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WHENTMS COPYCARRES THE RAISED SEAL OF THE NEBRASKA HEALrHAND HUMAN SERVICES
<br />SYSTEM ITCERTFK:B THE BELOW TO SEA TRUE COPY OF THE ORIG014 RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMANSERVICES SYSTEM, VITAL STA'V.4TNSVC1FW.WI IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS jl 1-- s
<br />GATE OF ISSUANCE ANLEY S. G071PER
<br />8/31/2004 200410059 'I ASSISTANSTATBREOIATRAR'
<br />LINCOLN, NEBRASKA
<br />EA
<br />ANDHUMAN'feit #.i YRTEM -'
<br />t f9u'_.-
<br />STATE OFNEBRASRA- DEPARtN6NT OF D
<br />6IR
<br />LVLAND BIfMAN 3��'ICCB FR(RVE6AND.PDRi
<br />9A
<br />n,TdTGni °T 04 09332
<br />- - -
<br />,.oec6p6rvrc- NniiE' nRfiT MOCLE
<br />zsEx
<br />M a. oATE DeATN INam wr. rsn
<br />Robert Leto Mader
<br />Male
<br />August 3, 2004
<br />irr.xo nn)E OF IuMxu3A.. nvnemviWr
<br />x "'
<br />LFAM '.A,
<br />A..-1 1
<br />Are ofB . N —'—
<br />w. uw. MY
<br />E. FOURS MW
<br />IY`U 66
<br />March 10, 1938
<br />AlTYNUMI Nebraska
<br />e.
<br />9. duce OFOFnm
<br />ws ❑Moen °" OTXEP: ❑ x..mB F_
<br />524 -52 -3691
<br />" "°=
<br />❑ EX a+o+"eM ® R,.ex.e
<br />0 FACILITY N< ruAK v. Ee.W..e 1
<br />8370 W. Wood River Road
<br />❑ DEAL ❑ °NAOMMAKW
<br />CTY.MA €I wNIM Cm DINTE E. cauvry M SHATL
<br />I®
<br />River Y. ❑ I. Hall
<br />°Wood
<br />—Nefil HLF -sTArE W. cauxry & CNY, iOMI ON LOCAII M. SmILTINOXOMBEN IAAMHNM'FI N.Ix9lIM Cm Lwlrs
<br />6.
<br />Nebraska Hall Wood River 8370 W. Wood River Rd. v. ❑ Mw ®-
<br />O.PACE.Mp,MW. ON<v.—.AN Wlan IL AIMATEV Ieg -M1MS+. xeA— ASmm. x1 I]. ®NAxXB➢ ❑WULWEO B xANE OF OPOLM. IM — ANAL n,aexl
<br />N.I I—AI White INNAM American NEI ory I. Nancy Gak e schinsky
<br />d:d:nF AL KIND OF BUSAMEAS ixw6rxY < "^W-LM
<br />m.w N. W s„
<br />.. _'. EN"i�I gl GYa�e
<br />FerEmer Agriculture
<br />IIIE EA,XEN. A". FIRST MIDDLE LAST
<br />NArXEP FELL MN0.E IWOEN SpXxWE
<br />Herman' Mader
<br />Helen Reher
<br />'B WAS SOMALI EVEN IN U.S AIW ° FWLCS'
<br />EOYVVday..<eel
<br />INFMMAIII 'MME
<br />lY.fe, uie.I Ill,ex gre mr
<br />Yes 03/12/1958- 03/11/1960
<br />Nanc Mader _
<br />wFOPoIANi MAWXOAOOXESS I6IPEELM0.F.°. M.CIT'Ox i0WM 0iRE]IPI
<br />8370 W. Wood River Road, Woad River, Nebraska 68883
<br />2(iE LFCl9DflIML SID, O.iE v<. cMErFAV WCNEMATOxY UAVrematory ............
<br />D ❑ate. u 6, 2004 Westlawn Memorial Park
<br />z,
<br />NNFxu MNE -NPME CFNFIEM MIOEOL C UMATUM CITY ON TOWN Si
<br />Livin ston- Sondermaan F.H. ® ° <""b' ❑°`"a°°' Grand Island Nebraska
<br />SO FUHEMLIgME A°ME00 I6TxEET °P PF.°. XO. CITY ORipYN.5i1iE]IFI
<br />N. Webb Road Grand Island Nebraska 68803
<br />x. Eo F '!E —ITO E F.3E VE11 uxEFOP In Ia.Ax01<I
<br />R.N r
<br />k I. Shotgun wound to head immediate
<br />Ouero.MASncorvsEOUE,ae OF """ °'"
<br />1"I IngrvY MMmmenervlm"n
<br />II„FiO.OP A6ACCH3E0UENCE CF.
