n
<br />m
<br />a�
<br />w m
<br />uR
<br />a
<br />n
<br />°c r
<br />n
<br />'G F
<br />•3
<br />m
<br />w
<br />w iv
<br />�v
<br />w
<br />�a
<br />w
<br />x
<br />Y'
<br />G
<br />S
<br />F"
<br />O
<br />n
<br />w
<br />M
<br />0
<br />m
<br />n
<br />O
<br />L DECEDENLNAME FIP6i MIppLE UST
<br />}E.
<br />(y�L
<br />Marion Bradford
<br />4N
<br />.unxo TeoP EA . aaE. wl mumn
<br />I �
<br />m
<br />unoul wv
<br />",
<br />MOE. GAY
<br />w.XWps WN6.
<br />Ygyn
<br />n Z
<br />March 2 1928
<br />i. SIX;uLSECUNTIV UONBEP NPULEOF DEPTH
<br />❑ ANWERI ® WAARH—
<br />401 -34 -7077 —.w VPFEA
<br />❑ ReMARu^ ❑ paua^^u
<br />a. FaCI1RY. Kama (S- . WWWAA. mOYY
<br />r n
<br />Grand Island VAMC _ _
<br />rowx OR LOtArvJx VFVGiH - 9a INO.E[ITf IIMRS .. 551NTY OF DEATH
<br />Grand Island YEA ® Ne El Hall
<br />Sa. PE51DENLE -SfRTE W. CWNTY
<br />Ec CITYTOWNCE.AiION
<br />°
<br />M,IN�IDE CITVYMiS
<br />D
<br />J
<br />Y °1 AA El
<br />Nebraska Hall
<br />�N
<br />1p....E-Ie B. YSS^_Flah A^r°Iem FNan.
<br />11. MlCEETPVI,9. IIMIS+. Mere-- --A YCl
<br />12 ©WPIUEO ❑WN4WE0
<br />xauFOF 6POVSE (pm4 gramWan,Nmsl
<br />N r
<br />EPKKM AeaIican
<br />TENN. CYORCES
<br />U,J
<br />OCCVPATIJN HGIVa,WI.AW -1ims ,.tl.
<br />1-+
<br />➢
<br />N
<br />IS EDUCFTIOX IEq[MeM^ • rm rvnWYMI
<br />rF
<br />Bureau of Reclamation
<br />FWAR pv Farntlary l0 -IL CrN -..E.
<br />LL 4
<br />FATHER NAME FEET MIOLV.E IA6i 17
<br />N
<br />Noah D. Thacker
<br />Rosa Click
<br />u WAS DELEnsED EYES IN ue esMED FoPCAS
<br />Im. IxroPMPxr. xAM6
<br />W„mM.,1
<br />Yes orean 12 -14 -48 - 10 3
<br />Donna Thacker
<br />I. INFORMANT MuVNGAMPEEE ISTPEETON.PO. xO. 1.1 -TOWN YAK. P1
<br />2523 West John St., Grand Island, NE. 68803
<br />iJ. ENEALMEP�NGHPTVPEB LICFMEF XP
<br />EIIKV WPEPo4WN
<br />OPTE
<br />CEMEIERV OPfPEMROPY NAME
<br />*i3�r
<br />III ❑R.
<br />Tl�]
<br />N March 24, 2004
<br />Westlawn Memorial Park
<br />E 6GExETEpYWCPEMAttXiv LOCPTION CiIYORTbNN RaiF
<br />WHEN THIS Copy CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES
<br />Apfel- butler- Geddes
<br />c'AA—❑ ORHAR,
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE TRUE COPY OF THE ORIGINAL RECORD ON FILE WITH
<br />FEe. FVNE MME ADMEES ISTRE ET OR P FD NO CITY M TOWN. STATE CPI
<br />1123 West Second, Grand Island, NE 68801
<br />�.P,�TY,M E➢14ECAVSE IEMEP ONLYONE CAVSEPEH LIHEFOR bt IeLANOIgI InMrYmM Iem min
<br />5 da1s.^P^,.
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SL WHICH IS
<br />AS A LOH6EOMXfF CF
<br />Several Man Shs
<br />AW
<br />WE 9AC SLOVEti<E 6.
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDngN,
<br />S.
