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n <br />C <br />n (Al o (6rtl <br />1 n LDIN w N O M O <br />AM <br />0 3 <br />GO <br />tl r A N -HI AAA <br />Ln IT c�rE � pa b <br />n <br />v <br />a <br />N <br />0 <br />>J <br />a C <br />o <br />WHENTIE.4COpyCANRESTHE NAISED SEAL OF THE NEBRASKA HEAL] <br />SYSTEM fTCERTFIESTIE BELOW TOM ATRUE COPY OF THE ORIG Ah <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATI <br />THE LEGAL OEPOSITORYFOR VITAL RECORDS. <br />DATE OF ISSUANCE 200402726 A <br />12/17/2003 ASSA <br />LINCOLN, NEBRASKA HEALTHANDIJI <br />STAn OFN®PASRA- DEPARTMBN'r OFHFALni AND IRIMAN SEI <br />VITALSTATISnCS <br />WITH <br />IP' <br />VIEW <br />Of,ORT <br />n3 14262 <br />HE DOLE vv `-•• -_a6T <br />0 S K . 0 0 iE0 VEAiH IumK MP Y,vl <br />Francis Stephen Lee <br />Male December 16, 2003 <br />n. Lm ANVSrnrEVGwPTH mPPAUAF. mwmuMH 6. AGE- LxNdMxry rv0 ivEPA <br />uoEm <br />VNOFAIm d OF BIRTH rPbdl uay. vurl <br />rcm m <br />x N01P6' "' "s` June 25 1916 <br />Cameron Township Nebraska 87 <br />_ <br />sOCw 6ECVPTIY XVMBFP <br />A. P1PCEO1 OEPTH <br />P X <br />� PHAR. ❑ x ,WA—P <br />508-10 -2110 <br />❑ EP G.IwwM ❑ n.w.•.e - <br />❑ <br />A Irv. ama luau m,onant gre,°xi e,anw°wl <br />BE WTiffany <br />❑ VU OPW,,W ,mr <br />Square Care Center <br />re ,NBE Lm Nwifi IN c my NG NELTN . <br />Bc. CITY TpWx VPtCCA ONOF CFAiX ... . <br />^ ® "° ❑ Hall <br />Grand Island <br />L. CrtY.iGWHOP LOCPrgN 9Y 6TPEEi A4GNVMEFA ll•[N•fiq U"CMeI W.IXSIUECT CWrt6 <br />•x EEIOENCE.9i <TE OE. COVMV <br />vn ® " °❑ <br />Nebraska Hall Grand Island 1731 North Huston 68803 <br />_TFEWOE ,ENAA Amarc WENT A"CEETPY11.1lm.Nni— ENKMORM ,1R1 MANNED ❑'MCWIFL 6.116FWSE /NnY MAA.APPI I <br />I <br />'Annabel <br />MKIIE 11, R[✓^NI WK.EcIo <br />White Amer.. MV OG BV3'XE661XWSiPY 16.EWCPiIVN 1. mly 1pbtl4raWm""N' <br />USVALCCCV rrekrmid MOned✓+gaam <br />If M W W 4xnuxaryw SMWWIO.141 fdap°11.aws -i <br />d.«+.s MAP..milnn+m 12 <br />Carp to r <br />45r 17 . MOlXFA FIP6i VOLE IMIVCX SVPNAME <br />6. FAiMEP. xulE PS WOOLE <br />Seba P. Lee Cora M. Beckwith <br />OECFASEO EVEP Ix V6 MNEO FOPCEEi I S.. INFOPMaM. NAME <br />IN .r173lNortli A aN 02 /14/1941 <br />W10/11/1945 Annabel Lee <br />MABMG AOOPESS mPEEr Og NFP NO. ary ON TOWN S'A. E KI, <br />rth Huston Grand Island_ Nebraska 68803 <br />]1P mfE RI1 LFMETE PY GgwMmoPV xnME <br />/I61iMW <br />*4227 QOM ❑qxH. Dec. 19,L 2003 Westlawn Memorial P k <br />CEMETUNIU PEN ttIPY LCLPrpX fnv OP TOWN <br />E �NPME <br />❑cx°`°' ❑WA-� Grand Nebraska <br />_Island. <br />A fel- Butler Geddes <br />FUNF.PALHWFnWgESS IsixEFi OP PfO NO.cT'ON IGwx 6TATE9% <br />1123 West Second Street Grand Island. Nebraska 68801 <br />]a. IMMEEM IEXiEPONLY ONE AV6E PEP LINE FVN Iet OL PxO c11 <br />\ <br />PnPlal <br />' J� <br />�E, m <br />`.A A�etl <br />OUETp.� <br />"� <br />PF ..INew am _ <br />OVETV.ON ASPCOx6EWENLE CF <br />IN qr III IFFEIML &wAS rHFAEA to gVTW'ev WPS GSE NSY FImFO TO MEgGL <br />OTIEP SIGXIFICM"CONORIOx6 LmCIECmwNrputi °9mlae NaINNUNreIW] <br />YIN THE PPSISM..T"6? 26 IXMIINEP ON CCwCn <br />nfN <br />PAR <br />G PlPpax lOCal Nc <br />vg <br />INA <br />EwnxE Y DATE OF INJUH IM(•'mY. nJ ]EC HWH I INJVxv ]W. o 1. I..A, OCWP" En <br />^ U—A,- nb <br />1 WAI <br />M _. <br />IQ� P,Nu9 <br />.."E <br />C TgiF <br />�pf pAII II�y� lwrm/ FFp. LOCPTVN 61PEEiW0.FV. M. Pv OPipNN <br />I i- `'W Py�'A <br />L1 <br />1� <br />H°m,W Immayuian <br />NUtpJKW l.W�xMI'larm.alnx <br />n ❑ x° ❑ <br />`J TIME <br />3Sa WrE 514xE0 //n 0.re nl Of OFATX <br />n, . DATE OF OFATH KNE, U°YVYO <br />a avo'3 <br />4HONGxXC W P DNWNGLDPEAR <br />Dum yg EDDwD n+. par. vl <br />1— <br />N w <br />aTO GaESwx MW UPI n,�\ <br />�j <br />mm°Plae.� ]6a. VnB —Wawa AA -W ucH In rM ...LCall.wcunW a, <br />1g 4 >J. ei I61a L.Nelm H M e II.... mN W,, -, K.W�W NaI mIM °V <br />W <br />..M.a <br />ze. aO1n6.eeousiconTEA rETOTMEVEAiH1 ' ]Oa HASOPGix QNTE$JEroNArvON eew WxSIOFAEO= d98 wqs eorvsENrcHANTEO• <br />❑ vFd �O <br />E6 ❑ xU ❑ UNKNOWN ❑ YOU <br />NA rr ``COPE660F OEPnBIO, Hxv61C... LOP ,—E FH1IU —OUNTYPTiOPHUO "ITA,JT'°0 <br />]Dr. <br />John J. Cannell 729 North er Grandma 801 <br />GTEFILFDgY gEGISrRAP I <br />d].. gEGi91P/.H -� M <br />DEC1 <br />