<br />GQ
<br />PAPT y
<br />11 IoONI OF.
<br />D]M DATEDEIx1uA, IN< NY WI
<br />AIM NODE OF NNRV
<br />PYOCCUXXEU
<br />Aug 3, 2004
<br />1:00
<br />self-inflicted gunshot
<br />❑ „; ,�„" ❑ U'KAF lml
<br />o
<br />V'
<br />�SAM. ❑Rmi
<br />TKtlRK
<br />AI. p1ACECF IxI&xV AM I... F-W:bV
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<br />.. U,G.".. 6iF.M R.FO. NO. OR TOWN STATE
<br />❑N°®
<br />fdaxer�xm.•.NN
<br />370 W Wood River Rd, Wood River,
<br />_rK F—
<br />Y.D
<br />o
<br />zn. DrEAF DEATH MAY DAY Y./
<br />]» LASE.ED IM+.°ey."I
<br />TIME OF MATH
<br />c3
<br />X26, 2004
<br />pp
<br />1
<br />v
<br />3
<br />n
<br />r v
<br />x pATE3IGxE U LAY ri.I
<br />nc I.L. CE DEATH
<br />% NSUNCEO... 1. DAN V,I
<br />app
<br />FW ... ECED... (.1
<br />g-Aug
<br />0
<br />1:40 Ap� a•m• M_
<br />S
<br />r n
<br />8
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<br />p
<br />Sz". DATE FUeD er PEOSrx.P Iw.DPr nl
<br />>ffi REAI r P
<br />xo6 7 2004
<br />O
<br />r
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<br />cD
<br />Index against:
<br />Lot 1,
<br />Opp Estate Subdivision,
<br />Hall County,
<br />Nebraska
<br />WHENTMS COPYCARRES THE RAISED SEAL OF THE NEBRASKA HEALrHAND HUMAN SERVICES
<br />SYSTEM ITCERTFK:B THE BELOW TO SEA TRUE COPY OF THE ORIG014 RECORD ON FILE WITH
<br />THE NEBRASKA HEALTH AND HUMANSERVICES SYSTEM, VITAL STA'V.4TNSVC1FW.WI IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS jl 1-- s
<br />GATE OF ISSUANCE ANLEY S. G071PER
<br />8/31/2004 200410059 'I ASSISTANSTATBREOIATRAR'
<br />LINCOLN, NEBRASKA
<br />EA
<br />ANDHUMAN'feit #.i YRTEM -'
<br />t f9u'_.-
<br />STATE OFNEBRASRA- DEPARtN6NT OF D
<br />6IR
<br />LVLAND BIfMAN 3��'ICCB FR(RVE6AND.PDRi
<br />9A
<br />n,TdTGni °T 04 09332
<br />- - -
<br />,.oec6p6rvrc- NniiE' nRfiT MOCLE
<br />zsEx
<br />M a. oATE DeATN INam wr. rsn
<br />Robert Leto Mader
<br />Male
<br />August 3, 2004
<br />irr.xo nn)E OF IuMxu3A.. nvnemviWr
<br />x "'
<br />LFAM '.A,
<br />A..-1 1
<br />Are ofB . N —'—
<br />w. uw. MY
<br />E. FOURS MW
<br />IY`U 66
<br />March 10, 1938
<br />AlTYNUMI Nebraska
<br />). SOCIAL Secuniry xuuaEli -
<br />9. duce OFOFnm
<br />ws ❑Moen °" OTXEP: ❑ x..mB F_
<br />524 -52 -3691
<br />" "°=
<br />❑ EX a+o+"eM ® R,.ex.e
<br />0 FACILITY N< ruAK v. Ee.W..e 1
<br />8370 W. Wood River Road
<br />❑ DEAL ❑ °NAOMMAKW
<br />CTY.MA €I wNIM Cm DINTE E. cauvry M SHATL
<br />I®
<br />River Y. ❑ I. Hall
<br />°Wood
<br />—Nefil HLF -sTArE W. cauxry & CNY, iOMI ON LOCAII M. SmILTINOXOMBEN IAAMHNM'FI N.Ix9lIM Cm Lwlrs
<br />6.
