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<br />89== 100711
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DE ARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPART OF 41WTH'
<br />B11P,9AU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS. ;
<br />DATE OF ISSUMCE
<br />189 STANLEY S . COOPER, DiIRl'I4Y'
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATI"i6S
<br />STATE OF NEBRASKA- OEIPARTMENT Of WEALTH
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH r
<br />DICIDINT-011804 WORST TAI LAST I
<br />In D
<br />DATE of DIATA (W.. ar. Tr ) — --
<br />Lewis Hugh Wade M
<br />Male J
<br />January 26, 1989
<br />NT NR iow, rAeckew. A
<br />A E -1,001 RMW., N
<br />N 1 T A N
<br />N Rt I DAY O
<br />OAT! Of RNTN (Me.. car. T. )
<br />Mos. . a►Tf Hours . JLINS. O
<br />rwllew LiJ (sletllyr) O
<br />OetNoa. Ne.lessy"i)I) (
<br />(Y.1 -) M
<br />Oct. 4, 1928
<br />. G�hi to A
<br />�� 6
<br />b « P
<br />P.
<br />A A N MI 0 U.S.A . I
<br />N V ■ MARRI N
<br />NAME SIOUS!
<br />ICITIRENOrWHAt-COUN111T N
<br />al I
<br />Donna Suhr
<br />S. R e ate, M
<br />11 D
<br />SOCIAL ilCYMT tNUMBlB U
<br />Ufm OCCUPATION (Dire kind of work MAe lvrimy most R
<br />RIND OP SUSINE ON INDUST" C
<br />COUNTY OP DEATH
<br />e(mrerL"'E N OreAIt Wad) H
<br />Marketing Co. ,
<br />Hall
<br />I:. 506 -7�6 -7842 ,
<br />,u l
<br />,3b. M
<br />,, .
<br />CITY. TOWN 04 LOCATION Of DEATH I
<br />INSIDE CITY LIMITS H
<br />HOSPITAL OR OTHER INSTITUTION -Nome (1f wet is *ilhor, N
<br />N NOS, OR N+ST. I"kel• DOA.
<br />(Spec;�I Yet er N.) y
<br />yi.o s •1 awd rwMd e
<br />Inpatient
<br />„b Grand Island ,
<br />,4, Y
<br />r �
<br />ItoswmNce- STAt! COUNTY CITY. T0WKQR'tOCATION STREET AND NUMBER INSIDE CITY LIMITS
<br />(SpK J, N N.)
<br />IS.. N
<br />r Hugh -- Wade,„ Elizabeth �- Unknown
<br />. _.Ye.CE mw grE..mu !!- ���"r. sAtwses INIORMANI -NAME -RELATIONSHIP - MAILING ADDRESS _ ISMIT O t..P0. NO. CITY O._ TOWN. STATI. IV1_
<br />rva. w.. M "%\
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<br />c„1,.. LT.14. m' n. AQ K. (Irleans Grand Island.' NE. 68803
<br />IL O;F iEGISTRAR DATE REC IVED Y REGISTPA EM... Do Y. Tt.)
<br />Zlie.f51,"Wn)► ,6b. F E B 61989 -
<br />27. UNq V E (ENTER ONLY ONE CAUSE PER LINE FOR (e), ( , AN (t)) I.4ml ea0•.w -... 0.4 I"mb
<br />PART , % vc �� �Qf rc '{ea �C fc
<br />„-'Due 70. A nA C EOUENCE !m �J Iw..l tmww.w «..t .d r..Nm
<br />nl „CJ'LLL�- GL.�•- E,>��EJ - LG11�t}') ��ytes_ - - - -
<br />OUR TO. OR AS A CONSEQUENCE OF: F t.m....i e.w..w -.•m .N r "mA -
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<br />R1 KEDNJItKTMt}t!! IASI 1 AlONTNSI {i1HrIrT Yw Nw) Jm'"OM N�R
<br />Yes 0 N. ❑ 1S. Q 7v. d
<br />ACCIOlNI, fVK1RE. NOwami UNDIT , "is d INJURY law.. DOT. Tr 1 HOUR OF INJURY DtSCRION flaw "up CKCUMED
<br />ORKNSt11ONtvIJIlOA"ON
<br />(JpwrmFll .
<br />70/
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<br />7
<br />700. 70i. 70T. M
<br />URY AT wORR FLACK or INJURY - Al lmw. •rw, 01...1, IwcmwrY, 110CATION S1I!!T q ■ t D 101 CPT/ W TOWN lTATf
<br />,.N{I Tw M qF) N /kI bri,I.M• W ffl.til,)
<br />30•. 301.
<br />Please record on Lot 37, Hagge Subdivision to the City of Grand Island, Hall County,
<br />Nebraska.
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<br />700. 70i. 70T. M
<br />URY AT wORR FLACK or INJURY - Al lmw. •rw, 01...1, IwcmwrY, 110CATION S1I!!T q ■ t D 101 CPT/ W TOWN lTATf
<br />,.N{I Tw M qF) N /kI bri,I.M• W ffl.til,)
<br />30•. 301.
<br />Please record on Lot 37, Hagge Subdivision to the City of Grand Island, Hall County,
<br />Nebraska.
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