i
<br />n TN rM,., D, ve ^I
<br />Kenneth Anthony Woitalewicz
<br />Male_
<br />February 17, 2004
<br />c Pill 2 C
<br />EMPASI
<br />now
<br />o P3
<br />�i
<br />NebraSt.Paul, ka
<br />38
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<br />February 5, 1966
<br />z. SCCIAEaECU MB R"
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<br />N ZA` "0iM" — ❑ NA
<br />❑ SPIDAWNSI ❑ RIPSAW,
<br />J.
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<br />St. Francis. Medical Center
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<br />.DO a BEI.i —II —
<br />Grand Island
<br />re. ® NA ❑
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<br />AESI6F,ICE.srATE "SEE
<br />WHa11
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<br />Nebraska
<br />WoodRiver
<br />St. 68883
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<br />e^B 15PeNMI While 16paFN1 Polish N DR,aesF Melissa McCurdy
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<br />Richard LWoltalewl2z
<br />Irene Bonczyr
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<br />No
<br />Melissa WoitalewicT.
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<br />69
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<br />eI.STREYgICPEMArowPEMATOPV NAME
<br />VO
<br />?Feb..19,
<br />SYSTEM ITCERTIFIES THE BELOW TO BEA TRUE COPY OF THE ORIGINAL RECORD ON FILE WITH
<br />®BwM ❑P.e.,,
<br />2004
<br />Wood River Cemetery
<br />THE NEBRASKA HEALTH AND NUMAN SERVICES SYSTEM, VITAL STAnSTICA"CTI04-MII�CHIS:
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<br />Funeral Home
<br />❑p^'^w^ ❑DNWIA
<br />Wood River, Nebraska
<br />THELEDAL DEPOSITORYFORVITAL RECORDS.
<br />411 West 11th, Wood River, NE. 68883
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<br />Kenneth Anthony Woitalewicz
<br />Male_
<br />February 17, 2004
<br />,, aD. AusTATEQI 1ANNIAMb -1
<br />EMPASI
<br />EFATS Of W1 11
<br />NebraSt.Paul, ka
<br />38
<br />OS pV3
<br />ws
<br />February 5, 1966
<br />z. SCCIAEaECU MB R"
<br />PUCEofowN -
<br />506-90 -6427
<br />N ZA` "0iM" — ❑ NA
<br />❑ SPIDAWNSI ❑ RIPSAW,
<br />J.
<br />FB.FACI.I . __— FIN "MADRAF,"Ab,xw.^M>Y
<br />St. Francis. Medical Center
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<br />WHa11
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<br />w109sWoNllth
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<br />Nebraska
<br />WoodRiver
<br />St. 68883
<br />YM �J x,❑
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<br />AEI 1-1 MIOELE -�
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<br />Richard LWoltalewl2z
<br />Irene Bonczyr
<br />Ig—I, FvFP IN U5 NW E0 F0 .,
<br />NFOgxAxT -NAUF
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<br />I 4SAMESSSTREFTERFRE . x0.COV OP TOwx gLAiE L%
<br />109 West 11th St., River, Nebraska 68883
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<br />?Feb..19,
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<br />2004
<br />Wood River Cemetery
<br />.FEN -NAM.
<br />AApfel
<br />x CFYETEPY LPENAn:PYED-111'N CItt OB MAN 6TATF
<br />Funeral Home
<br />❑p^'^w^ ❑DNWIA
<br />Wood River, Nebraska
<br />3A. FEPEPOEMMEAWPESS PREPTTFM XFIlx0A— ENEWIx. SISTE ➢w
<br />411 West 11th, Wood River, NE. 68883
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<br />NAME AND ADDRESS OF LFATIFIET IFxv31GAN, COPONEP'5 PNY6KLW OR COURT AI IOV1 I ITEM .P
<br />3EBQ'I E. SANU[k,WLCZ, HALL CMM ATMIREJ, 231 MnH LOCUST S1, GRAND ISLIM, NE 68801
<br />.gE,isrwq
<br />/
<br />OFF —1 11 BY EF"T'AP Mtl. ANA, nJ
<br />('(
<br />MAR 2 2 2004
<br />Legal One: The East Forty (40) feet of Lot Five (5) and all of Lot Four (4), in Block Seventeen (17),
<br />Original Town of Wood River, Hall County, Nebraska
<br />Legal Two: Lot seven (7) and the West Half (W I/2) of Lot Fight (8), Block Eleven (11), Brett and
<br />Johnson's Addition to die Village of Wood Rive, Hall County, Nebraska
<br />
|