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WHEN THIS COPY CARRIES THE RASED SFAL OF THE NEBRASKA STATE:
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO HE 41 '1' Ilr .COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARtMUNT OF HEALTH
<br />BUREAI1 OF VITAL STATISTICS, WHICH IS THE LEGAL DrPOSITORY FOR
<br />VITAL. RECORDS.
<br />DATE, OF ISSUANCE 4 br)"111
<br />DEC 9 10 STANLEY S. COOPER.- DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />STATE OF NEIMPA— KFARTMENT Of MEAITH 89-102673
<br />10EAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />Freston. Robert Arthur Thompson I Male Nov1e��er 26, ` 19SR
<br />* , uNDE■ 1 YEAR UNDtR fJltlt A 10/ RI TRrWw . fTl n na a
<br />JGomm". a t I(setwwo,.h ItrR. f 7 MOS pAY3 NCtUR3 • A1:N3 hite American Q�.. p w � October 8, E91S
<br />t RIRTNf wal .w YfA. CITIfINd wNAtCOU Mi�fjR�glA3'RIfNAJAtM %I#a AI#a A._Sston Iowa U.S.A.- Io Married It June Scherffius
<br />CUMT► NUA1RtR USUAL tICCUrAT10N tc N 1.•d l. dTCOUNTY O/ D1ATH
<br />.1 gri.*9 I.h. Mw d shed) 3u. Conductor It„ OF Etailruad ,.. Hall y OR tOCAt>C,>,4 t?/ DEATH INSIDE CITY 11M111 HOSP11A1 CH QTNER INST,tuitQN - htwtl.. (Il. •y .• 0.11,r, U NOI► OR
<br />;10-.IpYetMNy 9,ft=o•d••.D,r) O•tiah..41r. b• I.001.,•.1506, r,
<br />t.ap GLamd..12—sland t.. Yes �.iSt. Francis Medical Center do In atient
<br />RE :-KCe - S%tttt COUNTY CITY TOWN OR LOCATION. STREITANDNUMRER tNS10EC1TYlIMlT3
<br />tso «.y r.. «Hal
<br />Is.' Nabrask3, ,I. Hall 19r Grand Island ,u 1823 W. John ,sa es
<br />A N -NAM 1 MI LA�- �MOTNEi -WIDEN NAM IA —�y(, 'r"' -'- '- -'�'ST
<br />Forrest NMN Thompson ,� Rose NMN__ Smith
<br />WAS DICEASEO EVER IN V S AIMED fORC l �- INIORAIANT - NAM# - RfIArZNSNt► - MAIIING iRiRISS 1171/11 OA fa. p Ito. CITT W TOWN. 11&11. sit)
<br />IT« N M •NI IN .,t 0001 •.. MI NN. N .r..t„
<br />IR Yes WWII 1944 -1946 ,• June Thompson(Wife), 1823 W. John,_ Grand Island. Ne.68801
<br />WRlA1. t.•rt.•�_� - -- _t tL ..:.:•la .:�CQ: :a.^.:.— •.•�'.L7•"• jtt7CAitON CRtWTOWN STATI- -
<br />m. Burial so►Nov. 29, 1988 m(Westlawn Memorial Park 11od Grand Island, Nebraska
<br />Z.Yili- _ . Ut. NSf NV � Nltral MOM! - NAM% AND ADDt1SS- - ISINSfoe 10 O NO "C -TV os —i6i•N STA11. 11.1
<br />I 68801
<br />11 IlLivingston— Sondermann 505 West Koenig, Grand Island, Ne.
<br />DATE O/ At to , , W ►. Yr / . _. _ _, __ . _ . - DA N (me Day 1. 1 "Out DEATH
<br />26 :+'►ember 1988 ass`
<br />2 A, M
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<br />r j/.o:touwl:eoowD ,.RONOUN000OlilorN.�.,
<br />dFa m,29 ?Qmarlber 1988 2_30 a v ?a&
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<br />NAME M1fR NYSI WAN. COLON! -rS h1/StCMN .I.' -1111
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<br />DATE RECEIVED RY REGISTRAR 040 , Dey. Tr ,
<br />Ir.�1 mot► t 0 E C 2 1988
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