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� .;, Wiz,., e8aaeu" l0100N 1sh®ett1at1111.d6. t ePAwavu%ileNelii1aet 4eIA,(IOok � STATE OF NEE ..f.A5vAyeA0J `twttf INTHROBxota r461114Vh{nt. 'FtttSAt��lrttfiVtlAlkrs :' 10110( ttiiT WHEN THIS COPY CARRIES THE RAISED SEAL OF THE STATE OF NEBRASKA, IT CERTIFIES THE DOCUMENT BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD ON FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND HUMAN SERVICES, VITAL RECORDS OFFICE, WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS DATE OF ISSUANCE 2/18/2021 LINCOLN, NEBRASKA 20210235/ .4,747.a.:rikit SARAH BOHNENKAMP ASSISTANT STATE REGISTRAR DEPARTMENT OF HEALTH AND HUMAN SERVICES STATE OF NEBRASKA - DEPARTMENT OF HEALTH AND HUMAN SERVICES CERTIFICATE OF DEATH 21 02060 c E a) d9 c 0 Vi W 1. DECEDENTS -NAME (First, Middle, Last, Suffix) Timothy Lee Redinger 4. CITY AND STATE OR TERRITORY, OR FOREIGN COUNTRY OF BIRTH Grand Island, Nebraska 5a. AGE - Last Birthday (Yrs.) 71 5b. UNDER 1 YEAR 2. SEX Male Sc. UNDER 1 DAY MOS. DAYS HOURS MINS. 3. DATE OF DEATH thio., Day February I12021 Yr.) 8. DATE OF BIRTH (Mo., Day, Yr.) 7. SOCIAL SECURITY NUMBER 506-66-5017 8b. FACILITY+NAME (If not Institution, give street and number) CHI Health St. Francis 8a. PLACE OF DEATH HOSPITAL ® Inpatient 0 ER/Outpatient 0 DOA June 19, 1949 OTHER 0 Nursing Home/LTC 0 Decedent's Home ❑ Other (Specify) tic. CITY OR TOWN OF DEATH (Include Zip Code) 8d. COUNTY OF DEATH Grand island 68803 Hall 9a. RESIDENCE -STATE Nebraska 9b. COUNTY Hall 9e. CITY OR TOWN Grand Island 0 Hospice Facility 9d. STREET AND NUMBER 4223 Lariat PI. Be. APT. NO. 9f. ZIP CODE 68803 9g. INSIDE CITYLIMITS BD Yes ❑ INTO 105. MARITAL STATUS AT TIME OF DEATH ® Married 0 Never Married 0 Marded, but separated 0 Widowed 0 Divorced 0 Unknown 10b. NAME OF SPOUSE (First, Middle, Last, Suffix) If wife, give maiden name Janet Miller 11, FATHER S -NAME (First, Middle, Last, Suffix) Clyde Redinper 12. MOTHER'S -NAME (First, Middle, Malden Surname);; Letha Turner 13, EVER IN U.S. ARMED FORCES? Give dates of service if Yes. (Yes, No, or Unk.) No 14a. INFORMANT -NAME Carrie Lynn Franssen 14b. RELATIONSHIP TO DECEDENT Daughter 15.r METHOD OF DISPOSITION 0 Buda! _' ❑ Donation tia Cremation ❑ Entombment El Removal ' ❑ Other (Specify) 16a. EMBALMER -SIGNATURE Not Embalmed 16b. LICENSE NO. 16d. CEMETERY, CREMATORY OR OTHER LOCATION CITY / TOWN Central Nebraska Cremation Services Gibbon 16c. DATE (Mo., Day, Yr.) February 12, 2021 STATE Nebraska 17a. FUNERAL HOME NAME AND MAILING ADDRESS (Street, City or Town, State) All Faiths FuneralHome, 2929 S. Locust Street, Grand Island, Nebraska 17b. Zip Code 68801:: CAUSE OF DEATH (See instructions and examples) 13. PART I. Enter the chain of events- 4keases, Injuries, or complicationsehat directly caused the death. DO NOT enter terminal events such as cardiac