<br />mlp T;th Cararnn;a
<br />i ISpNIFlGNi CONDIWxA CwNen, w.IMMtlploW tlaYII eJMMYM XI IF FEMAL &WAS TxFAEA A PSV E6G FFAPEOLO NEgLµ
<br />A GNANLV IN iNE PAEi]I.gNIx61 M OP...F '
<br />PIM
<br />PApT
<br />& orexta I >�sEl w ° ❑ e ❑
<br />Park/
<br />Su wTE Flxaum pm, ar. v,l
<br />GATE OF ISSUANCE �AL ,
<br />3/29/2004 200403420 ASSIST M��®= °TRAR=
<br />am. Wmm HDW IwJm OLLMPEDVx.
<br />RA
<br />axMam ❑ VntlaY�mrga
<br />M
<br />LINCOLN, NEBRASKA HEALTH AND HIJII SEM=ff SYSTEM:!
<br />❑9uzaa �PneMS
<br />%a.w /NARK
<br />MPAeE�N,p�RY1NMnar.lann. urw. MelrvY
<br />Fp LOCATIpI ..iP[ETM0.F.O. ND. Cpv ORT%vx STATE
<br />r
<br />Y.❑XY❑
<br />Rpp
<br />- STAni OF NEBIlASK,Y DEPARTNhNI'OF HEAL'IHAISnUM.1N SEµViLE4FDIANESAND 6OPPORT
<br />EM ORE ENMEO 1- Car vU
<br />9d TIME OF F ATN
<br />VTw sTAn TE n 0 4 03417
<br />!`FRTICI('GTG (lF IlR1TR
<br />Ey
<br />n
<br />m
<br />a�
<br />w m
<br />uR
<br />a
<br />n
<br />°c r
<br />n
<br />'G F
<br />•3
<br />m
<br />w
<br />w iv
<br />�v
<br />w
<br />�a
<br />w
<br />x
<br />Y'
<br />G
<br />S
<br />F"
<br />O
<br />n
<br />w
<br />M
<br />0
<br />m
<br />n
<br />O
<br />L DECEDENLNAME FIP6i MIppLE UST
<br />}E.
<br />S....I.EATI MAAMa WFAH
<br />Marion Bradford
<br />4N
<br />.unxo TeoP EA . aaE. wl mumn
<br />I �
<br />UNDER I YEAR
<br />unoul wv
<br />wreoF PiPFH (axRw. mr. r.,,i
<br />MOE. GAY
<br />w.XWps WN6.
<br />Kentucky ma ee.
<br />Banner, y
<br />March 2 1928
<br />i. SIX;uLSECUNTIV UONBEP NPULEOF DEPTH
<br />❑ ANWERI ® WAARH—
<br />401 -34 -7077 —.w VPFEA
<br />❑ ReMARu^ ❑ paua^^u
<br />a. FaCI1RY. Kama (S- . WWWAA. mOYY
<br />F SON ❑ �'"(�°""
<br />Grand Island VAMC _ _
<br />rowx OR LOtArvJx VFVGiH - 9a INO.E[ITf IIMRS .. 551NTY OF DEATH
<br />Grand Island YEA ® Ne El Hall
<br />Sa. PE51DENLE -SfRTE W. CWNTY
<br />Ec CITYTOWNCE.AiION
<br />WSTNEEi INDxUMEEP M[p.wigZlp LdN168803
<br />M,IN�IDE CITVYMiS
<br />Y °1 AA El
<br />Nebraska Hall
<br />a
<br />1p....E-Ie B. YSS^_Flah A^r°Iem FNan.
<br />11. MlCEETPVI,9. IIMIS+. Mere-- --A YCl
<br />12 ©WPIUEO ❑WN4WE0
<br />xauFOF 6POVSE (pm4 gramWan,Nmsl
<br />ale I SI White
<br />EPKKM AeaIican
<br />TENN. CYORCES
<br />Donna Boswell
<br />OCCVPATIJN HGIVa,WI.AW -1ims ,.tl.
<br />MXDCF &ISWE991HW61PV
<br />N
<br />IS EDUCFTIOX IEq[MeM^ • rm rvnWYMI
<br />WMechanica1 Engineer
<br />Bureau of Reclamation
<br />FWAR pv Farntlary l0 -IL CrN -..E.
