Laserfiche WebLink
89-- -r 1,0126 0 x' <br />twimt THIS LOPY t:ARRIES "_•HF. RA10ED SEAL OF THE nj EcAR&SRA STATE <br />OF REALTR, 17 l':'_.TIFIES THE BELOW TO ,syGFy, <br />0r' fy:' ORIGINAL RECORD C ?: !FIZ E KITR THE STATE DEPAtrA7 ;��'*a3£ �EALT.s <br />BUREAU nF VITAL SUMS "_ICS, wEjICH IS THE LEGAL DEf";'SITOP't':FC'K'ci <br />VITAL EE:. "4ti)S. <br />DA1 E OF ISSUANCE �'i'An } • •: <br />E 7,MNLEY S. - COOPER,.DIRMOR <br />Mpi�18t` ..,.. .. <br />LINCOLtt, NEBRASKA B•3REAU OF VITALS STATI:TICS <br />S?ATK OF NLBItA SKA 6 T t O s O 5 V <br />BErASTMENT OF ml–m's <br />gareaa of Vast st>tthtics <br />CERTIFICATE OF L►EATH srwrtt rus xo— _ -._ - -- -- - <br />•- - -- i. Y1YAL acw+c.ts ( •L• /r"•d 6-4 „fw.Yti•... <br />,. P#ACf er OiATV ' / o. STATE 4. COUNTY <br />A. CVxmTY %JLj • ; �S Neer Hall <br />1. CITY. TC'rR4Y t,OC.IT fOe t. i.HIGIIC 0/ STAT w a f. CITY. TOWN, OR IOCATIIOW <br />Grand eland to s Grand Island <br />(, wArt 01, (tj.W In bw,&.J.,Y, d,rf: ITf6Ar) [- STKt[T ADw[23 <br />HOSPITAL 7R 1012 S0, P ne <br />Iw3TITVT.IOI, CJt • �.'.ranCis H08 tital 1. rAan RESIDENCE? <br />!. ti ftAC( Er c7ifm Mum Cry Lamims, YES O <br />��. '" 1.0 t DAT( Mown D., Yfr <br />I. MANIC Of JT.Ar 14 " Of 8 9 67 <br />DCCXA"P ITDt • yTlwt) ' ' Maurice 1`f. Horton DCATw <br />f'�. 1 DATE Of f,wtw 1 A4t ,t. �•• r'•'c'" rw <br />=COLOR tI I. •A111tlD ( I.irdAN.;1Ki0C• goof NrALd"I M..r. a... 0 r.: <ytao 1 -23 -02 %S <br />otlic0, d AAYI my{i.T, <br />1C.. VjU,L CCCVIATUw (OMI t1oC M, rrt M., 1CO. KnsC`�:!+d''Tr[SS t`%'wOKlTK7 t 11. tWtTrsIK.S l9YP r/.tfyn aMtantl <br />�.•ty..dq/wrS t,&. wen !; rtwf4) Y,SA <br />m. . _ 1T L.12SiLIPfi..n -I <br />Ib•. 4.1 K(. r _.E .. Ask .0 TKCe's ..0" NAr•; K NAM( Cf w.!!AMO 04 w,1t <br />nra �A_ FO._tan <br />IS wA5 DCCI ASLD R •IKV S, ARw►D •'�II:LS' ii. SOCIAL SiCV¢:TT wO II f <br />l Yw. ....s WA.w/ I Vt t•+ -f.r .vr/r•�a.f..I <br />+ I.T_Rr►L SeT.CCM <br />f1, CAVK 0! !(ATM !SAaff 1wJJ owe «lu" '.r kW J'r (•), 40), w ' OltytT AI,D 04 w <br />►SRT L DCLTM 1,41 (Xmt: !Yt <br />C..Alrlo.,, r /Aa►. twt TO (1) <br />rakR tP.P rtttrrr) fA <br />dsly fN ARAN• OVt TL <br />hI__f r•AK l.+t• MAS TM,Gi A wAs AV <br />PART 1L O.WA 5- QWKA-7 CA;.wQ"N`A QYRiKJr7•S TO MAT" AR AOT RttAT1D TO _-C PCA• 3ai/lY �,--- T�- 9f�.TM�rA• TT 7�MOMTKS? Y[R^fDP,�,Y.iQDt}�• <br />I.- w Cr rm IA fMT Ita3 1� ` Its LJ was C-: KS 0 <br />Sb ASCIO(wr SV•CIIX )+rlCta 2x. tc3LA•[ NOW tA;if11T cwACD tfilttt.A of y/K,•a, lftf :Y•frttN�••1tJ <br />w 0 C--- 0 <br />fir. TIK( of 11•., XswJ ►. D.J. Yt.r <br />IKIVRY •. .. �r•� r•`1 <br />Y ',.DA. - . jfatrA.Ll , /a . y IwrJ)U. yRY .. e1r•;. � f..: wM 1r 'A Ie.M. M .-: s J A , rar, .i.P. CIt r T. TY–r—w- GA <br />ICaT. <br />COUNTY <br />mj,,AY OCCVRRtp <br />tUTw wKILI AT I Ja <br />WoRA AT STITI <br />_7. <br />!i <br />II. JAfr•nd•A iA+Iee• +A+ei A•� =.]s –A <br />tA• wr •tAr•O <br />D•.IA o:f J".d A —L-0 f•, or, 11A dA tf arA �. i`s9. •. A+�' N rY,+ r..' I•J�.. lPOT <br />t'J DAC33 M. DAYS W-10 <br />ZLI, ►IQ"ATV ✓W �DrIPI•M k } 0 <br />v (J7 r•1 <br />j1. ,VrAt, L.(.AIOw, I`" JATC Lk. NINE Of CtwtT1R► w C■ ATOar W LOCATrOw 1(Yf, r••r.. f.•w,►1 <br />R1.•fTAI ta'yv.'.. 1 f`-. aTt fIQ1,T•� _^ <br />Je nr i xll1� <br />j4, TI RECD. by REPr:TR <br />Apfel -3tt lsr-- Gcddoe, Grand 131&nc., / <br />S <br />i <br />s <br />