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WHEN THIS COPY CARRIES THE RAISE-.D SEAL.. OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE-,.A TRUE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH <br />BUREAU OF VITAL STATTSTICS, WHICH IS THE LEGAL. DEPOS17ORV FOR- <br />VITAL RECORDS. <br />DATE OF ISSUANCE. <br />J <br />lei <br />UN 1 Sffi STANLEY. S. COOPEIPI pIRECTOR <br />LINCOLN, NEBRASKA BVRrAV OF VITAL' STATISTICS <br />89w 102770 <br />I vmm vmlml ia1ev_ &.a,I • SWAM% tlf NIMMILARNA <br />o,arw,FFMN -r ow t•NM 1911mW61 w. DXPAR971 Z= <br />mU"TZox AND WZLYAM name of v1w <br />OF BRALTE <br />stauds" 87 09108 <br />am ma MO. 124 ...... ,, CERUM <br />I <br />DEATH STATS nts tlo.. _........ �.. »....._.........._.. <br />GVI0F <br />OVATN 1. P11ACr <br />11 1 <br />,cmvv <br />0. 1C.fATE <br />Ball ��� o <br />* STA IIa1M bsaska mall <br />0. Mg. VOW*. 04 Locales <br />f. Ll"T11 OF fiat M I* <br />f. PITT. 1 O UKAT10S <br />Grand lmlsnd <br />Grand 1910A <br />I. raw oP (rywNMI/IfAI.,IIIt100MW00001 <br />0. STRUT AS"I" <br />Now TAK ON <br />mv"fvw*m J&ftran Memorial Hospital <br />Route d•1 <br />t. C11 CI • 11.11 TtTI 0 <br />.. b 09SIDSSC9 Iwtro11 CITT 1611rITS• WOR t, /GAM IttslstwCti •a <br />1•o no <br />s Slams N <br />s. are mna Ow Yew <br />I2ir« row) Ger�e P "1lne Pollook <br />Cul1I A at 1w' 1967 <br />wwx Comm Oil hmm <br />i wwwws ®wtrtll Mrinnr[0 all OF NwT11 <br />s Af:11 1 w Mar. <br />A M.fw 1 rim. • <br />It <br />Y��� L <br />meorrn avo11Ct0 March 18� <br />IW Sr/yN) <br />Marc, Srrr Law <br />Mr. <br />( <br />IsA. sw yl M�i1y yNHrfQ <br />M. KNOW sulwtssON Mouftlt 1 MflrwuU (�rf M N..yA e•awhp <br />1 anxim v wMT 071rrt11r1 <br />wCCCIMr <br />. M� <br />Homemaker <br />Some Pavenna, Nebraska <br />MA <br />IM. PAT111111 S wart <br />ft.moTntS•s 00410tw wart <br />4. IN or wusoaro oil AI ►t <br />Gottllob Roth <br />Chriati�as iIouser <br />Ernest Pollook <br />IS. was oa[ast0 a ft w1 s. O Ir>fltts• <br />r��rrlrrarf I Ulwa.-�.r�sr.a/anrlrl <br />soerla stN1S/TT 0M <br />1 iwrMrrflrs f,0 <br />Ul** f <br />Ernest Pollook, Grand Island, kebr. <br />Is. cAiwa N OUT" 18110109 OwtP am 000411110110, Aw0 pf (s). ta. awe () t <br />1141141rAt wtTwilw <br />PAST Iotl"IN was CAWD @T. . . <br />a_ST A= <br />r%.SQ n'rwnt c.Ils c1u — _ <br />fWATd <br />an <br />C080"wr., I/mv. Ow u) <br />•1:.4 <br />some fNlfrlal. <br />h1"O "aw VA TO (f) <br />►ART a wm ssrsaw CM M"M/ CMn mwpm is onrw gw SON amms S) t•. flwaef► olwaal PAST WAS TWU A w <br />ii <br />CMIRIm4waaMMfl(a) N NTI11/A 30mm [Vm'g lsSlWlwtO� <br />T11s 0!p So <br />>00 aCtrOSIrT SWISS mm em 2* Ots[sut flow om v ottwnso Ii11rn 0rwf y1Uu•I � Are !M M fl y a 1111 <br />(3 0 O <br />Me T104 4w • tAArr mMw e, ON. Yea <br />#t Sk"T OttYMIS <br />"" AT <br />at "A" OF MINOT ff of IS r slat bar , <br />low. Ib e•P. AM01. 46 &w. err.) <br />i/ CrTT. Town, on w"111011 p,ryrTY Stall <br />m IwV w"A t O <br />11"1 AT wear <br />=1• I*41f ift "tie lNMMs 14 _to — a "faef Y/�+ .#*a* <br />beaNr a"40re"at O Aw 0fr IM IA,a 0000" Aiwa, a" fat" MN of /r.7 SffOral"je. Iran. 0M aaraea deal ". <br />!te Ms1YTY� lawev r IPM) 20 hoots �. art swfrlo <br />' AL <br />1110 smu. alIM1� =Ti M rAOK w t'IrtT11ST oa Cwrr0Toa0 ty I"&, W. rfv0, w ffawr,l More) <br />[nt <br />nr.rwn Iawnpfr <br />is Grand I mimind �lebi•. <br />M "Ta 111140 ST 441401 m i .tsfsTnan iNt11 Ia. wAts O/ •IOSTVAST `amt <br />Cz3, /967 Livineston- bonaarmImmo Grand lslana, hebre <br />a• <br />s�. <br />H•. <br />TO Tfl1; R ;G I STE'k OF 171= EDS : <br />Plf'asf2 Index ±h!., c1E�' V�' _ .:. • !",it,- W2 t h t h .Sc;uth+Jt -st <br />SE- ti'A) Two (il r 1:. .'• %: SZi,`. :''r:f'I_V[• (12), Nurth, F2i)I1(]t• T"'!1 (I r)} w'-St f <br />� -. -; t it[ _'.i:•] 'r�, ..[�:�iciS. +.a:, f.'Y,C.'t=1Jt 111 t�l "Y "f Y� th.lt 1:c:�' , <br />%•'i .�, _::. i S �:a'. r' _ 1 r; ` - ', ")..c,: Y "(" Y:l' � � S - <br />?37 ; f 44 j. c �P_,:..y�.[•,� •r,r." G }L •ill l''')t17: �If 1'I r 1? �ti 9 �1• <br />r ;Y.•f <br />f� <br />u�f <br />