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�j <br />'A <br />89— 101425.--.:.' <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE 40P ' Y <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT,01.-*:FAL <br />� <br />TH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPbS'ff6RY-.,TQR- "l <br />VITAL RECORDS. <br />Ax it, <br />DATE OF ISSUANCE <br />6�. <br />MAR t 41989 STANLEY S.•; <br />LINCOLN, NEBRASKA BUREAU OF VITAFATAIMTTub <br />SUTE 9tNEWASM -SPANTMENT. OF NMT11 <br />PATE OF DUN".- <br />.. <br />F1 <br />7'arp=W—mwi, FIRST Bar <br />Grace Eve lyiw • Thavenet Ile, �ebruajr-f- 1044�-' <br />—(* whift. Bimt &"wilimp JONGWims"Iff (e.g. •'LVQM I DAV =JVQf GHITH (Alf.. Ugly, yl <br />owl "au" MAN& <br />4 ember-15� 1-�%N4 <br />,!Ter can. Q(f " 7 <br />f9fte Ili -, <br />61T AND STATE OF fgtT*(,V wM it V-$A. VTZM OF Iol TOU?l MAMCP- III OF SOMWuri.?l <br />D <br />ls�14na Nebraska Thavenet <br />T OF IF <br />=qU U. "S.A. NAM! <br />W. <br />Al OCCU/ ATIN 'Adenedwml 14INDOPRUSINMORINDUSTIN COUNIVICODIATH <br />QCs -30 -2810 . dowfing 109'ef VM Domestic Hall <br />130 -13b. 1140 <br />CITY; TOWN on toc-TION v IN INSIDE CITY 1.101111111 1 "OSPIIAL 00 OTMEN INSTITUTION -Name (if mom e.*w. 0 "W Do 11"91 11"kello 0" <br />give a <br />Grand Island "TI-ead" 144. '9f!.60V&fvCis Medical Center E Inpat ent <br />RESIDENCE -STATE COUNTY CS1111'. TOWN OR LOCATION TRINTANDMUM11111 Will <br />,,,.Nebraska Island I NOW <br />aska 13b� Hall Grand 10" 217 E. Stolley Park R�f,"S,:- <br />1 114141 — 0 - <br />FATHIR-HAME Ill MI LAST MOTHER - AWDIN NAME IR MI LA -- <br />John Karle t Nodine Quimette <br />WAS DECEASED 91029 IN U S. ARWO 1011l IN101111111ANT - NAME -- 111AFIONSHIP - VAIIING ADDRESS ru"11 <br />t7ft rgon-if"Is-YAcl-W. TV -"%Mi <br />0 E. is. ,Arthur H. Thavenet-Husband-217 . ey Patl a. <br />sum eb. 18, 1989 CIMITIRT ON CREMATORY - NAME LOCATION CITY 01110l IF^-7-1 <br />2W <br />20., Burial Grand Island Cemetery 120d Grand Island, NE. iw <br />Full HOME -NAME AND AODNE35 0111111 ON If 0 NO. C." OR low". STAIII. 8101 <br />-21 22 Apfel-Butler-Geddes 1123 W. 2nd, Grand Island, NE. 68801 <br />TN 1 DATE SIGNED (M* Popp. yr.) HOUR Of DEATH <br />-ebru 5, 1989 <br />'72 RUNS (Me., oll 771 NOUN of 24*- 24b. M, <br />PLf jw PRONOUNCED DEAD FIN)NOUNCED DEAD((sup) <br />Ill 00 7, 12: 50 P 24& <br />"d ol & d dv to OA ft 400.0 to 0"0i"0im &.diet W.""l im of so.." dl wc. s <br />as N.M. deft a" p-tag -W d" " fbo 4*0l we"d <br />24*- (S's-ol all f-#*1 11m, <br />"AWIAN, Ir TSICIAN, C4 <br />23- John Wagoner M.D. 659 N Orleans, Grand Island, NE. 68803 <br />R9011TRA9 -IDATE RECitirgOITAIGISIttA@(A4*,DIF Vt.) <br />-11 !j"$l FE8 2 2 <br />K. <br />UNWIMpt <br />ae.-iol, 72, It't <br />-1%0-10 04 A C SEfluEN M. <br />I <br />_7 <br />IN <br />I (a <br />.7 <br />