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<br />• s Ilat Seven ('1), and . i4ie'w West 'Half,' (FTC) . Of
<br />Lot Eight (8) w in Area l , alb, in Riverside'
<br />Farm Subdivision,'. being a,,, pa> t' of and
<br />located in this Southeast ' Quarter (Ski) of'"
<br />Section Twenty-nine (29), >Town0hip Eleven "
<br />«i1 "Orth, st,ange Dine (9),r west of the
<br />6 t P.M., Hall Ccunty,'Nebraska
<br />West Half of the Northeast Quarter:`(W}NEIj
<br />l
<br />I: of Section Twenty -two (22), Township Ten (10)
<br />North, Range Ten (10) West of the 6th P.M„
<br />Hall county, Nebraska
<br />r
<br />East Half of thw° Northeast QuatLar (E ;NEB )
<br />and the ,Southeast Quarter and l.at One (1) in
<br />_ Section.Twentyrtwo (22) (except that,..ptjt
<br />deeded to the State of Nebraska by died
<br />record(ad at Deed Hook 1.36, Page i61,) and'
<br />Southwest Quarter Northwast Quarter in Section
<br />Twenty- three, all ,•,in Towhstlipp 10-North, Range
<br />Ten (10) West, 6th P.H., Hall County, Nebraska
<br />.JF
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA* TA►TE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE.;R'i!'PY '
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT W NTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL - DEIBITORY Ff1R O•rf
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE ,( At. 4
<br />OCT 15 1990 STANLEY S.'COGPER, DIRECTOR
<br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS
<br />• 40- e1OE166
<br />STATE OF mEERASRA -- DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS O Q O �y n �+ ry
<br />CERTIFICATE OF DEATH 1. V e7 V
<br />.
<br />_Albert Custar Moeller Male 1, August 7, 1988
<br />- }ADD„ W j�F ArN K.r OIUGIN/OISCINI 1. S.." Tar., 0440 IT— .00 -I.r F..•Wr 'UNDER 1 Y AR VNUtR 1 DAt DAT! OE INN IMO. D." Yr )
<br />Inds., rk.) f7 :I 1 Grrrr.a. goo( SP+r:f,) (T".) MOT• OATS NOV/S . Am"S.
<br />1tl�te S. American u� A.. 90 August 25, 1$97 _
<br />C AN STA1E Or /IRTN (N APr 1• U.S.A.- CITIZEN OF WHAT COUNTT(T END• N V MARRIED, (NAME OF SPO)SE! -N. /iTr wid.. •�•�•)
<br />.r.r.....NY? vnoowED.OEvDRCEDr ;P«dT) Emma M. Niedfelt
<br />E. Oxford, Nebraska E. U.S,A. ,D Married III.
<br />SO[IAL SlCUEITT NVMSZR VSUAI OCCUTAi1pl/(G�. F:nd �•rs d7M drr:w, Ar.rr RIND OF RUSINES: W INDUSTRY COUF.r1 W DEATH
<br />.l .rrS:up I:h, PPP•
<br />508 -46 -7045 ,,, Farmin 7j I)b. A ricultureot/ ,Ae. Hall
<br />CITY, TOWN OS LOCATION OI DEATH SIDE CITY tIWTS. MOSM1Al OA OTHER 1r23IIT11TION- N.PrP fN Arl :. P:Mrrr, d T.werS M !P -Ar/
<br />lSpre: irr a. Ne) pf.r efrr.e r.d Ar..6Pr1
<br />1,e Grand Island ,.d St. Francis Medical Center 14A. In atient T
<br />AE S/DE NC -5IAIE COUNYT CITY. TO'R'N OR LOCATION STREET AND NVM /ER INSIDE CITY LIMITS
<br />f SmrT:f, Y1r .. N.)
<br />Ise. Nebraska 1m. Hall ju Grand Island lim. 3029 S. Blaine 13..Yes
<br />• AM 1 7MoeRer' u H —MA HAW-11
<br />1
<br />�� Henry. NMN Emma NMN Boltz
<br />WAS D!C[ASEq EVER IN U.S. ARMED fO NFORAt1LNT- NAME- RELATIONSNV _MAILING ADDRESS fST1l11 W R. e. Mo. CITT oe few". fIATE. UPI
<br />1/ No - ------ 1PEtmna Moeller (Wife 3029 S. Blaine Grand Island. Ne.68801
<br />Al /UR1 Crrnalien, Renaael CEMETEET OR ZREMAI -M --NAME LOCATION �q CI . OR TOWN STATE
<br />Burial 2%.Au . 10, i9$$' mr.Wastlawn Memorial Park,. TDd.Grand'Isl' d Nebraska
<br />r � 5)GNAfURE A UCENSE NO. FUNERAL NOME -NAME AND ADDRESS: t ,,,ISIREET O. R.F D. No. Cm w TO-M. sure. It" 68801
<br />77Livin stop- Sondermann`�05 West Koeni Grand Island, Ne.
<br />DATE Of A N M.., D.T. Tr,) i DA 1 N (Ay. D.r. r.) , HOUR DEATH
<br />ryi.. August 7, 1988, Y$ T.a. •' '' 24e. M
<br />S A NDfM.Y, Yr.I NOV DEAN iG PEONOVNCfr4 DEAD'. / PRONOCSN[ZC DEAD(Herr)
<br />FS i i^ t €'r fA1.. Aar. •,.)
<br />M=S
<br />.Te. August 11��
<br />882u. M x,
<br />i Ir rIw �r.r ry Lre•r•AR•. �wIA �• Pr rA. 11a.. • • W Plwa end ..r rr M i e v O. M .w. rl .w:.a1u...Al.• I•,wry.Gr. + F Mir
<br />� S
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<br />AM AN Apo:T3S"f5F E 11F NT.f 1 PHT IAN OR COON T A RNlTI fFM P.ra.l
<br />Gordon J. Hrnic k M.D. ".0. Box ?a9, Grand Island NE 68802
<br />RY 7lWr oAT! WED by R GI IRAR (M.., n,, Yr.)
<br />AUG 1 5 1988
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