Laserfiche WebLink
Ill N 4 <br />'N -`� <br />ITT I US <br />n2 0 <br />� SUE m <br />w rn N <br />pAN S <br />F" G <br />na by <br />O � � <br />E� <br />0ESA <br />IS <br />0.� <br />0 <br />YCG mT <br />SE BE <br />SSE m m <br />w <br />Y <br />e <br />I BIT <br />�P <br />w <br />E^ <br />(1 <br />�O <br />U <br />M O <br />AS s <br />" M <br />N' n <br />BIT ON <br />WIEN no COPYCARMES TIE RAISED SEAL OF THE NEBRASKA HEALTHAND HUMAN SERVICES <br />SYSTEIId?CERTSES TIE BELOW TO SEA TRUE COPY OF THE ORIBSML RECORD ONFILE WITH <br />THE NEBRASKA HEALTH ANO NUMAN SERVICES SYSTEM, VITAL 8TATISTg$- WCTiDM- WHICHIS <br />THE LEGAL DEPOSRORYFOR VITAL RECORDS. <br />DATEOFISSUANCE <br />APR 2 7 2004 200404397 ANLEYS. CDOPER <br />A 95lSTANT STA M kGWrRAR <br />LINCOLN, NEBRASKA HEAL IN AND HUMAN Atftf= SYSTEM <br />STATfi OF NEIIRASRA- DEPARiMCNI OFIff.11THAND HUMAN 68RVECES FWANCE ANDSD PORT <br />vrrAe. sTAnsncs _ -0 A O [} 8 <br />CFRTIFTCATF. OF DEATH `t <br />DECEDENT NAME ciayi - u.MO.c OUT <br />]. Se[.' <br />WiEOFOEAiX OMM O+e Ywl <br />sA <br />Henr Smith <br />Male <br />ril 16 <br />a. cnwxo STATE oE aiP.„-sp- ,pLloyd <br />es*e AH�r <br />a AGE LOU SAUeev <br />MAY" <br />s CAEB OF BIRTH MAY r Mel <br />US 1 <br />sU, JOYS <br />NWPS MINE <br />nmi <br />Ord, Nebraska <br />78 <br />April 7, 1926 <br />emwsECUmiY <br />PEACE DE <br />❑ HAMOU ® ANEENSTA <br />506 -30 -2760 <br />. <br />❑ ERDBARM. ❑ fl .Ea. <br />_ <br />MY, — e.m Mxu'..W.ua.. E.•A . ,,WAAMO <br />Tiffany Square Care Center <br />FE <br />❑W ❑D.^�IEa•.r.. <br />._ <br />N DFOGTx <br />�GrandP <br />aosuTr UMns <br />N1. COUNTS OE DEATH <br />Island <br />„ ® PE ❑ <br />Hall <br />DE STATE E. STA COUNTY BE m.mwx OPECCATION ME 11`EE`Ax .UU EP hra'Aq+p wLtWr ul.Ns <br />�.,. <br />Nebraska Hall Grand Island 2719 W 4th St. 68803 �] w❑ <br />F In9,W Amerceenoinn ANCESr • . Iun Mpmm, DMIAM l 1 WAN .ED ❑ WIDGMEO N/JAEOF SPOUSE IXW m,en mmp <br />». flv.American lJ <br />IaTheban <br />ISEARN D Hint <br />"IN-11 White NEVER Dry xFn <br />- - <br />r.a. JSWLOLCIIP.1TgN rC+w xirclawc bu Aw9wl I,e- <br />CIASE, &IONE SS IxWSrxr <br />A EOIIUnOM IERALIJU M• Mere <br />m,MYINlil Nr <br />Mlm2n eYONA,BIS SEEN, .111.1 <br />Parts Manager <br />Auto Dealership <br />- 16 EAT E Fp6T DOODLE 45* <br />uOTNEP N IN