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ks -1 <br />c:D C> __4 rT11 <br />M CAI , = I- <br />c) X —4 --n <br />M M cz) <br />C, 011. <br />C=) <br />C7) <br />CIO) <br />:t, <br />M c:) <br />M CA <br />CD 7c C�D <br />N <br />C=) <br />co <br />WHEN THIS COPYCARRES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMMSERVICES <br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RE001W 4M j4LE_w7TH <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTIff SECTIM WHICH IS <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br />Dtr6f PISS <br />ASSISIAb"..TATEMAWTMR7� <br />LINCOLN, NEBRASKA HEALTH AND <br />900009624 <br />STATE OF NEW.ASKA-DEPARTMENT OF HEALTH <br />IUREAU OF VITAL STATISTICS' <br />87 07037 <br />_CERTI CATS .,pf:q <br />f ATH\, <br />1� oil <br />1 11 <br />�' Charles Fredrick Wheeler <br />. -)ki:6 13,.-,Tune7 11, 19.7_ <br />MCI -(Iii while.. <br />joni <br />M), d <br />UNDER , -"I U106011111 DAY <br />afm (Me.. Der, Yr.) <br />J110i DAYS I I" 3"JOi AMNS]DATEOF <br />64 locitspecor, <br />(Y <br />21 1921 <br />Amer? yl <br />16C. <br />7. Nov. 9 <br />t",97,AND VAT9 9F <br />C1111UNPIFWHATC.. <br />Ki Of spCi (8f.40. vim _kIe" M + ) <br />_pl in <br />Eva Atwood <br />k IAl3ECUMTTNUMlIElti4 .USUAL <br />UFAnCI4fGie6"-1—AJ*—d-n_ r!!jK!ToFEUSIi <br />Ot INDu ki- <br />COUNTY C'DEATH <br />,A <br />AT7V <br />- <br />63 GA-• Cp <br />Hall <br />u Diesel`, Mechanic' I <br />TOWN CIE LOCATION CW DEATH <br />7 <br />either. r <br />"031. on MST ii <br />.. . <br />... < 7 <br />j--9i <br />lMedical, 1 <br />M —Af <br />Emer:' Ro <br />Island, <br />ujes' <br />,4d.St. Francis eCenter ,4.. <br />om <br />Co"i <br />EfYT0WH0ftL0CA <br />Ii CT L11i <br />0'Grand <br />ieb :a <br />is► , <br />G ran ;,Is <br />TU� 119 Araph e <br />Is Y" " s) <br />FATHER -MAKE LA9 MAIJ41- flasy Jttl LAST <br />­.� <br />au Edwar d er-, -Luia Belle 'Lamb <br />WAS DECEASED EVER M U•S. ARMED) FORCES? lilIFORMANT NAME AELAT"SH#P-NARMG AD"M Ii CWt I.F.D. 040.. CITY 00 701 StAM IM <br />i#.Ye6t1:.VW-I1,,7 1-44,,12-22-45 iiEva,Whe er-Wife �-119 Ara hoe -Grand Island NE. 68801 <br />, <br />DA <br />CEMETERY OR CjEEMA7oOY-bdA1ff <br />CIO TowN <br />LCICAti "Y STATE <br />13 <br />I <br />We Memorial Park I <br />Gran d Island, <br />20.i Burial <br />Xb.. <br />20t sElawn. <br />2W. NE. <br />FU NERAIL "01i - NAME AND ADDRESS, CSTWft OR W.F.0 NO, CITY 01 TOWK STATE. ZIP) <br />�X <br />7 <br />rApf el -Butler, ddes'.'1121W. 2nd, Grand Island,*NE. 6880 <br />TEWUA_ 0 <br />DA TN,(- <br />_0_A_ft_5f6RfW_(M*. Dey. Y,.) HMO <br />OF DEATH <br />24c. 216. <br />DATE SIGHED �.D"- TI-) <br />HOW Of DEATH <br />DEAD Herr} <br />t <br />Dar. <br />24C. <br />2 <br />tzr" -F, -9 dook *"."a of tM tir, dft " pli -d di I. <br />pw- ".1k <br />YA-4 AW-0 <br />Aft _d pie g. ewd dw w 4..w+ w 0.1i <br />twwb. <br />i OF CtaTi OHi COOONEWS OWYMCIP N 00 C04JNTY ArTOWEY) (F Fp* w MRI) <br />Alf 4 If k 0 1 <br />AL <br />I DATE acciiiiii OY 0101stlitAk (Me., bey, Yr.) <br />12 JUN 1 21987 <br />27, 40111119PIAT9 G"M (ENTER ONLY ONVrAUSI,,"a LINE FfMfd), (b 77AND (0) _d a-* <br />"Op Ji� <br />or" <br />"Or <br />65 > <br />7 A To. On AS A Co"SMUE"Ce (M <br />------ <br />PAO WHEN SIGNIVIIi C0.0i .-ftbfifte so bal -0 <br />r—Sy <br />A A~ <br />IWAASI = TOM (so 4.. <br />10 ! <br />OR CON0,41 <br />4- <br />0' me (3 14110 <br />ern or *RAW(M <br />C0111- <br />Rum <br />M 3" <br />tH <br />1� oil <br />1 11 <br />