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WHEN THIS COPY CARRfES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES <br />SYSTEM, RCERTIFIES THE BELOW TO BE A TRUE COPY OF THE.ARIBINAL.RECORD ON FILE WITH <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VF_TA ,&TAi*MS_.SECTION, WHICH IS <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />= e - / U AWLEY 3 COOPER <br />q <br />AUG 3 L 001 _ = _ -. -/ib`sWA*r REGISTRAR <br />LINCOLN, NEBRASKA HM <br />( TH AM HUMANS SYSTEM <br />200108945 <br />STATE OF nESRAS"— DEPARTNl= OF HEALTH <br />i1..r2.. <br />of vied 9leTMlin <br />76 0 9 3 G <br />CERTIFICATE OF DEATH �'.. '� fy„ "IS ow-1001 <br />—ftuft .+fl <br />Il Of Olw I"SON..a/, WNI <br />SAO -moss. wN.s,..•wl�.»..Iw..: ;:. <br />AGl —f ug �: , <br />• • <br />oAtl or MM Imo- w... <br />cow" Of oto" <br />man <br />.to..• .« <br />fft. ffffprrr. <br />vute ' <br />..fwr... 1 ..o. <br />.wf <br />Ai28� ' s 1929 <br />8111 <br />• <br />>. <br />• <br />1. <br />LOCATION UP 99ATH rfm to town <br />AL O 1w atN w f7.M.. Mw umf a.. atlwta.f 1 <br />fffto Mf W no <br />Grand Island To w <br />„ Iutberan Newrial gosritai <br />kr <br />MIN I r .fOf r r. ►. flaNf <br />!1 OF wm <br />•fAMta. •wm .•AO bt 1 .w. M am"" awe f <br />teMn.►► <br />?ii <br />II$► <br />CM .frftwf <br />ec Oxvilla; B. Gooch <br />esota <br />, „ -- <br />soem am" irom <br />141 .em "o w men some fatww. am «- <br />a wsae� n .ewsln► <br />Nw s <br />' <br />ROM ,. <br />It. • D-nfbl 7 <br />–3TAIt '.. <br />cou"" . • ' `' ..•..,. <br />. <br />C►". Tow^ pf WCA11O1f <br />- -- Iw..w ttlf .r.w• <br />- .. _ <br />p 8ebraa]ca <br />;. gall,,;':; <br />�,,:. Grand .Island ... <br />If1ft'N of e. at0 <br />No .. <br />„ <br />$t.1 Boat . <br />,� <br />N. <br />.w...aw --ff 1I.w , ..., ..w. aaw ...w....w .�.ws.... –.. Aw �... <br />Jobasaal N• <br />goes Petersea <br />WAS M2ASO MR M O.i. ANA" fpCliT –fAAMt – It/ATIONIfIf►– MAAOfO AOOItS! Ifw.w e. a /. we . 49" a 1 e a. j. ttw•...) a Ta. s•• .. 60" of wwlaa ["041104APIT - Qrville Z. Gosd 8t. 1 Banc <br />1 a-- � . 3849 Grand Island $e <br />AlT 1 : C"'llif WAS CA405M Tar: powl? ONEf Ofd C"m Fee ttlfl ow ML. ILL Aw kq ww/Ww Owwf w Mau <br />a <br />61001114441111 C&M <br />M <br />.rte b wNMid , IN • _ <br />1wwfMaN ta.N I.•. fM p. a N • <br />Nat /w. fI4 wwN► <br />/1Iw. taYw faN .._T _. -__ <br />1,aa0•rwiwlr ' K cowls""" nw TO te AM OY w0 ""no I 1MM wA 1hIN A t Nf rfo «t« »~ Mi if 4t� <br />r r ww <br />Do. OF MPM 4=OWN. 041. Wa.I HOUR plow pUmt Occumff fwNa walww of "No" ON *aw f a Paw w, wr q. <br />CM I moplOMeft flftef I <br />UL Tf► 36 Al 111 <br />1 fMAM wf M w01 M INAMAR <br />.wftwVl - "a%11Mf1, /oNOw, 90""ON . WWII M 1 r • -0. co" 00 q�.. N•N . <br />T•f 111 1lT <br />C!lIf.KA1 IOM- ..Owlw Mr WY 1 wewlw Mr .fa. AND NfI fa. w1.10 u..f Ow . M�emom .."u. w.1 In. "A1w otCwtWO a, wN that /, 0•. tr1 <br />.IIf11C1Wt p wOw1w Mt NY 10.. afN. MaM .wOY1. .11 ��1� /� , NN, a.w, q ow wM <br />. agleam""" l .+H N . w..rOwNa.if, ow <br />T1. Ntfaw. Ntow II• I 1314 i M .O w.1 t•uN.f. P."* <br />Ow f.N 8.0w, wr Maw. Iwo of 1q A1wKq NN <br />Oaaw "now co w Pow molam 1.. w.1.fh•awOw, w M O1awOw wOw•w Mr •r.. •.O.w <br />boom ottwte.• ON aO "If a10, ow 10 No Ca.ff.W M.M. <br />Yi M m" _ r <br />�A•. QAIATION. faffOVAt Lee/ w C><MAII�1 –MAa.1 Itt7GAnON -.�� t.n a www+ fuN <br />YestLm hemor3.a1 Park >w Grand Island <br />DATI r- OWN. .►/. . fumm DIONA –mum me Ammss . 11WII a a . wo , cm Oa 10 -w, W.N. ow. -- <br />I., Aug. 21 197 2% Li ton-Soxuier©anrLl <br />tAMA1Ml�– sfGNArw! tt tKtfto NO. 2363 IIGISUAe– IIGNa1U.t • . •1 1 b—m.. <br />