arrest, respiratory arrest, or ventricular fibrillation without showing the etiology. DO NOT ABBREVIATE. Enter only one cause one line. Add additional lines if necessary. IMMEDIATE CAUSE: a/ Acute Hypoxic And Hypercapneic Respiratory Failure IMMEDIATE CAUSE (Final disease or condition reauaing' In death) Sequentially lint conditions, H any, leading to the cause listed on line a. APPROXIMATE INTERVAL onset to death Days DUE TO, OR AS A CONSEQUENCE OF: b)Acute Pulmonary Embolism, Chronic Obstructive Pulmonary Disease Exacerbation, Severe Sepsis With Septic Shock DUE TO, OR AS A CONSEQUENCE OF: Enter the UNDERLYING CAUSE C) (dieease or injury'. that attained the events resulting in death) LAST DUE TO, OR AS A CONSEQUENCE OF: d) 18,.PARTN. OTHER SIGNIFICANT CONDITIONS -Conditions contributing to the death but not resulting in the underlying cause given in PART I. Acute Systolic Heart Failure, Acute Kidney Injury, Atrial Fibrillation onset to death onset to death 19. WAS MEDICAL EXAMINER OR CORONER CONTACTED ❑ YES ®NO 20. IF FEMALE: ©'Nat pregnant wittt)npeat year 0 Pregnant at time of death- 0 Not pregnant, but pregnant within 42 days of death ❑ Not pregnant, but pregnant 43 days to 1 year before death ❑...Unknown 6 pregnant within the past year 22a. DATE OF INJURY (Mo., Day, Yr.) 21a. MANNER OF DEATH El Natural 0 Homicide ❑ Accident 0 Pending Investigation ❑ Suicide ❑ Could not be determined 22b. TIME OF INJURY 21b. IF TRANSPORTATION INJURY Driver/Operator 0 Passenger ❑ Pedestrian 0 Other (Specify) 21c. WAS AN AUTOPSY PERFORMED? ❑ YES ® NO 21d. WERE AUTOPSY FINDINGS AVAILABLE TO COMPLETE CAUSE OF DEATH? ❑ YES ❑NO 22c. PLACE OF INJURY -At home, farm, street, factory, office building, construction site, etc. (Specify) 22d. INJURY AT WORK? OYES ❑ NO 22e. DESCRIBE HOW INJURY OCCURRED 222f.'LOCATION 'OK INJURY STREET & NUMBER, APT.NO. CITY/TOWN STATE ZIP CODE 23a. DATE OF DEATH (Mo., Day, Yr.) February 11, 2021 23b. DATE SIGNED (Mo., Day, Yr.) February 12. 2021 23c. TIME OF DEATH 04:05 PM 3d. To the best of my knowledge, death occurred at the time, date and place and due to the cause(s) stated. (Signature and Title) Suresh Manapuram, MD 25. DID TOBACCO USE CONTRIBUTE TO THE DEATH? ® YES '❑ NO ❑ PROBABLY ❑ UNKNOWN 24a. DATE SIGNED (Mo., Day, Yr.) 24b. TIME OF DEATH 24c. PRONOUNCED DEAD (Mo., Day, Yr.) 24d. TIME PRONOUNCED DEAD 24e. On the basis of examination and/or Investigation, in my opinion death gcturred at the time, data and place and due to the cause(s) stated. (Signature arid -Title) 26a. HAS ORGAN OR TISSUE DONATION BEEN CONSIDERED? ❑YES ®NO 26b. WAS CONSENT GRANTED? Not Applicable If 28a is NO `« ❑ YES NO 27. NAME, TITLE AND ADDRESS OF CERTIFIER (Type or Print Suresh Manapuram, MD, 2620 W Faidley Ave, Grand Island, Nebraska, 68803 28a. REGISTRAR'S SIGNATURE 28b. DATE FILED BY REGISTRAR (Mo., Day, Yr.) February 16, 2021 i N)