7 ** toy 4q40,1439t'" fe,‘ '11A0;?-•rtq'k'liO4(ii',0'foks
<br />414'106AbV`PegIateei4o1W, •As0)),VMO ioca hht,k `""" """'' " ' ''' '" """. "
<br />vve, '' 11111
<br />".• - , • • • '•,••••• •• • ,•••••:•:•:::•• -• • • • • • :;:•:
<br />____--S-TATE OF NEBRASKA
<br />wHgt4,71118 COPY .IES THE RAISED SEAL OF LANCASTER COUNTY, N/PRASKA, CNRTIEMIS rHg
<br />Y OF THE ORIGINAL RECORD ON P14•11. WITH INE 1,A- NCASTEN COUNTY
<br />, aulmi agL•
<br />1,66, 12: TRUE Gap
<br />' 9°11B$44 fif DEPT ----- A raN- t'7:V-iiy#41, STATISTICS SECTION, WHICH 13 THE LEGAL DEP OSITORY FOR virAt. RE CORDS
<br />•
<br />ANGE. .
<br />NEBRAKA
<br />Ni
<br />-.,
<br />..,, )4,,,„. lc,/ 0.41.11kot
<br />' t L .1
<br />SARAII BOHNENKAMP /
<br />202203676 11. ,T,STATE REGISTRAR
<br />AOSSErritRTmENT OF HEALTH
<br />AND HUMAN SERVICES
<br />souienimmuk-gwAymplwanwatmeauserimansnowszawiummar
<br />antmous MINA 02
<br />St. Francis Skillsd Care Center 0
<br />M:,.: ''':'„„' ..OR'''P'..'.'R.. O':''P.:W:'• .: ..:E.:.-V
<br />:'3::„:V:•.•.•:•
<br />---la. magaIeNtcooas:.traar. a II a.i: :.:O:s *ts‘01.41,t1•
<br />Grand Sa300.0
<br />.uoa.
<br />$ebraaka
<br />- 108 N. Custa 68803-L JJ
<br />. PEI u is MAN Ns* fp*
<br />* ••• . , . _ ,,
<br />If
<br />American fl
<br />rivolP ...: r..1.**Ciait:'.' •:. Raceeme Wattsarman
<br />1 : . 111.1.1 WM MOT 0 AO VI
<br />ONDOPIPAI*06
<br />Basseh Weld
<br />•.; .•1****Co**-0 Mk** oporomor .***
<br />4-28.052 4-2„5-56 RAMC***
<br />sistowsissi stranassisesels asivesalsoltro sti.arfastrame rot Dra
<br />11114-11.'';414t"4 Grand Island,
<br />mr /1002 0101411104w0It0s4la0n1:0imv,,reritn.
<br />itteXTr':,':ig,g11kr\A4
<br />,„ „...........
<br />• 4:'7"1:" '711 0,‘
<br />Aptal—Butlereddes
<br />• let "CUMINW410/0.400/110.4.••••,•••:. 01146PD 1/0 PT! OR1011104 STAMM
<br />oripmuisland, NE. :g68801.:. -1.A:.
<br />4sk
<br />1:3°."0" 0 °ma'. l•
<br />Grand Island, NE.
<br />•
<br />1
<br />. an bp nistswilso 1 IM•trt th 01, PEORIA stoke. 4E/ a
<br />.....,•:, ..
<br />: APOWNWAIlev OA WE
<br />4o4.9, 3 44041,M14"
<br />i 40 •44. TAP ri ,..
<br />0
<br />ilia OOTE OF NUNN, 110o Ow NA : las pomace 1 P.AP. ' Se etSrAlt0 140* MAO*
<br />. ,
<br />1
<br />' APOIPP,000, I Illt
<br />0 0001.4 ': : an au.. *4 Noma , NIS XfilliZePagthlit = too. NNW NNW. Allo tOOMOM
<br />amisioes. 1 *a
<br />' 0 No 0
<br />10,
<br />Isfast:#41Ismi ag's -iss,v't
<br />1.Istal4Ity L2002 ,tft vatoos.14.
<br />lissome)
<br />gi14,
<br />moor..M
<br />t a
<br />''''' . ...r :: XI. Cw•wo mega sonnwoon +las * immogiom adves*mr, masa twereses
<br />' ' W.t.2.1k 1111,0 NW. a•vii aneetegsmemiiiiiii
<br />******101**40
<br />t '
<br />. * !Ina °Man OP 113256t OONATON CONNOONOY , NM OKON,CCONNON OININTEr•
<br />bi
<br />Vitt* C*4 0 te,
<br />CO* 00100*. Stile
<br />AOONNBOOO-C6NOPOOt AoTOCONO4 CONOWNSPoNSIONY ON COUNTY AtteRNEY 'moor Pont
<br />Ran Creenh-„,D.O. 800 Alpha Ave., Grand Island. - 68803
<br />NOt DATE RED", SIEGOTAN, INN ON
<br />'UPI 1 6 2002
<br />f
<br />
|