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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' ..
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DE P �,0 ALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL Dsi'OSITORY
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />OCT 16 19M STANLEY .'• COO
<br />1FER, DP£TOR
<br />LINCOLN, NEBRASKA BUREAU OF VI `141 STOLOT"ICS
<br />90-. -10601 w
<br />STATE OF NEMASIG- DE►AIITIIENT Of NIXTN 8 02206
<br />OUREAU 9 VITAL STATISTICS
<br />CERTIFICATE OF DEATH - _ // --=
<br />E -N&M F111ST Mlou
<br />x
<br />DATE OP WAIN (Me. Voy. vo,
<br />1 Joseph L. Sullivan
<br />male
<br />February 15, 1988
<br />!- (A.R.. WAN.. INSM Awwk.0111011T/0E
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<br />A. 79
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<br />DATIOVINITN(Ale- D.N.rr.J
<br />y December 13, 1908
<br />Alps DAYS "OURS - MINI
<br />CITY AND STATE OF DOM (OR., r0 US A.
<br />w J ille, Nebraska
<br />CIT1111140f WHAT COUNR
<br />. U.S.A.
<br />MN N t MA 111!0,
<br />WIOOWID. 0114=10 l0 (S,NIYJ
<br />,D Married
<br />fAAE W S! IN M4. RM M.Oi,A 1»44,1
<br />is, Ruth W. Hastings
<br />SOCIAISICUINITNUAAKE YSUAIocc u /Ar10N(GM /Iw/d.,.r1A,wsIo -agsaw
<br />12 506 -09 -7384 Eb� is Auction
<br />KIND SUSINISSCNINDUS NT
<br />113b Livestock A.67
<br />CCNMTrCNO[ATN
<br />, Hall
<br />CI TV. TOWN OR t cAum OF DEATH
<br />Grand Island
<br />wam clW OMITS
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<br />1003 L0101 1 I INSTITUTION- N..1, (((../ in wols.r.
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<br />ei"'Tt". Francia Medical Center
<br />I NCiY O11 IN /I o.Naw OOA.
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<br />, Emer enc Room
<br />I OlTK ! COUNTI 0". TOWN 04 /OCATION 41T AND N UMSI11 CITY umn
<br />Sss
<br />,INSIDE
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<br />kA . Net Hall .s Grand island 618 W. 9th
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<br />Michael NMN Sullivan Mary NMN Musil
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<br />A DICIASID Mo IN U S ARMto t0110EST
<br />sAI IN 1«..... -.r W "1" N aa+.l M o
<br />INN01tuNT -MAW - NEWOONSNIN - MAWN16 AMISS 4/TWIT , NO. con W TOWN. STATI. IN ;
<br />ttRwth Sullivan(Wife) 618 W. 9th, Grand Island Ne. 6880
<br />CtA11TERY OR CREMATORY - NAM! IOCAUCIN CITr OI TOWN STATE
<br />SYRIAL Cr.1..Il.A, b--
<br />2l.. Burial
<br />20r Feb. 19r�,1�9
<br />20r Grand Island City Cemeter :111 Grand Island, Nebraska
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<br />A U 9 / -77 o
<br />fuNINAt NOME -NAME AND ADDRESS Risen oR.i o No. con Of to". MIT. so, 6880:
<br />2Livin stop- Sondermann 505 West Koenig, Grand Island, N,
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<br />Dr. Duane Baker, St. Francis Medical Center, Grand Island, Nebraska 68803
<br />TRAIT DATE RECEIVED BY RIMIF"R (At,.. at.
<br />244 (�w FEB 19 1988 -et
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