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CFRTTFICATF nP TFATII <br />P � OP ' <br />ANLEY S. COOPEIF - <br />T ST RWICES IY[AAR S <br />N SERNCE94YSYE'M[ <br />ICE4 ERIANGB ANPnP n3 07139 <br />ECITINT "RANI Mq ,ART <br />\ <br />T <br />Daniel Patrick Monroy <br />Male- <br />June 13, 2003 <br />W <br />AOTVANOSTXTEOF &ATN IN xVSA mmacaruwyl <br />se AG[�,at, HWgay <br />•'Q�i\ <br />igFx (Hx Ywl <br />DMarch <br />DAYS <br />Z <br />= <br />s <br />s <br />m <br />O <br />389 -36 -5849 <br />..IIrA- ❑ NRWNF OMFR. ❑ N-, <br />❑ E owowm ® ga, 8- <br />FAO TY. arm -- r ✓�w..oLmz O+m+..«mnenrmlp <br />4026 Edna Drive <br />U l <br />Ec CIryiOWNOP LOGTIOx WDFwix <br />TT( <br />N <br />z <br />S <br />Hall <br />3 <br />CO <br />6�iREEi ANONUNeFn IMWhg IbCWI <br />«4026 <br />i n, <br />O— <br />3 <br />Edna Drive <br />pL <br />�0 wes.I. a.. wnu. aucx Ame,e.,wrun. 11 ANCECTRW I..y wm. .Ti.. w RRW —,wm ml IE ®MAFRO. ❑wiornYFn rvaMEaF6rousE ,✓..e p,.rn.w.n mm.l <br />a <br />nc °E ° °NI American Isoe °xl Mexican avogcsD Carrie Difatta <br />Md N <br />Aa. A o.OLLUPA1OW /Gruel wn mu MMg mpv OOF BU91XF991XW9TPY pN I6pecay MyNgMNy,Wa mnWa01 <br />tlx�Veterans <br />4 <br />FAINEP -NAME FN6i MDOLF LAST <br />® p <br />3 <br />n <br />fe. Wq6 DECEA6EL <br />n.a.R..r..0 <br />EvC Ix us /1111/1111 <br />nor=. a« arN W- m.�r- erL�(28(19 fi0 <br />'- INFOxMAM RANI -- <br />y <br />ply` <br />tnam War: Go / /1y 73 <br />L� <br />I,b. IxFOquANT L.. AGO— I9TFEET ON NF Co xo- CttORTOW. STgre 11, <br />4026 Edna Drive, Grand Island, Nebraska 68801 <br />B4MEP-9gXgiVNE61JC v <br />MIIIICp OFgePCNIgX NN ¢ OP CP¢uAlVxv NAME <br />z❑X <br />/EN6EH0. <br />✓rd ��'� <br />r- <br />m <br />MWNTipB COPYGRREB TIE RAISED BEAL OF THE NEBRASKA <br />1123 West Second, Grand Island, NE. 68801 <br />SYSTEM, ITC9ArfiWSTHE BELOW TO SEA TRUE COPY OP THE D <br />Cardiac arrest immediate« <br />THE NEBRASKA MAL TH <br />AND HUMAN SERVICES SYSTEM, WFAL <br />I <br />- THE LEGAL DEPOSITORYFOR VITAL RECOMI - <br />Iq <br />DATE OF ISSUANCE <br />III IFFEMAIF.WAEMEPEA AUTOasV AiAC„Eq PEFEP11EO i0 MEgLIL <br />II PPEGXNICYIX <br />6/27/2003 <br />200402389 <br />PWa,OWI No ae �� <br />LINCOLN, NEBRASKA <br />HEALTH <br />CFRTTFICATF nP TFATII <br />P � OP ' <br />ANLEY S. COOPEIF - <br />T ST RWICES IY[AAR S <br />N SERNCE94YSYE'M[ <br />ICE4 ERIANGB ANPnP n3 07139 <br />ECITINT "RANI Mq ,ART <br />e. sFx - =.Ipl;. <br />= onreoF..TH xa, v«, <br />Daniel Patrick Monroy <br />Male- <br />June 13, 2003 <br />W <br />AOTVANOSTXTEOF &ATN IN xVSA mmacaruwyl <br />se AG[�,at, HWgay <br />•'Q�i\ <br />igFx (Hx Ywl <br />DMarch <br />DAYS <br />n <br />= <br />s <br />s <br />m <br />O <br />389 -36 -5849 <br />..IIrA- ❑ NRWNF OMFR. ❑ N-, <br />❑ E owowm ® ga, 8- <br />FAO TY. arm -- r ✓�w..oLmz O+m+..