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M <br />M T cn ^ o <br />rj <br />yo <br />CD <br />N n 2 O <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA <br />SYSTEM ITCERTIFES THE BELOW TO SEA TRUE COPY OF THE O <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL <br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />5/18/2004 200408444 <br />LINCOLN, NEBRASKA HEALTH, <br />STATE OF NEBMS%A- DEPAATAffi.T OF vc.r.TN AND FNM <br />4 <br />0 4 813 <br />CERTIFICATE OF DEATH _ - 0 <br />EOEOExr -NAME PIPET WOOLS VSr <br />S. fiEX <br />6 R EITM <br />EOFD I0.wn US, VW <br />William Cecil Barker <br />Male <br />April 25, 2004 <br />U111 AND61aTEO161P1N (N mIn USl..rwnaWYl <br />An WI &rnYV <br />DM.6 <br />&paiE0F 61PiX IMpM Cav Ywl <br />Knoxville, Tennessee <br />"'I 77 w. <br />MOS. wvfi <br />xixouPC <br />June 4, 1926 <br />X�SEU <br />PG <br />V30 -2370 <br />XO6rrtATX ®I.w.m aOTrex ❑ l..'_ <br />❑ mawm.l ❑ x.,w.. <br />M FACILITY N.,. m�1:,,m.,,w.w.mxwm.,: <br />St. Francis Medical Center <br />❑ Dm. (S.[✓n <br />rTY <br />6IslandM <br />..W,x,Y <br />Grand <br />1. N1 PaNlO <br />Hall <br />M PEECENL STATE W. COUNry - cm. TCwx MLWATOP <br />wGrand <br />Dt STREET Al. ROMEO I[ewN'g4 LMRE <br />NNE <br />MY. <br />Nebraska Hall Island <br />1213 W. 5th St., 68803 <br />® NP 11 <br />E -ICS,w M. BN6.a A, iml.n. <br />AtILEBr i..9. IMw. Winn. Gnvn.pel <br />�z. ®MAUPIED <br />❑mDrynEO <br />u. NAME OF... (a. S'E .bn-1 <br />,N .I IS°°"nl white <br />16p'"" Ea lish <br />g <br />owoPCEo <br />Elizabeth Reed <br />UWrtOCCU'ATCN ry'rve.tW p wAbw.nymsr <br />x.0 L' W6.E56 ix WBixv <br />Eau GTW IBwMS'N .. MM4'.AeaMMMI <br />n Ttvck Drivez <br />Drli <br />Transportation <br />gnenrvy uy itrlRl feYegAM<or5 -I <br />� � <br />.E PaTIEP -HAMS fTPSr woDLE usT TMDmEx <br />axsr MIDWE rwow suxxaME <br />C. M. Barker <br />Mae Wilkersen <br />1. AAB�owEAUSIEO EB AP.m <br />.POPMwT.rwME <br />INN wI�aE.6.x.�1 <br />Aw2/20/1948 <br />9/30/1949 <br />Elizabeth Barker <br />(w. LI.M.NT MaLxeaoDPESS ­1P. DNN'D. no..cmoPTDwx. srarenn <br />1213 W. 5th St., Grand Island, NE 68803 <br />W EMDAIYEN.sCNATDaE A LCENBE NO <br />IXM OFpygSmox <br />z❑X <br />.GATE 3 <br />LEME(EPYONCVExATWV NAME <br />Bxw ❑Pxm,M <br />May 1, 2004 <br />We stlawn Cemetery - <br />EPNMM IMME <br />�PApfel- <br />211, CEMETENYO LNEMATOPYLOCATCN CITY OR T. STATE <br />Butler- Geddes <br />❑ ° ❑°eii0ei <br />Grand Island, NE. <br />AODxEBS ISTN5Er WP0Aq. Y Ul UP TV.AM. N1ATE ➢PI <br />. 'x S <br />�1123 <br />West Second, Grand Island, NE. 68801 <br />IEMEPO d1 <br />NLY EGUEE PEPYNE PoPIa40AIHOloll m. N� <br />^ *�4.i{ <br />PAP7IMMEOI <br />/LjpIV� /UAIN 19's SLfVl�,Ah.Q <br />f l`9 <br />WELOgi A9 ACp16EWENCEOC. r <br />p ImvrvI <br />p —Mm <br />�s.i <br />IGMA.n /a�n„I <br />nlla4l ?Omq(� <br />i ry1 NL2S� �NtL['89� <br />OU CMEEOUENLECP. Imery rcul Am max <br />TAXI EI F/ S�wrvIRCFrvTCOxDlrlaxs .lC�maXM.[ab[utlnew MaAM WMMY. <br />w.s TxEPE. —REV was caSEPEF.=NrO MEDICAL <br />ES <br />PAPre/ FE[iN011CVM"�. <br />IT E� [fir A n AI. <br />PIgAIBNI <br />EPP6i)MWTXB'I E%AMIHFAOFCgCNE <br />w Pw <br />DATECCINIUW IW.Wx nl <br />_xWnLF .IVPV <br />zp60E6CP B^E NOw INIVavpSUmEOVw <br />❑ MtlMM ❑ u MNmmn p <br />❑ Bich ❑ am iq <br />361. Lf rt Iy�wm,.. .1 Wmy <br />�W <br />1, LOCAT. 6TP.EF OPRIO. W. CDYOPNwN STATE <br />❑ xx.,,rl2. 1m..MY.w <br />a .1-1 <br />S.A'M <br />3PA Da,E. DELTx I � � 11 <br />zBA G E � d,..l <br />3. T,MELETS.. <br />�S D <br />" <br />a?E6 DP , Yl <br />J€9 <br />. <br />( I <br />PWNCMNEDD.TED'DI43 <br />� <br />M <br />2 <br />— IMPE..mouu.�.l MU. w,.. aM.,m M...Ma.MU. <br />e 'a. o.sAM�.m .ml. ., E:w.xm wl.�..xm EP. <br />... I M AMA. �I <br />e em <br />... M>c. mD mx.la REEM' <br />1O rOB❑.CCYOS CO N1B1W T <br />D UBE <br />XA60PGnN OlIn6EUE 00NATON 6EFNLpV610EPEO3 ]B.6 <br />waB CPVSFNi rED+ <br />❑TMUH <br />❑vE6 NO <br />❑P YEE NO <br />