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<br /> 91-x- 105602
<br />
<br /> -WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br /> y, DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW. TO BE A TRUE COPY
<br /> OF AN ORIGINAL RECORD ON FILE WM. THE STATE, DEBARnWgT OF HEALTH
<br /> BUREAU OF VITAL STATISTICS, WHICH IS THE LECAL: DEPOSITOR'f .TOR-
<br /> VITAL RECORDS. .
<br /> DATE OF ISSUANCE
<br /> ~ I• J
<br /> AUG 2 2 1991 STA t.-S -COOPER,..•DIRECTQR
<br /> 1 4' LINCOLN, NEBRASKA SURUb •.Ui'' Y hL STATISTICS
<br />
<br />
<br />
<br /> STATE OF MUMAW-DEPAMMENT Qi RMTH
<br /> N"M OF VITAL STAnSM 88 14521
<br /> Amended January 31, 1989 CERTIFICATE OF DEATH
<br /> UST fx TI1 Of DEATH -N t (M.., , Yr.)
<br /> Francis Eugene McElroy Male December 19, 1988
<br /> L - (..R., iH, 0. AP...k.. OR1C.iNJDESCENT U.R.. bah". M"' I(A I -I.w RIwAAPT U Et 1 YYAA UND t 1 DAT DATE !Jf RItTM (M... D.T. Tr•)
<br /> Iwdi.. .ICJ(SFICdy) Come.. oft) (fp.CdT) Tn.i ATOS DAYS "OUI Mon.
<br /> Wf~ite cot./Irish/En li"sh
<br /> 83 , Qctober 2_4, 1905
<br /> A A OF SKWW
<br /> TM N ..I i. U.S.A.. N t PAARttlD, MAAI! (M
<br /> Pw~r CrrrnrT WIDOWED, D"OecED(Sta.Cilp)
<br /> Grand Island Nebraska 1,, U.S.A. ,a_ Tarried IE. McLellan
<br /> SOCIAL SECUIirr NU"fri USUAL OCCUPATION (Oi" E;.r.1 .rt iP..Iwi+q n«I jKX0011SUSINISSO41010U JRY jCOQmnOF9"VW
<br /> ti lf. «..an.fir") H at'p ZAi= jarl
<br /> 1:. 506 09 5978 ,30_el-em 10 edp? ,.e. 14a 11
<br /> CITY, TO" Ot LOCATION Of DEATH INSIDE CITY LIMITS HOSPITAL Ot MINER INSTITUTION N.r (M io .'4 - 0 140V Ot Pat. wdkoft Oak
<br /> (r« or me) Lirawr..I.wJ Nvw% r Iua wrr
<br /> ,u. Grand Island lik. es im,VA Me=l Center 140. n patient /
<br /> 4E3Il7fNCE -STATE CMUNTT" . CITY, TOWN OR LOCATION fTREET AND NUrrrER iNSID! CITY luwTS
<br /> (S r««N.)
<br /> Is.. Nebraska ,sb. Hall Ise. Grand Island iu, 2615 W. John ,s~es
<br /> A MOM LAST -
<br /> (dec.) Charles McElro (dec.) Bertha Guiou
<br /> WAS DECEASED EVE! IN U.S. ARMED fOtCES7 IWPORAy►NT.. NAw1E •-RELATIONSHIP -MA,UMG ADDRESS T%MfT at R.P D NO.. Cfrv Ot TOWK SIAtl. EIP,
<br /> n....... r»., ( 68 5g03
<br /> it. Yes WWII 12"!2'3-'0401 12-ZS- I,James L. McElroy, Son 720 S. Blaine Grand IslandNE
<br /> WIRA4 Cteawfien, R.. I DATE CEMETERT OR CREMATORY-HAM! LOCATION CITY OR TOWN STATE
<br /> ~o. Burial 1kc. 22, 1988 Grand Island Cemetery Grand Island, NE.
<br /> ATU f i Emit No. 0 FUNERAL MOM& -NAME AND ADDRESS ,Stat" 09 t.T.D No.. C+Tf as TOWN. STATE, b" -
<br /> 4pfel-Butler--Geddes 1123 W. 2nd, Grand Island, NE. 68801
<br /> DATE SOGNeD Mw, Yr.) w
<br /> 'DXTI Of
<br /> za.. Dec!. r 19, 1988 tit uer 2,,,•
<br /> A SIONtO (Me.. P, Yr.) DEATH & Of PRONOUNCED MAO PRONOUNCED DEAD (N..r)
<br /> 19:1 D.T. Yr.)
<br /> p T.
<br /> rn. December 27 Se.
<br /> w. b.w .i nr 6WA.4., ..r4-.,..r,..d 00. t.III of aewpi.w,...wdpr I.w.wl.w.,. I..T ..I.i.. i..+ w.....~ w
<br /> .«.aw wW. w.. w,. •.w W4 w4C...N f.. w ww...«(r rw+
<br /> . (138 ..r.r...d IA. 0 EN. rsit.w...-d ra" Ill. 19 dL .6 4IM4009 A 0C at r ITt M I C ETI (low w f"w)
<br /> Hugh J. Woo s, M.D., VA Medical Center 2201 N. Broadwell, Grand Island NE 68803
<br /> RMSTMAR A;76 rv BY It"ItAR (M... 007, Pt.) •
<br /> u.T "s U 31989
<br /> (ENTER L E CAUSE PER U (t), AND (C))
<br /> FAl'T
<br /> 1
<br /> -pending autopsy relu+t-S.- Acute ventricular arrhythwia Instant
<br /> 'UT 10. 04 AS A CONSEQUENCE Of: how-to, be"*- .rwr w 4,0
<br /> i -
<br /> n, Pulmonary fibrosis with cor pulmonale Years
<br /> DUE TO, OR AS A CONSEQUENCE Of
<br /> k)
<br /> PART 1CA+1 ONLM>aK1 C..wlw.w. C..wib.Ii+t y /..M!• 4M ..w r.l.r.w ~T%A0 ML V r 1L wA3 INEtR w ANION{T 0 PAPal1ONTMST (10-0. T_ N Ptir CONOWN
<br /> Metastatic adenocarcinomat p ' rimaty un wn Y. N. o T"
<br /> Yes o
<br /> AcCtDRFti. IDl. I1rIDlI. DATE OT Puy" (Ala. D.,, rrJ NOW OF DKIUW
<br /> Ot PEPrew.: rsw» 1
<br /> . ]0w. 30C. M tl70d,wlln AT wOtR PLACE p INN,RT- w I...., rn.l, I.CPw,_ 40CATION ETREET O! &F R MP CITY O1 ?OWN srwT/
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