<br />LL 4
<br />FATHER NAME FEET MIOLV.E IA6i 17
<br />MOFFER WEST MI WI 9JWIaME
<br />Noah D. Thacker
<br />Rosa Click
<br />u WAS DELEnsED EYES IN ue esMED FoPCAS
<br />Im. IxroPMPxr. xAM6
<br />W„mM.,1
<br />Yes orean 12 -14 -48 - 10 3
<br />Donna Thacker
<br />I. INFORMANT MuVNGAMPEEE ISTPEETON.PO. xO. 1.1 -TOWN YAK. P1
<br />2523 West John St., Grand Island, NE. 68803
<br />iJ. ENEALMEP�NGHPTVPEB LICFMEF XP
<br />EIIKV WPEPo4WN
<br />OPTE
<br />CEMEIERV OPfPEMROPY NAME
<br />*i3�r
<br />III ❑R.
<br />Tl�]
<br />N March 24, 2004
<br />Westlawn Memorial Park
<br />E 6GExETEpYWCPEMAttXiv LOCPTION CiIYORTbNN RaiF
<br />Ea NNE0.EL,p xANE
<br />Apfel- butler- Geddes
<br />c'AA—❑ ORHAR,
<br />Grand Island, Nebraska
<br />FEe. FVNE MME ADMEES ISTRE ET OR P FD NO CITY M TOWN. STATE CPI
<br />1123 West Second, Grand Island, NE 68801
<br />�.P,�TY,M E➢14ECAVSE IEMEP ONLYONE CAVSEPEH LIHEFOR bt IeLANOIgI InMrYmM Iem min
<br />5 da1s.^P^,.
<br />ml ASnIt tion Pnenmonia , aX,,,,�,„I.ee ^a.m
<br />AS A LOH6EOMXfF CF
<br />Several Man Shs
<br />AW
<br />WE 9AC SLOVEti<E 6.
<br />Few Months
<br />mlp T;th Cararnn;a
<br />i ISpNIFlGNi CONDIWxA CwNen, w.IMMtlploW tlaYII eJMMYM XI IF FEMAL &WAS TxFAEA A PSV E6G FFAPEOLO NEgLµ
<br />A GNANLV IN iNE PAEi]I.gNIx61 M OP...F '
<br />PIM
<br />PApT
<br />& orexta I >�sEl w ° ❑ e ❑
<br />Park/
<br />Su wTE Flxaum pm, ar. v,l
<br />m<NWROF nIUPV
<br />am. Wmm HDW IwJm OLLMPEDVx.
<br />RA
<br />axMam ❑ VntlaY�mrga
<br />M
<br />❑9uzaa �PneMS
<br />%a.w /NARK
<br />MPAeE�N,p�RY1NMnar.lann. urw. MelrvY
<br />Fp LOCATIpI ..iP[ETM0.F.O. ND. Cpv ORT%vx STATE
<br />❑N Mm
<br />Y.❑XY❑
<br />Rpp
<br />. DATE OF DEATH (Ma WN n,l
<br />EM ORE ENMEO 1- Car vU
<br />9d TIME OF F ATN
<br />Ey
<br />M
<br />3
<br />Xy
<br />T. ➢ATE SIGNED Ah OaN✓I
<br />c. TIME OF DFaTX
<br />£
<br />WN PIgNWNCEO0G0 /Ab. DAY. Yi1
<br />L6 PPOxUVNCE00FA0 P.,
<br />ay
<br />tlL a
<br />M
<br />Y M M SAW Aee l><.wew am.
<br />I
<br />xe. Al Am e.YAw.raml..Iw ae ^,MYwaMRa 3R, m I.A. ac IT
<br />N,mlwE..e
<br />E TO ae ewtlmr M <ewme
<br />EIS,
<br />ae XIS, mm, RAW xtl pM, nem o tlM...II MARM.
<br />rvl�
<br />nabnl Wwieeml 'lw ,.y L^L
<br />OON.&TEXLANSIDEAEDI
<br />IN wmS,VtlFN
<br />EWA6LONEFMGPINiEUY
<br />i
<br />E i. DIO IS ACCO U6E CdIPREIS THE N aHASOFSMIOPHEIE
<br />❑ YES © xO
<br />❑
<br />❑ YES ® NO ❑T MXMYN gJ YES
<br />No
<br />31. NAMEANOADO oFDEPTIFIEA IPNYNCIAX. CORONERS VHVSILUN OPCOVHFYAIIORHEYI "N"' V
<br />Dr. Vimala Sa akumar MD VA Medical Center 2201 o t Broa ell T Ina rl!vr•'
<br />PEDISTPM DAFFIEMAR 2fl6�B'6d1
<br />Q��La1�A
<br />
|