|
- ,� z` �s;::.., t i+ -^t_ • Y;. } ti+!��#�;'�Y�;+�= �5't 1 lr.l`eY�:r �.�(•;�\�L y_tr�-c i k 1 o'Fi � i>rr�.+(i�_.U�'i J�`�--^- - - �{,.
<br /> . . : �
<br /> -� - -- �-•-t ,T� . ''�1t i j �.�;rn:;, t�,-- ..1' -tiS o ,r .�r..i.��+r+.�--�....... _
<br /> 4ufw;,�,�,,e���A;��- -�:a� • --- . _ ��}f-�4r�,�`4 '•7 —�i,� 't'- ---3 - - — ,�� .:
<br />�.y -- - - — -� - - .. . - _.
<br />' ?
<br /> ` � �
<br /> �
<br /> g�� iQ3'78S
<br /> WHFN TllIS CQPY Ct►RRIh:� TN£ RAISF_A SEAL QF TNE NEHRAStC�► tiTA'�E
<br /> � DEPARTHENT OF H�A1.TH, �T CERTIFIES TNE B�:LUW TU HE A TRUF CnPY �
<br /> OF AN ORIGINAI. R8COR1? OH FIL£ WITH TH6 STATE n�PART![F�M� OF H�ALTN
<br /> BURF.AU OF 1�1TAL STASISTICS. WHTCH IS THE LEGAL I��P05ITUAY FOR
<br /> Y ITAL 1tECf1RDS. �•
<br /> UATF. OF ISSUANC� � �"--/
<br /> �UN Z 6 � STAI�iLEY 5. COOP�R,•DIRECTOIt
<br /> LINCOLN. NFBRASKA BUREAU OF YITAL STATISTICS
<br /> . ..�. •. . . .. • ��_...'...."., ..0��.'fU -. .,. r; T•-�
<br /> • � • STATE O!r Ni1wAS1LA= � .. �Y '" w
<br /> .�: ' , N�.�YiWiSM�YI!!• :�: �t:. ' ,_ , ,�8.mQQ. .
<br /> . ` � CERTIFIGA'f'E OF DEA -� • �., ...', -
<br /> �� „ = ww w.wrr� '
<br /> ' . -� . p� � �w�.N.Yt�ANI
<br /> �I�M:/ �NM
<br /> t. � ��i�iY �li 1968 ,�,�
<br /> � wu a woM�•�.�•. •••. e�rtr a oum
<br /> iwa...M..uw. ..w r....». �a-.... w..�
<br /> .�. �«.� . .,.�....,w+. .... ..„ � � Nor. 24. 1916 ,. �12
<br /> � '�1'Co 1 ,► +�
<br /> � � � I��� MIIN IR Irl� � Ir IA�M MR�.�M����N����
<br /> Yltw.qs w w�
<br /> R Iel�nd .. Yo ,� At. 1 �].da. N�Droska ,+�..M��.
<br /> ��N��Y.��..� d w�Mt COUKTa� MA�O.MM�n�rl�O.�w,
<br /> .. � �ka ' �� •. QSA »��la�'rr�!� ,�. I.��rena� G�rds�
<br /> YW�I OC+CU�A�K�M�Y`A�rw M�M�rM��M rw M R.�e a w�.�u a•ous,n
<br /> ��M YA.w'!M r M�N�1 Li��
<br /> ��IInk �� P.o�e�aker ,s
<br /> on.tvwt+.o�t� w�ce.�rw �t�T—��
<br /> ■MOMiu- t�rl - -(['d�Mn �vaw�w:«.r
<br /> �:__ �i� .:..,, _ si,ta_ Neara�ilcs w No �� AouLe�l � --.-
<br /> IA �� �M�.. -- - aP MCt4�t.�MMAM�NY� �MM I
<br /> �. F�ru�fe Buriari '
<br /> q. �i.r.c�.o�p�.�uw.�n
<br /> NNpM1A1R-IiAMf-�t1AT10My11M rl►►l�0 AOOt1f ���� - �
<br /> p .�,� ��. A!. 1 �lda Neb��ks
<br /> 1!� � �e�rMr Ow��M�1�
<br /> AM 1. QU�1M MA�WIifO i►• (tMli�Owe t On/UTAf IN lN�I�.L Pl A!4 kl1 �
<br /> �. � � �S � F
<br /> I� / �.� ��ti�d f-1�9T4S' .
