial      	A ril  9   1990    Westerville  Cemeter     	Westerville,  Nebraska    					�
<br /> 		� .=1 EI�L��UI�♦      MO	� 	22 fUMfML 11011E•NAME�NO WORESS    	�9TREET 011 R L D MO pTY 011 TOMM STATE ZDI						t
<br />   																								�
<br />      								GOVIER BRQS MORTUARY,  541  5 9TH,  BROKEN $OW, NE 68822
<br />   		a�rrta►re c�v�  		�E E�OM�ONE CAVSE►E�'.�kF i0R lal.f�l.ANO icn 					..rw e.�w«+aw.�+a aw�       				—
<br />     		�    													�								s
<br />    			Ta ow a•oaaEOUe�ce a     										...�.,�eww.�o�w.�e a...�       				�   •
<br />   										4�-� Rl�p   			J�Z,								{ x
<br />			ouE To,ow N e oaaeauacE a     										w�ra e«w.�a.w,ne aw+       				�k_
<br />  			M  r 1     lv   r     'r �f   				f												�
<br />.			TNEI161(3Mf�GWt�Qt�lOattpr5-LmYVa c�ntOwq n dwn Ou�l rwra 	PpEON�t�tr xWT►1�E oilST MONTNS�  _• �y a�kt �ExAM1r�ER OR C0110WEM���     				�
<br />     		,												�O    	'�O�dy YM p ND!   						s
<br />       											ra�  r�o"' 											.
<br /> 		� l'fL K.CIOEMI.SUC�OENOrC10EUNOET. 1O OAtEOiixJURV fW W► ••�.26:�•AUROF WJU�iv    p30`OESCNeEMOwt�aJUR►OCC�iWEO
<br />      		011�E11pN61qVE3TIGATIOM ISOIOryI
<br />   		7M WJUf��r�/tMD�c       1M Pl.ACEOiMUURV.IUMnr 4nn w�n tac�y  	t6p tOCAT�ON	STREETOwqF�aC	O^G�•CWN	S7�tE
<br />'     		1SO�c�1?'NIiQNDI  	aA�OUtl�pMC lSMCbI   								-
<br /> 			27a W'F OP OEATM db.M•nl      					Ma O�TE sG�� lib OA.• 	7ea T�rE C�7&�'.•
<br />				April  6,  1990  									!
<br />    		���   ne o�r�s�rr�o rw.ar.r.� 	r� *�aF o�r„		' a��, �ec VpG+O:1NCED OFJ�J � �a, -�    �aea oaowouNCen�..�: r+�.�
<br />       		�     A ril 10     99 	6:08   .M.   	� �" �
<br />    			ToY+�Ltid^Ys'o��F  �       		sx�t.ay      a  �  ZM OnNC�r.wNnrw+wpnwv�^
<br />				'q�6    										r1�R'/''�7 W�O^0��0[C�R�01
<br />    											e � e�t+y eM NO o�c��e aw to e»uvfes c.r��C
<br /> .      			«�M f�lY�!      					�    	�YV�b�C T+�
<br />   		tM	'USECONTNM/TEtO   DEATH'+   �       �    p��G4hpqiiSgUEWNATphgEEMCW+KDEQED'       �00  •SCOhSEh'�SwnTEO'
<br />   �.      		�rE5 	NO       O UMJw'NMa�    		�rE&    	�r+0			'. �ES  	�w0
<br />   		7� wWE wW�DO�Ett     TFE�t W�r6�M.CORDNERS MvSC�h Oa COUhiv�iTO1�NEv� n�p a R,v�
<br />			Giles S.  Hedderic     M.D.     19      0   40th   8300    Lincoln,  NE   68506							'-- `^--
<br />   		#����       	� 								34D O�ip Fl�ED Br NEG�STqAA     �� r..      					'
<br />   		_    				,    						�       dRR  1 2 ��t�
<br /> 							, 		,  , �
<br />   																								a#
<br />      `    																							�
<br />      L�  										�    								�     		�
<br />   																								ti
<br />'  																								�.,��
<br />   												�											�
<br />	_       	_  -  —���_     								-    - 	_       	_		_.     _  _ 			_
<br />   			�			-�sra   f9'1P1/�t(','�A`i-�j'"	1°'xaY'0  .     �n'..       .    R     		_
<br />     							_       lnfirs 'G^'     !°f4�@`++R'F
<br />      									�
<br />    										,:
<br />			`     	. � 	srr.NS Rn....... ,.     ' .     ;    F  	.. 	_ 	.       		T°:�.   ?,�7,�x+�=r�rre.'sK      ��ar-en rr^i r,.
<br />    						_       						,�   	.     _
<br />     										�	.. , 	,.      		:,,
<br />       ---..-r  	�   ,: � 		. . .      											.. .    		��      	_;�,7-      -_
<br />    ._-.—  ...-xvesa- ..    .      . .	.   •     										. 	l      		.��      .     	•  	..  ...
<br />   		. 	.   '      .		. 	-  		'    .    �  ..  	� 	.    	�•   			.    			.
<br />-     '_ _       .,      ..   .,e4h    					�• .   	..    . 		� t.,      			.    			�' �.    -     i
<br />
								 |