<br />Nebraska Hall Wood River 8370 W. Wood River Rd. v. ❑ Mw ®-
<br />O.PACE.Mp,MW. ON<v.—.AN Wlan IL AIMATEV Ieg -M1MS+. xeA— ASmm. x1 I]. ®NAxXB➢ ❑WULWEO B xANE OF OPOLM. IM — ANAL n,aexl
<br />N.I I—AI White INNAM American NEI ory I. Nancy Gak e schinsky
<br />d:d:nF AL KIND OF BUSAMEAS ixw6rxY < "^W-LM
<br />m.w N. W s„
<br />.. _'. EN"i�I gl GYa�e
<br />FerEmer Agriculture
<br />IIIE EA,XEN. A". FIRST MIDDLE LAST
<br />NArXEP FELL MN0.E IWOEN SpXxWE
<br />Herman' Mader
<br />Helen Reher
<br />'B WAS SOMALI EVEN IN U.S AIW ° FWLCS'
<br />EOYVVday..<eel
<br />INFMMAIII 'MME
<br />lY.fe, uie.I Ill,ex gre mr
<br />Yes 03/12/1958- 03/11/1960
<br />Nanc Mader _
<br />wFOPoIANi MAWXOAOOXESS I6IPEELM0.F.°. M.CIT'Ox i0WM 0iRE]IPI
<br />8370 W. Wood River Road, Woad River, Nebraska 68883
<br />2(iE LFCl9DflIML SID, O.iE v<. cMErFAV WCNEMATOxY UAVrematory ............
<br />D ❑ate. u 6, 2004 Westlawn Memorial Park
<br />z,
<br />NNFxu MNE -NPME CFNFIEM MIOEOL C UMATUM CITY ON TOWN Si
<br />Livin ston- Sondermaan F.H. ® ° <""b' ❑°`"a°°' Grand Island Nebraska
<br />SO FUHEMLIgME A°ME00 I6TxEET °P PF.°. XO. CITY ORipYN.5i1iE]IFI
<br />N. Webb Road Grand Island Nebraska 68803
<br />x. Eo F '!E —ITO E F.3E VE11 uxEFOP In Ia.Ax01<I
<br />R.N r
<br />k I. Shotgun wound to head immediate
<br />Ouero.MASncorvsEOUE,ae OF """ °'"
<br />1"I IngrvY MMmmenervlm"n
<br />II„FiO.OP A6ACCH3E0UENCE CF.
<br />- OF". ICHIG,NTOONSTENS- faJEwnv vw4WinObMNW bIIM"I,Ntl AL.FFENATM.WARTHENIA AUTOPSY 3S WP6 L.13E PEFF]NEU LD NE➢ICAL
<br />' PPEDHAHCVW ,INWTx6t MA IXEP OP ASEAN,
<br />PAPT y
<br />11 IoONI OF.
<br />D]M DATEDEIx1uA, IN< NY WI
<br />AIM NODE OF NNRV
<br />PYOCCUXXEU
<br />Aug 3, 2004
<br />1:00
<br />self-inflicted gunshot
<br />❑ „; ,�„" ❑ U'KAF lml
<br />Pm M
<br />�SAM. ❑Rmi
<br />TKtlRK
<br />AI. p1ACECF IxI&xV AM I... F-W:bV
<br />Y+<'MI
<br />.. U,G.".. 6iF.M R.FO. NO. OR TOWN STATE
<br />❑N°®
<br />fdaxer�xm.•.NN
<br />370 W Wood River Rd, Wood River,
<br />_rK F—
<br />Y.D
<br />zn. DrEAF DEATH MAY DAY Y./
<br />]» LASE.ED IM+.°ey."I
<br />TIME OF MATH
<br />c3
<br />X26, 2004
<br />11:00 Pm M
<br />a
<br />C
<br />x pATE3IGxE U LAY ri.I
<br />nc I.L. CE DEATH
<br />% NSUNCEO... 1. DAN V,I
<br />app
<br />FW ... ECED... (.1
<br />g-Aug
<br />4, 2 04
<br />1:40 Ap� a•m• M_
<br />S
<br />8
<br />-
<br />"r m..Nm•- am a<. ". u n m... eM. NN oN.."a e.e to n.
<br />a.O "uN`,.e AFFS abe. Ian .,awn.n...a.
<br />< •e"
<br />V e
<br />Umrw.
<br />tl�NNALM
<br />Hall Cc Alt
<br />RpIpiOBACCO
<br />USEOTmeU
<br />"CGIIpMTBUTFttIrxE OFATY/ T]xn60PGANAPr165VEWNANOX
<br />BEEH�3GEFEp)M
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<br />_.. uDn�E66MCEPAFIFA IVNYyGAN.C°MUFA'6 FNYEILWIOPCWxTY SnOXNEVI I]p,rlml
<br />rom E Janule icz, Hall ounty Attorney, 231 S Locust, Grand Island, NE
<br />Sz". DATE FUeD er PEOSrx.P Iw.DPr nl
<br />>ffi REAI r P
<br />xo6 7 2004
<br />I)
<br />
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