<br /> � wr!�r's F� 7
<br /> �.«.«..��•�+.... ��E.�%1//N _ .
<br /> ..�c,...i..».i h� , .t�c�!-f}+'
<br /> .ww•w awe e«. � M�.w.,.u�rwn.��o�
<br /> i�wM i�i���
<br /> ttl ----°� 1ri1'IO�ls •t�a���s nr�erN�tM .
<br /> TMG}O CYfw M+f rDt NI.�TKr( 1��f� 11 N�W�.MV fMM• ».n. ��R...YpwrrM iwOM +�
<br /> �Yf• �IM MOMK�IA CdIMRrONI.COMRYO�M CO�RM� w�.•..y:�T±a^� .CS•J w••�w• ��tT , p t W�
<br /> M II�M�1�IM�y��M��� � '+' - r }.
<br /> ` ���lrG t / !�/ t!s[7 no o ',� c.y ►� 's
<br /> ••�••� MQM Ml�r aC11M�� ��rf4 w��YM Or�W�»1N1�M��#M.r!�11�
<br /> �
<br /> ��Ow��.M�.�1���
<br /> ����/MfY�� .---__- ___
<br /> IA. !R � +► � __..`-�.. -
<br /> I�.ARt A1 wfir N r•i.rr.�.w,���v.•K+a�+. tiOK�� ��•�w�o�i��.ro..an w�c...,v.w�
<br /> IYWNw�MMI` 01r►rM�.,�R. �y�Cw� �
<br /> � �
<br /> �ry ut�r��/��aw�O� �A/M�+M��w M�1M OCCIIW�Y�M 11�fJ.b�M
<br /> ��r Y� �W � rlw�e M� �W �� Y� �fv �A�M�rNr. 11wM� YR.M�.»�Yw
<br /> �f�M'� 1Q M�MlwM�.M1�
<br /> � / tN , �N r C�Y1M1� Y�#•
<br /> 11�it���M�iM� ..�j'���t�-��j tl� ���., ��... .� � ���(�� �
<br /> �!�11�V�d��i�/��.�CJ�IV�G�t � �A UR�Y/1 MY A[�01�[N M�� �' IM
<br /> ����_����� �Or�M 4�\O�M �0M�M M�� �ylu
<br /> �r�I�1�/fA 11r IIV�tl:�Yr�tii. i Y�v�Jr.
<br /> MN��OfMw r+��sA Yq►M w as tM�ri�N.fis. w �.
<br /> ��r,f �( . ��OMM.Mf��
<br /> ��Y��ww�.�Hrrb w• f %� /5���.1�Grr
<br /> �3 M• D { " �c --.-z' -� "'
<br /> "' ' , ' Nebrsek�s 1
<br /> tr, o in. strr.t Gty►nc�°1'�iand�„�,- �,�a.a.. ...�
<br /> w�..ta�w►noK.e�w++� �'• •�M•�o••_••"w gebx�asica "'
<br /> �•�•c••• „�. W��tlavr� ;�ccncriol P�rk ,«, Grand �sla�d, ...�,_ _
<br /> w. 9t�..•'i al — t� ''
<br /> .,�,�,,.�.... ��M���W�I.�.w.,t/n M»�r,s��r� �.�� Vr� �1��
<br /> Si►�'` �.rw..M�,w.�� iw�11M riori!-w1h�!�w0�OD�fq 17.�• 05 �i• KQQI1�.g� = jT�b=�. ,-
<br /> � . 1 r. vi �tan-4�ondex��nn , - • -
<br /> .,�ow►r a n+!f ..,.. __�'. � .
<br /> ".
<br /> .�:..
<br /> .,.
<br /> ..�r��.�..s - . . � .
<br /> i,�t ��..,�, C� � � �..�. . , �.e�'�,..�y, ��.���..`
<br /> f
<br /> I I ��i
<br /> t� L� � � 3�
<br /> a��
<br /> ��t
<br /> � �
<br /> � �
<br /> ti
<br /> ,
<br /> _ _..----__-�.._._._�_.�...,.._.�_�._.__�...�_-- . �__,_
<br /> , a . . . . . , ,_ . .. , . •-----�•---------.Yr--r---- ::. . �. ., � .,
<br /> � �� . �. o, ' . • , " . . - ir . ' � �. ' . , .
<br />
|