Laserfiche WebLink
rn > <br />-n <br />r1 = c7) --( CD o <br />° o cz <br />CAS -+v <br />~' <br />� <br />x x <br />� o ° <br />ev r yy ao t» <br />co Cn <br />co <br />C' en, <br />to <br />Z <br />0 <br />WHEN THIS COPYCARR/ES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES <br />SYSTEM !! CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD ON FILE WITH <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATf&1i3 SWI)O fl; WHICH IS <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS <br />DATE OF ISSUANCE Lots 2 & 4, Block 11, <br />AUG 1 7 2001 University Place, an L£lES C9PER <br />Addition to the City f ASS/STANTSFATE#W0,AD1-M- <br />LINCOLN, NEBRASKA HEALTH AI 6 kjMAN SERVICES §�M <br />Grand Island, Hall <br />County, Nebraska <br />200108505 _- <br />STATE Of NEM M- OVANUM MT W NMM <br />NiRM N WM UA== <br />CERTIFICATE OF DEATH.C,_F, 8'7 11832 <br />I <br />MCMM—MAW <br />(M.. . V,) <br />Mellenzie Veronica Roy <br />Female <br />October 27, 1987 <br />Am«k.. <br />t) <br />OM6NvotscENi N.� . M.K... w.k... <br />.�aer <br />AGE -a" 6. *.., <br />"' -) <br />~@I rw 1 2 DATE Or 8M (Me.. a.,.... ) <br />DAY s Mows; rMS <br />can 0� <br />64 <br />2 Sept. 10, 1923 <br />CITY AND STATE (W GUM (OF W ie Y .A., CITIZEN VMAT C <br />NAME Or SPOuft ( . fi.. w;1.. •e..l <br />`Traad Isle, Louisiana U.S.A. <br />re�(s°•`�') Ernest W. Roy Sr. <br />, <br />,00ar° <br />SOC"34C%WT1NIIIIftf wYaioccu ►ATWN(Gi.+kiwlerwrslwelri.R..w <br />RWSINESSofMOUSTRY <br />CowmOFOUT" <br />438 -74 -2115 s�~f"�'Ifousew�%fe l <br />Domes tic <br />Hall <br />12. <br />G <br />CRT, TOWN Of UOCATRDN OF OEATN <br />IMSM CRY UMM <br />At Of ODWR IM"MTION - New (M..r i. eil*w <br />r upotr OA Wi. rAi.... pp,t <br />Grand Island <br />rs T« «Ne) <br />, «'�`�'es <br />f;.e <br />,w:e'i a'8is Medical Center <br />o.Ir.II..rT�.. r. ti.•...Ite.se r / <br />�y Inpatient <br />RESIDENCE -STATE <br />C011NTr <br />CITY. TOWN OE LOCATION <br />STREET AND MUMMER <br />Mig1 CITY UMRS <br />,Nebraska <br />sw Ha-.,l <br />113C. Grand Island <br />,u 2231 N. Sheridan Ave. <br />1(40Y�"'N') <br />PM LAST ;MU-#*AXM4KAAff FIRST mom - um- <br />Amedee Antoine Terrebonne Tymir Louise Broussard <br />WAS DtCEASEO EVES M U.S. AAIIED AWIS7 INfOfMAM— NAME— ULATIONSNN —MARMG ADDRESS Or1 A.Iy. wQ�s/ry �pyr A,t, �ry <br />IT.. ..0 n wa ,1.e .....d e..w .l ...K.1 aA Sf3�(] <br />,a �% „Ernest W. Roy Sr.- Husband -2231 N. er San Ave. rand <br />RURIAL, c,..e me., ct. 30, 1987 CtMETtfT Of CRt"TORT —NAME `OCATON - CRY Of TOWN STAR <br />26M Burial 20►. M Westlawn Memorial Park 2 Grand Island, Nebraska <br />ENSE No. 7,0 47Z FUNERM NOME —NAM[ AND ADDf153 (SM91 on U.0. No_ CRT Clot VOWK QATt, M <br />,Apfel- Butler- Geddes 1123 W. 2nd, Grand Island, NE.68801 <br />TE Oq. Tr.) UAH mmo (Mw . •.) jim OF DEATH <br />22a 240. 1246. M <br />DATE =0400 (Ay., Dey, Yr.) N - ►fONOUNCEDDEAD ►RMWVNC[DDEAO(N..r) <br /># (Me.. Der..) <br />/A� — <br />. <br />!>•. V 22.. • M <br />F. « . .......r . <br />+. O w 0 �.b M ..o.ww...y. �r.+ •. M e.d <br />~ <br />ii <br />CCii <br />ld <br />R 2M. Itiot•a.w W te.l <br />3y.1 <br />I Rot.) <br />IAN A <br />_. David Coian M.D. 729 N. Custer. Grand Island, NE. 68803 <br />71. uM1laATR C"M (ENTEf ONLY ONf4fAIISt M LU49 tot'..). ( &;. AND (.;; al....l b..•.« .......r A,.M .... <br />r�ITr , <br />((•�6u-!TS ATA MbS�l�_S/�CC 1"L 16 i s <br />1.r...1 A.i.......r ..r r.er <br />U! TO. 00 AS A CC*MQtXpdC1 Or. b.+ <br />I <br />