u....1 ON., SURINAME <br />Arthur Smith <br />Anna _ Dishaw <br />E]EEO EVER W US. AN • INFOeRMUCT NAME <br />.AE DE o <br />M—FA2 <br />ne..,E.E,E 1 mre•. w...., eM eM..e.e..Meml <br />Yes 22 1945 Jul 25 1946 Thelma Smith-- <br />Im. wroflMV+T _ -. u:.uxGADUHESS ss .ETREET OPRFD. xo,cmoaTOYrN. Brae 1.11 <br />2 19 W. 4th S Grand Island Nebraska 68803 <br />-' "- <br />zr cEMeEHV CR CREMATDRY <br />y Sy -E METWWO'u9V9 0.1TE NAME <br />2® <br />// <br />-. L 10 ] 1 B.ia ❑ fl.11M.a 2004 W rsamn eon... iat Panic Danete.y <br />r✓r" S <br />n x n -- - Ie. CEMEFEflY BOG EMATOmuTEROU" OTYOP TOKN - STATE <br />All Faiths Funeral Home ❑c ^^M^A ❑°e'1°^ Grand Island, Nebraska <br />YOU r ENE..' WMe AUSERED ISTPEETOPRFO.N°.. C1TV OeTwx.tiurE Z.Iry <br />2929 S_ Locust St., Grand Island, Nebraska 68801 <br />- <br />9, NNEONTE �(IUSE I ENTER dEV°NECAUSEFEFWEEOA.,I.IE ANUkII . .Nm•ireweeneFARNEFIEF" <br />PARI <br />_... __ -- <br />WE O.OP A9ACON sWGENDEDr I.EreI E•r..1.Ere.waM. <br />- <br />RU <br />NTOURASAWICEOUFNEEOF <br />A BUD <br />- -11-1110T. M�AE <br />Z <br />-- - .EH iONAICA-1O NUNF CvgEiE..wuiWMBUN . e•,m.nrc.mW++ FMTY iFFE TTE I:E: W <br />' PCxT AUTOPSY N <br />FAR, PPFGBNIOY NiXE AS " <br />^ <br />•� IMee IT o n ❑ ❑ <br />IS. <br />AN DATE OFIWURY MEN, 6e Ynl <br />] rI°uH UF.NJUm <br />N6 CESCNBEXOWIX.1R000 EO <br />[j A.M.1 ❑ D •WI•. E <br />E] U im ❑ P mm9 <br />WV i:- <br />Rr pt�p aG Mmc 1. -I1.1 MEW, <br />2, IODATION ATFEETCP PIS, NO. WY OR UAMN STATE <br />❑ <br />ON ❑ <br />.PilYeiemMJI.- <br />Wxbr <br />ETA E97E CO COUTI . REY TOY YO 2W GATESSIED EM, . Cal Sal TIME OEAi <br />April 16 2004 ; <br />zx <br />H DATES EO /ME. rl E.FCEDEnm y y P OEPO /Ma. I PxD O lNmnl <br />1 ,2004 5 <br />a Apr 1 <br />A rN..A• d iBEREME <br />" ME•.EEIM.e.m,veeE1 AIrvE., <br />R ne. E» IEl ,1 �..M ..Ee1E EEE 2m. Dx Ead•M. <br />ea <br />uE M•1 .n we.NINFR.Bm <br />i <br />Lu Is I.....mnE• r <br />IS, "1 .��� <br />DO u.u! E DEATH, '.ue Iu5°RCAN OR uE DONATION EE iCCxSIOEAEO+ mn WAS OONSENT GRANTED? <br />we nss <br />❑ Y RE O UR.. ❑ YES ❑ v6 <br />11 NAME A.. A. IS ° ARD, THV9pUH,COWNERS PUVSCIAxM COUxTYAIIO1WEYl IFry,o - <br />Sohn A. Wa Doer M 800 Alpha S . G Is 12a.d Nebraska 68803 <br />REGISTPAP - COTE MIeD ev RCersR rM6 R+20 <br />_ APR 2 6 2004 __ <br />11 1 <br />