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1 1 <br />The Westerly Fifty Eight Feet (58') of Lot Seven (7), in Block One <br />Hundred Twenty-Five (125), Minn Koenig & Wiebe's Addition to the City of <br />WHG1�Na THI31CUP1� "%a <br />IES WIRAI9EDa SEAL. OF THE NEBRASKA STATi&,, <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TAUR,•,lc y' <br />OF AN ORIGINAL RECORD ON FILE WITH = STATE DEPART MEDI �`t1F' ii�1L�1'i_Y ;. <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSIXIdRY FIA <br />VITAL RECORDS. ' <br />DATE OF ISSUANCE 89-100432 <br />Nov i 7 r , <br />S'T'dNLEY S. COOPER;' •D�ft1CTOFt, �• <br />LINCOLN, NEBRASKA BUREAU OF l• CAL �TATIST1Ca.'`_ . <br />Amended STATE WJRM W VITAL ST�A � <br />RST = <br />Sept. 11, 1986 CERTeIF! RTE OF DUN 8 6 G S "1 <br />M -N A (AM. D•y Vy ;. <br />Dororhv 14 e Young is Fe M _'UhY.45_ 1996 <br />3 .1 WACC- tomt.9 ., WAiN. fl.t A-•tip. OR►GIWDESCtNT.lyt „ fIvRe -. AN-k.A. AO! -Mo U R t U .Aq DATE CN RIRTH (Ala. Day. Yr.) <br />Idwn' dcarSr•tifr) GttaAw'a!eflSla.cly� ' rYn) AIOS. DAIS W"; AA6t>+5 <br />White /tli� r�t�an �E! SS .� Dec. 27_ unn <br />ATf p RIRM (N It.► i- U. B.A; . • ITIZEN CN WHAT CCHON <br />141"A MARRIED, <br />1. - , OJ) USE (M W4. KiN =Owen INAT.) <br />- .+.i.e -rr/ <br />wtDOWtD.011MIKED(SPOCAP �... <br />- <br />.yy <br />Lyons,. Kansas :. K U.S.A. to,. <br />Married <br />„'' .,,neth R. Young <br />SOC <br />U OCTD(G m kind Ir ly .w♦ ~ KmDp auiNm(M MDUSTT <br />COUMTTOR DtATN <br />Diam end Et i eeri <br />� <br />13. rieal Supervisordn,x ota am <br />.13 . Hall <br />CITT.IOWNORLOCATIOMOfDEATH <br />1NSIONCITTUMOTS <br />HOS r1TAlOROTNERNgT1TUT $OM- tAiopo1N.Ni•.MA•t. <br />GEUgTAy:t•NODII <br />(SSW VO4 of No <br />les <br />Kw..A«) <br />10"Or <br />a vebo tn-. at.. 4w.w(sas+r) <br />,�� Grand Island <br />1... <br />,.,. Village North <br />,.. In atient <br />RESM14CE -STATE <br />COUNT? CITY. TOWf1ORLOCATION <br />ffytvmn IMSIDlC <br />,s.. Nebraska <br />Iw Hall „�. Grand Island <br />IST111FTANONUMBER <br />im. 1010 W. Koeni <br />ft►.Tifr T.. «M.) <br />Is.. Yes_ <br />- 1At aI•- - 'T)OT IITIM)LC T <br />MUIHtaI- AAAIOtrI ffAMt 1- MTWAt' T <br />Orla - -- Peterson <br />Flora - -- Haas <br />WAS DICUStD !TN IM U -S. AMLED FORCES? <br />INIORIMAMT -MAW - SHATOOrtsHIF -SaAI MG ACME$$ ($milli CM a P o Ho. Cm CM TowBN. ST•T1f, SIR) <br />18 r1o..lflltr,...,w- ..w «tt. «-..aa <br />Wenneth R. Youn Husband -1010 W. Koenig-Grand Island N <br />�- <br />fURIAI.Cr•-.Ti.w,Raywl <br />my 28, 1986 <br />CWET /ET ORCREANTCMIY -NAME <br />LOCATION GITTORTOWM STATE <br />Burial <br />3ar. <br />:ot. Westlawn Memorial Park <br />as Grand Island, Nebrasla <br />A E1 t ul'O. <br />13 <br />FUME L NOMI - NAME AND ADDRESS (StaeET Oe t r o 140. Cm O/ IDWN. STATE. ZIP) <br />Butler - Geddes 1123 W. 2nd, Grand Island, NE.68801 <br />_ <br />��pfel- <br />{ D•► <br />DATE MG1410 (Me. D-r. Yr.) HOUR OF DEATH <br />j <br />!� •. �• <br />VW� <br />TEN. •'i 1tV M <br />D4 ( Dep. .) HOUR OF DEATH <br />jYI <br />3 � <br />PRONOUMCIOMAU PRONOUNCED DEAD(N•.r) <br />t <br />— - <br />�:iG A► <br />_ <br />(me.. D.r, ra ll�i <br />f <br />-i <br />3 � <br />: . <br />pp. My Y-li. d.tMWi•. p- i)tt,-e�- K,•H-., c. - ,.p,.:a- A•-* •tt.wt/ •t <br />"wl <br />• M• .I 'MS.MN of Aeft twi,l•:• N . <br />• <br />t tgrTi ' �; - � <br />.fSF -•+r• lfsnlM.) <br />► �•0 <br />: <br />" M xr. «w 14t• t-A M w •V t•w1t1 •mtd <br />1M. (ti,- .M••i. o rat) <br />NAIA! AND ADDKU OF c . COODNEWS P11151CIRM 00 COUNMD oRMETf (irr• « r� At? <br />",Antony Van ng; M.D. p 806 N. Cleburn St. Grand Island, NE. 68801 <br />R[Ci13 FAR <br />DATE RKENWE�D ST REGI TRAR (AN., Day, Yr.) <br />• <br />JUL S 0 IM <br />TM.I - •rtwl� <br />y <br />! CAUS flMfER ONLY ONE CAUSt PER ONE FOR (•), (`). AND (tl) IwtNyt Ytw ••- -.M •./ L•IA <br />1 <br />a" TO. on A `ONSIQU[tw.G � � twNw•G YM'R-- t-wt w MM <br />DUE TO. OR AS A;CCNV ! Of. )wttM1 ►t.w•w t-t•T •.. ••-r <br />(d It <br />•.t.r . . <br />t'v . Gnaw cc S- •rYlwwt b <br />i'IAST I" It FJEAV E. WAS TMA .AUT <br />IN FTECMAH ►ASLaT7 tsNtnl,TrrMe) <br />WAS C'KlRMCCaMREOO W ro R riKtC-tt <br />! <br />117 • ) <br />Nrtt is •. <br />I ' <br />AC0010 T, , uMOtT. <br />8Ata Jun (A.►. Dt,. n 1 It09R <br />p Imu.r <br />D - <br />OS lEI/RIITD wmft f ".6) <br />. <br />' <br />f01f.. �i <br />' <br />3ot �i M <br />301. <br />tl Mµ .t •IDaR <br />rLACR SUWr- A--t. t•.-. M.t•� .a•7. f <br />LOCA1gN STaIRI/ OR S r O'M• CIr► OR TOWM STATE <br />SryrJy Iw r M-! :� <br />�(i 130. <br />•H.t• YwY.w,• Mt IsA.e.Iq <br />30• <br />E. <br />U <br />I <br />i <br />b <br />T <br />s <br />