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<br />STATE OF NEBRASKA
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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF STATE OF NEBRASKA, IT CERTIFIES THE DOCUMENT BELOW TO
<br />BETA TRUE COPY'OF THE ORIGINAL RECORD ON FILE WITH THE NEBRASKA DEPARTMENT OF HEALTH AND
<br />HUMANNSERVICES, VITAL RECORDS OFFICE, WHICH IS THE LEGAL DEPOSITORY FOR VITAL RECORDS
<br />M'.
<br />a
<br />DATE OP ISSUANCE'`
<br />9/17/2026
<br />LINCOLN, NEBRASKA
<br />202606522
<br />SARAH BOHNENKAMP
<br />ASSISTANT STATE REGISTRAR
<br />DEPARTMENT OF HEALTH
<br />AND HUMAN SERVICES
<br />STATE OF NEBRASKA - DEPARTMENT OF HEALTH AND HUMAN SERVICES
<br />CERTIFICATE OF DEATH
<br />1F DECEDEars4t ME (First,!:!: Middle, Last, Suffix)
<br />Celeste E ThorttpSi n
<br />4. CITY AND STATE OR TERRITORY, OR FOREIGN COUNTRY OF BIRTH
<br />Los :AnpeleBCalifornia
<br />T SOCIAL SECURITY NUMBER
<br />5544 -6743"
<br />5a. AGE - Last Birthday
<br />(Yrs.)
<br />79
<br />8b. FACILITY -NAME (If not Institution, give street and number)
<br />Grand Island Country House, L.L.C.
<br />Sc. CITY OR TOWN OF DEATH (Include Zip Code)
<br />Grand Island>68803
<br />tea RESIDENCE -STATE
<br />Nebraska
<br />Yd. S ET AI4D NUMBER
<br />404:Campbe Avenue
<br />Bb.COUNTY
<br />Hall
<br />10e. MARITAL STATUS AT TIME OF DEATH III Married ❑ Never Married
<br />❑ Married, but sepanbd ❑ Widowed ❑ Divorced 0 Unknown
<br />ftiFATHEINSMAME (Flra►t .;;: Middle, Last, Suffix)
<br />Wiill and Searcy
<br />i3 EVER iN U.S. ARMED FORCES?
<br />(Yes, No, or link.) No
<br />t6:METI;HODOFDISPt kl
<br />❑ Ba1rial ❑OonatitM::
<br />l Cremation ❑EntornUtnelt
<br />❑ Removal 0 Other (Specify)
<br />6b. UNDER 1 YEAR
<br />2. SEX
<br />Female
<br />6c. UNDER 1 DAY
<br />MOS.
<br />DAYS
<br />Is. PLACE OF DEATH
<br />HOSPITAL ❑ Inpatient
<br />❑ ER/outpatient
<br />❑DOA
<br />Sc. CITY OR TOWN
<br />Doniphan
<br />HOURS
<br />PAINS.
<br />26 :1 28+4
<br />3. DATE OF DEATP0M04b8PiTr.i21.
<br />September 132026
<br />6. DATE OF MRTH (Mo., Day, Yr.)
<br />January 24,.1
<br />OTHER 0 Nursing Home/LTC
<br />0 Decedent's Home
<br />j Other (SpaciNWSSISTED`tJVING .
<br />94
<br />8d. COUNTY OF DEATH
<br />Hall
<br />Se. APT. NO.
<br />8f. ZIP CODE
<br />68832
<br />attooplcaMidllty
<br />SONSIDISCIVOISITS
<br />10b. NAME OF SPOUSE (Fine, Middle, Last, Suffix) if wife, give maiden name
<br />Richard Thompson
<br />12. MOTHER'S -NAME (First, Middle, Maiden Surname)
<br />Lavonne Whipple
<br />14a. INFORMANT -NAME
<br />Richard Thompson
<br />' -16a. FUNERAL DIRECTOR SIGNATURE
<br />Brandon S Bachle
<br />18d. CEMETERY, CREMATORY OR OTHER LOCATION
<br />Central Nebraska Cremation Services
<br />17a. FtRAL Home NAME AND MAILING ADDRESS (Street, City or Town, State)
<br />Apfet Funeral Home, 1123 W2nd, Grand Island, Nebraska
<br />18b. LICENSE NO.
<br />1537
<br />CITY / TOWN
<br />Gibbon
<br />CAUSE OF,DEATH (See instructions and examples)
<br />Ie. PART I. Enter the chain of events- disease, injuries, or compltcauons4hst directly caused the death. DO NOT enter terminal event) such u cardiac arrest,
<br />respiratory meet,, or ventricular RbdNslbn without showing the etiology. DO NOT ABBREVIATE. Enter only one cause on a line. Add additional Ilnes if neeeseary.
