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<br />WHEN THIS COPY CARRIES THE RAISED 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 DEFARTMT•x)t -OF REA.LTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY 410P.
<br />VITAL, RECORDS.
<br />DATE OF ISSUANCE 44W*4/
<br />MAY 31 VA STANLEY 5. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />S. 89--1 0282 7 STATE a MEiNAtIfA- fKMI1AIIS T Of NtALTN 88 02206
<br />f111REAt1 fM WTAI sJTAT13TtCs
<br />CERTIFICATE OF DEATH
<br />DICIOINt -NAME - JIM 1ASI
<br />slit � -�-
<br />DA II of DRAIN pM. coy. .rl
<br />1 Joseph L. Sullivan
<br />13 male
<br />3 February 15, 1988
<br />ace -W 9. �h. 1. Ata,rr.w
<br />OMQ4tUDISCINI (• It .1 ",:.w, tNtit7- ACV-&" s-00 ,
<br />UNDIR 1 TE
<br />UN0/4 1 DAT
<br />DATI OM M4TN(me- D.,. yr )
<br />MOs DAYS NoW3 .
<br />)wlr.w. •ki1lpwtrl/)
<br />dNMw. Nt 1110wor) O v fTn )
<br />A White
<br />American 79
<br />.,
<br />,December 13. 1908
<br />1 AND STATI or w" (W 00.0 U 1 A.
<br />CITIZIN O. MMAT COUNT"
<br />N R A4RRIID. NAMI O! - SI f tn!•, 4me =aid" A•s•)
<br />&•w. tN.AII)
<br />Eddyville. Nebraska
<br />Tr1f)OW10.
<br />. U.S.A. ,D
<br />DWORCID(S,•ti/,)
<br />Married Ruth W. Hastings
<br />SOCIAISQUIRRITr USYAIOCCY ►ATgN(Gw•uwd•EwMlr•w•tA „q.wd
<br />RIND Of 4J SINES$ 04 INWOW
<br />CQYNITOrDIA114
<br />•E ar,rS�.4 Uf, Mwr/AM 1
<br />11 5116 -09 -736'0 13• Office Auction
<br />13b Livestock _0:V
<br />1A. Hall
<br />CITY. TOWN Q! SOCATION 00 COAT”
<br />INS)DI c
<br />IT�•r. TNMN•)
<br />Imp
<br />MOW 0410111 l.at•t. 604.
<br />Ory.r,•.rAwr ft.Imebe"lliMtb ►�
<br />.� . Grand Island
<br />,4,es
<br />pw,IrlM6wlw,oMr)
<br />,., St. Francis Medical Center ,..
<br />Emergency Room
<br />IttU INC1 -STAT1 COYNTI ICtTV.rQWNO410CATION
<br />ST4111 AND NUMEfp
<br />INSIOECITYIIMITS
<br />i!. Nebraska .�. Hall 13,. brand Island
<br />,3r 618 W. 9th
<br />(� r/,TMtvN.)
<br />Ives
<br />A N WMI LAST
<br />Mo NIR - ALAI INN 11SIST IMOM4 -' tAST
<br />Michael NMN Sullivan
<br />117 Mary NHNN Musil
<br />WAS CKAIAMD me IN Y 3 AMID "Will! -
<br />INVOIAIANT -NUM - RIIATIONSNI/ MAILING ADOIES& 11/011104 0, 4 no. C1fM 46 TQIt ok 1tAM EM
<br />ffw r «.•/1 Iw ,w 4.y .•. w NM •. -65 TE No - - - ----
<br />,•Ruth Sullivan(Wife) 618 W. 9thi Grand Island . he. 6880
<br />CIM1112v 04 CRIMATORT - NAME V.ICAT)ON CIrT04 TOWN STATE
<br />4URIA1. Cta"hest, some") I WE
<br />n, Burlal Into Feb. 19,1988
<br />Im. Grand Island City Cemeteryjth ; Grand Island, Nebraska
<br />411) lK 1lCL� ��u pr
<br />7 0
<br />rUNIRAI NOMI - NAME AND ADONIS$ 111NIt 0116 o Mo. Crll a fawts. ►LTC tM 68801
<br />'Y
<br />,, Livings ton- Sondermati i 505 Vest Koenig, Grand Island, X
<br />OA t YOUTH (Ai,. Otr,. T,) N UAL Dev. Y•) 100 RATN
<br />dr
<br />Z "- t "V� i!- '
<br />330 $1 TN 76A M
<br />DATE VMD (Mo. A,. Tr) 114OUN 60 61AT14 i DIA",) -
<br />N ,•IOHOUNCIO TRO.10U►KIO DlADINNr)
<br />flime Der T,
<br />24d
<br />.NI<«) !tit•/ T • V . �! •.1.1•. AI•IA rtM•d M
<br />-IFTo w. ikiw so or 6-0-660NA 40I►....w• «.. •a• w w.• w 4ft• . A• 2 OY �. ►w M ....,..r wr« »
<br />d wvw,.tl.wwp•t•.rt,"
<br />+w . tA.,,ltlwwA
<br />MAN At* APIPINKS3 OP 1 IA N. COYNi1 AT1 NETI(/,A• V Yrull -
<br />Br_..Duane Baker, St. Francis Medical Center. Grand Island, Nebraska 68803
<br />DAM enlo F IIV E 8 11101STRAN
<br />9(1988'....)
<br />TM ISyrwsl `W
<br />Tw
<br />.ARSE~ "vas _ tm..• vn.• vn• a.ww�s• u....vw w.. tar+. wrw Itu I.gr..I l.r••m t+w.M.wA AwW
<br />. Q4 AS A CONSQUINCI O/. - - 1.4...1.r...• waww.d 1•.6
<br />DYE TO. Ott AS A CONMQOINCI Of - -�- -- - I.1«yl Ir.rr.•.. ..1,1.01 d @*
<br />Fractional Lot Three (3), in Fractionai Block Fourteen (14), in
<br />Ashton Place, an Addition to the City of Grand Island, Nebraska,
<br />also the Westerly Fifty =one Feet (@i 51') of the Easterly One Hundred
<br />Fifty -six Feet (E 156) of Fractional block Twenty -one (21). of
<br />Baker's Addition to the City of Grand Island, Nebraska, which last
<br />described property in Fractional Block Twenty -one (21) of Baker's
<br />Addition taken with Lot Three (3), in Fractional Block Fourteen
<br />(14) of Ashton Ijlac4r�, Makes a rectangular tract of tirmind havinq
<br />it f ron f aqe of F'i f t. y -onc 1'r (• t ('y 1 ') ()n Serr)nd Street onc1 ex t end) nq
<br />in it 5u1Jth('rI%terly diroe•t )nn On(• 11undre•(1 Ff)rty ( 14(01 ).
<br />1.
<br />�4
<br />ren
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