«mnenrmlp <br />4026 Edna Drive <br />U l <br />Ec CIryiOWNOP LOGTIOx WDFwix <br />TT( <br />N <br />z <br />S <br />Hall <br />a PF OFHLEE I CWNTY <br />CO <br />6�iREEi ANONUNeFn IMWhg IbCWI <br />«4026 <br />i n, <br />O— <br />Grand Island <br />Edna Drive <br />pL <br />�0 wes.I. a.. wnu. aucx Ame,e.,wrun. 11 ANCECTRW I..y wm. .Ti.. w RRW —,wm ml IE ®MAFRO. ❑wiornYFn rvaMEaF6rousE ,✓..e p,.rn.w.n mm.l <br />a <br />nc °E ° °NI American Isoe °xl Mexican avogcsD Carrie Difatta <br />Md N <br />Aa. 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AxOlnl I' Inb,vaMoran vuxam ara <br />Cardiac arrest immediate« <br />v <br />WI TO ON o I, LOxsWVFIICEOF IxwaIMMV. m,er W rcan <br />I <br />WPIO, OR Ae gCpa9E0UENCEK. ��' -- <br />4 <br />Iq <br />w <br />W <br />III IFFEMAIF.WAEMEPEA AUTOasV AiAC„Eq PEFEP11EO i0 MEgLIL <br />II PPEGXNICYIX <br />WEaa6Ta Mdm6t Ex pP COPOHFA? <br />PWa,OWI No ae �� <br />.GATE OFpJVM IAN -Ory Yel <br />_xWn OF INJURY <br />.OFFCPoEE,pWIXJUPV OCCUPPEOY« <br />U uneererminq <br />'oZ <br />CFRTTFICATF nP TFATII <br />P � OP ' <br />ANLEY S. COOPEIF - <br />T ST RWICES IY[AAR S <br />N SERNCE94YSYE'M[ <br />ICE4 ERIANGB ANPnP n3 07139 <br />ECITINT "RANI Mq ,ART <br />e. sFx - =.Ipl;. <br />= onreoF..TH xa, v«, <br />Daniel Patrick Monroy <br />Male- <br />June 13, 2003 <br />W <br />AOTVANOSTXTEOF &ATN IN xVSA mmacaruwyl <br />se AG[�,at, HWgay <br />EP, YFAp <br />igFx (Hx Ywl <br />DMarch <br />DAYS <br />HwF " <br />San Antonio, Texas <br />° "I 62 <br />17, 1941 <br />>. socML SecxpTlY xNNgeq <br />PucE OF ceATx -- <br />389 -36 -5849 <br />..IIrA- ❑ NRWNF OMFR. ❑ N-, <br />❑ E owowm ® ga, 8- <br />FAO TY. arm -- r ✓�w..oLmz O+m+..«mnenrmlp <br />4026 Edna Drive <br />❑ wA ❑ <br />Ec CIryiOWNOP LOGTIOx WDFwix <br />WSOR CITY LIMIi6 <br />6. DYI —' <br />Grand Island <br />Yee .e ❑ <br />® <br />Hall <br />a PF OFHLEE I CWNTY <br />Cl- TOWN OP—I- <br />6�iREEi ANONUNeFn IMWhg IbCWI <br />«4026 <br />Wag6 <br />Nebraska Hall <br />Grand Island <br />Edna Drive <br />«� «a ❑ <br />�0 wes.I. a.. wnu. aucx Ame,e.,wrun. 11 ANCECTRW I..y wm. .Ti.. w RRW —,wm ml IE ®MAFRO. ❑wiornYFn rvaMEaF6rousE ,✓..e p,.rn.w.n mm.l <br />a <br />nc °E ° °NI American Isoe °xl Mexican avogcsD Carrie Difatta <br />Md N <br />Aa. A o.OLLUPA1OW /Gruel wn mu MMg mpv OOF BU91XF991XW9TPY pN I6pecay MyNgMNy,Wa mnWa01 <br />tlx�Veterans <br />aIIo Xe.a tJngml _ <br />Informatlan Securit Office Administration PWW112 oiOaiY m,a ceMy. r , m s r <br />FAINEP -NAME FN6i MDOLF LAST <br />MOTHEP FIPEi MIW MAiRN WPSS..0 <br />E <br />Jaime Monro <br />Josephine Martinez <br />fe. 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