Laserfiche WebLink
200406771 <br />0*?# M COM 0V WW W 7M RAWD OVAL OF ng WBRASKA H�ALrH IUD . �ERy10Es <br />SVSW^ ff f�TIts THE*ELOW TO." A iI�w COPY Op n,l�.ol�a :ltlEt�Q N�ITH <br />THE NEBRASKA' HEALTH ANB MoMW SERW ES SYSMK VITAL STAT{iTICg ra y e'" Is <br />THE LEGAL DEPOSITORY FOR YITAL RECORDS. <br />DATE OF ISSUJANCB <br />2/17/2004 A&WANF*T�Bo COOPER <br />LMVCOLN, ASKA tEALTN AND tRMUN WRV SYMN <br />STATE OF 1�9HASKA- nMP nTINENT of =AL1U kUn # ILAAN QE—VO VDiANCB AND 006"" <br />VITAL STATSTXS N 01556 <br />CERTIFICATE OF DEA'T'H <br />�. DECtONT - NAME <br />FIRM MIODLe <br />LAST <br />2 �EIC - - <br />!. ,DATE OF D&W-W;itlL Lfiv. Yom) <br />Frieda Marie <br />Forsman <br />Frz <br />4 2004 <br />4 . CRY ANHTATE OF RPH xwt w u9A. =ow*w <br />AGE <br />-1.413 MO* <br />DEN i Y <br />UNDER 1 DAY <br />e. OA <br />Oev. Yseq <br />North Platte, <br />Nebraska <br />"Nl <br />75 <br />3° " <br />°A� <br />�` MNb. <br />March 29 <br />1928 <br />7. L SEC UWnY NUMBER <br />K PIAOE OF DEATH <br />HOSPITAL <br />❑ a w. OTHER: ❑ mmvm" <br />. <br />507 -42 -2638 <br />® ER M <br />wemulee <br />eb. FA IUTY•NWO /a''nof AMerwJnMnbul <br />WnwArf� i'nwnty reff 1 wni tv N'AAT1i tA1 <br />ri DOA <br />„�. <br />OMM (SPSwM <br />NE 68144 <br />r+ ---.t T-1 --A my KQQA1 <br />Leonard F. Foreman. <br />r. . <br />u, STATE <br />f a 11) <br />M <br />E7u, 1nME—"�OF WTH >Ma. PRONOUNCED DEAD Ak. OW YIJ 20d- WED .. oikffl. <br />W.03 <br />LlErwtlm..ar.naylw- nleWebele 2%OOwWill dtllYMHllMnk!er�MO�M1MIR7.4 e..MVeaneoac' d <br />• w Rw. aerane pw aweu. -nw o.�wa�ra . <br />r <br />WASOMMWOP TIME OCIN47ION . WAR FONEWWWOW <br />MaDwN p2 YBB,.. ND C[ y ' f3. NO <br />Aj"JA st.:r4wii - .887 <br />a+ my <br />