<br />IMMEDIATE CAUSE:
<br />IMMEDIATE cirse(Fital a)CerebrovascularDementia
<br />disease or+v.ulgtlp:..
<br />In death)
<br />_DUE TO, OR AS A CONSEQUENCE OF:
<br />Sequentially Net condltloes.11 b)Cerebral Vascular Accident
<br />ilay tstb o). tattle had
<br />Ara DUE TO, OR AS A CONSEQU NCE OF:
<br />Enter tin UNDERLYajQ CAUBE ` C)
<br />lagoon or moon, and Initiated
<br />tl»ST event. one i" dealt) DUE TO, OR AS A CONSEQUENCE OF:
<br />LAd)
<br />IS. PART IL OTHER SIGNIFICANT CONDITIONS -Conditions contributing to the death but not resulting In the underlying cause given In PART I.
<br />Chronic Obstructive Pulmonary Disease
<br />01F FEMALE
<br />Nbf:ymgne*n wit hen pas year:::;
<br />❑ Prapnstadt table art seder
<br />0 Not poignant, but pregnant within 42 days of death
<br />0 Not pregnant, but pepsine 43 days to 1 year before death
<br />Unknown if ptlpnant whtthbr lla pas year
<br />224 DATE OPINJU SY (illo ©ay, Yr.)
<br />22d. INJURY AT WORK?
<br />❑YE8 0s.
<br />21a. MANNER OF DEATH
<br />El Natural 0 Homkide
<br />❑ Accident 0 Pending Investigation
<br />0 Suicide ❑ Could not be determined
<br />I
<br />22b. TIME OF INJUR
<br />21b. IF TRANSPORTATION INJURY
<br />0 Driver/Operator
<br />❑ Passenger
<br />❑ Pedestrian
<br />❑ Other (Specify)
<br />YOS Q too
<br />14b. RELATIONSHIP. TO DECEDENT-
<br />Spouse
<br />16c. DATE (MD. Day Yr:)
<br />September 18 2026
<br />*'PATE
<br />Nebraska
<br />1714 Cattle
<br />68801'
<br />APPROXIMATE INTERVAL
<br />onset to **taw
<br />2 Years
<br />•
<br />onset to dash
<br />Years.;. ,
<br />onset to
<br />onset to depth,
<br />16. WAS MEDICALEXAMINER- .,
<br />OR CORONER CONTACTED?
<br />❑ YES al NO
<br />21c. WAS AN AUTOPSY PERFORMED/
<br />❑YES NO
<br />21d WERE AUTOPSY FINDINGS AYMLAM.I
<br />TO COMPLETE CAUSE OF DEI)?H?
<br />❑ YES ❑ NO•
<br />22c. PLACE OF INJURY -At home, Tani, street, factory, office building, construction sib, etc. :i; i Ny) ..
<br />22e. DESCRIBE HOW INJURY OCCURRED
<br />22f. LOCATION: OP INJURY STREET & NUMBER, APT.NO.
<br />CITY/TOWN
<br />STATE
<br />•
<br />23a.pATE OF DEATH (Mo., Day, Yr.)
<br />September 13, 2026
<br />2' DATE.SIGNED::(Mo., Day, Yr.)
<br />Sept mti 15. 2026
<br />23c. TIME OF DEATH
<br />09:20 PM
<br />23d, Ta thlStet ette lterwdedge, death occurred at the time, date end pace
<br />and due Ito the`ewee(a) stated. (Signature and Tlta)
<br />Gary L Settle, MD
<br />2tF: OlDTOBACCOUSE:CONTRIeuTE TO THE DEATH?
<br />❑ YESAMCINO ❑ PROBABLY El UNKNOWN
<br />24a. DATE SIGNED (Mo., Day, Yr.)
<br />24c. PRONOUNCED DEAD (Mo., Day, Yr.)
<br />24b. TIME bF DEATH
<br />24d. TIME PRONOUNCEDDEAP
<br />24e.On the W4is of examination and/or investigation, in my opinion death OchiM'd at
<br />the time, dam and pace and due to the causes) stated (Signature and Thin ...
<br />26a. HAS ORGAN OR lISSUE DONATION BEEN CONSIDERED?
<br />❑ YES !i
<br />27. NAMEr TITLE Atop ADO #ESS OF CERTIFIER (Type or Print
<br />Gary L Settle, MD, 416 N Diers Ave, Grand Island, Nebraska, 68803
<br />26g. REGISTRAR'S SIGNATURE
<br />26b. WAS CONSENT GRANTED/ `
<br />Not Applicable If 26a Is NO ❑ 4 cl trO:i
<br />28b. DATE FILED BY REGISTRAR (Mc:; Day, Yr.):::
<br />September Ur, 2026
<br />
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