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Ctxl n9GA t C yr <br />GL49r.. xowE us* ]A h R Ar6ofnpnm IRMP, wY, Ywi <br />1. GECeGEUi -'rvAME <br />o of <br />p y <br />O <br />ITS <br />- - PL <br />i.Mus <br />W Y rvDMRFR <br />XOSP_ALix ® u✓,.eM1V eIXEP. ❑ Nw.lrylux <br />508Y -34- �J EP aIPm�l. ❑ <br />_. <br />ABC. clrv.U&— LOLAiIOry UGOGArx mIN61GEanuNlrs [e. wlxlYOP GPAiX <br />Grand Island Y.e ®w [] Hall <br />w PES..0E srAie ]P CWNrY v=. cm.1 .Y OR11 TIM -: siRFEr ANG xx!PeP IMAJryzp 6�l E+. w3wEalY UUlrs <br />Nebraska Hall Grand Island 404 bboa1cald fries x ®"°❑ <br />1. E- Io.p,WNx. 9lxkamerlan eeun. II. FNLE9rRY laP -1NYrt NUIOm.Gmnnekl IR.fq MPM. ❑ ... X[NEUF6PoHSF /tl..pivmW,n.ImN <br />L9 <br />xclewa;Xl IsPeam XE�ER oINGRCLD Mildred L. Johnston <br />Wtitr= American <br />lR lrgMny.eeew,wl.el <br />w u6YALOCCUPArIUx IcA.Yaew.mml+a[ry ^xX Iw NwooF a]6wESS NWGTRr muwrw Ie <br />IsE1.iYPwrvase12rv1Pla <br />CI to ° <br />_ NGn1ER FIx6! NIOeIE MNCEH&IPNUIE <br />FAiXEAXAME M6i MIOME U6i <br />x m <br />'� <br />lvx ro.a vx.l pM.0 Mertlxrazal <br />es 1 12 46- 12/13/46 <br />7e x o ALAij <br />ZB <br />uByNFA- GHPTIRE]UU....c N6 <br />PIZfl ®MIY ❑R OtALrr 19, 2004 Aurora Cemetery <br />z1a c6MElWYOFC..TOR, IDLA. LRY OR 61AIE <br />La Fl1HFMLxCNF -uM1F <br />❑aeM"°' ❑°°M Aurora Nebraska <br />A <br />YN. FUNE LX.1 A0CRF56 R]PEEr OR 11 F. O. MV 'TAT' <br />1702 318t Street Central City Nebraska 68826 <br />Nm TE LAUSE IENIEP ONLYONEGUSE PEP UNEFM ILLIq, AX01[II <br />"PARilw <br />�uero,wps >cWSFOUFr]cE Oe <br />/ <br />G Il /<:' CI vO <br />Iw mmelEMnw�wnM.MNM <br />WE1O.ONISACONSF-0UENCE OF'. <br />GE P�EGI F AEPE ]Vi .A.Y rPICMI U <br />A °I O7HOR S AMFD.W7 WNOTRN OmeWA'M PART E AAS6iX]E E <br />N A Ufl OON O <br />' •tlnl[e PPEGNWC M]fRXS9 WF %Ap 6 <br />i <br />PM ❑ // F PA.A W F11 Y[- ❑ r <br />b �T'� <br />OAT"INJVW (Ni GY'nJ R6c NOVPKINIIIRY RAH DFSLWPF W]'NINIUPY pCCV1mE0 <br />M <br />oNlowx.w MQ y,a-�� <br />❑ Swetle ❑ PeMrq P6e. INJJPV Ai'FVPX ]N /&xMl'1ai�' -urem lwxy ]6p LUCATUN STPEEr UFxPe. ND CttY MiaxN STATE <br />aexGeuwpakV <br />A. <br />.- <br />]4 OP. SGNEO 1... Mr. nl <br />]6]nNE OP CFArx. <br />n DAiE OF OFAiHx IM+. Mr nl <br />October 15, 2004 <br />x P xWNLEO GFA Iw.lkr. nJ <br />MC, PRp.VUNDED UEAD (14+^'I <br />Z <br />Ra i OF CFAiX <br />$ <br />/0 /1� /oy <br />2317 M <br />§§y <br />MSCO E8 HEALTH AN SERVICES . <br />AMU THE NEBRASKA <br />yE <br />ae ioNe oM amr[w•IwEe.aeMn :.w w/alw me: e.N re d:xwa.mea <br />xxNNewm. J'/ 2(`/ M•.O, <br />THE RECORD <br />BELOW BE E COPY OF THE ORIGINAL RECORD ON <br />SYSTEM, R TF ffST BELOWTA BE <br />SySTr <br />— <br />gDN6AC6O USE CONrP PJ1ErUiXE GFnmt <br />M[XASOP6AX qi 155VE WNAINMBEPHC[N9oFAEDP <br />AC WAS WN6EM❑4MMEO1 ®Xo <br />❑ v ❑ NO uNwNOwN <br />WHCH IS <br />THE NEBRASKAOSIrOR AND NUSLIN SERVICES SYSTEM. VITAL S7ATISiIC$SEC7(ON IFMWN IS <br />NEBRASKA HE LTH RVIC <br />] 1U ME ANDAOOPESS OF LEPTEM IPHYSILIAN .COPONEX6PXVSIMCRL NWAnOPNEYI ITpXP <br />Dr. Jeff King, MD, 729 N. ter, Grand Island 68803 <br />OAT. 111, GY PEU16rRAR Ma. a,.Y,I <br />1.RF.RAR NOV 12004 <br />THE LEGAL OEPOSITORYFOR VITAL RECORDS. <br />:i <br />DATE of IssuANCe 20001 919 S COtmAP <br />11/3/2004 AS40ANTJTATBAEGwWR <br />LINCOLN, NEBRASKA HEALTH AN2Nl[MAN-SERVN,7I'Sia4Y;f " <br />ax <br />STATE OF NEBRASKA- DEFARntEW OF aEAl'iH ANU HUMAFT�Fq,ViCE49 ANSVSFIPhIRT <br />YRAL STAnS1IC5 : �: ] GL �- rya <br />118 <br />9 8 <br />Ctxl n9GA t C yr <br />GL49r.. xowE us* ]A h R Ar6ofnpnm IRMP, wY, Ywi <br />1. GECeGEUi -'rvAME <br />Hubert WayneOrte ren Ma'1e October 15 2004 <br />acm Axo arAIE UFGIRm INrcIN USa.nmsmNY1 - se ACE. LUIflrNW.ry YnUFA rE xoGA W ewrEC£tlNm lNn. ar llrvY <br />rynl Ne6. GPY9 Y.NWRS Mx6 <br />-.•AU ust 20, 1927 <br />- - PL <br />i.Mus <br />W Y rvDMRFR <br />XOSP_ALix ® u✓,.eM1V eIXEP. ❑ Nw.lrylux <br />508Y -34- �J EP aIPm�l. ❑ <br />_. <br />ABC. clrv.U&— LOLAiIOry UGOGArx mIN61GEanuNlrs [e. wlxlYOP GPAiX <br />Grand Island Y.e ®w [] Hall <br />w PES..0E srAie ]P CWNrY v=. cm.1 .Y OR11 TIM -: siRFEr ANG xx!PeP IMAJryzp 6�l E+. w3wEalY UUlrs <br />Nebraska Hall Grand Island 404 bboa1cald fries x ®"°❑ <br />1. E- Io.p,WNx. 9lxkamerlan eeun. II. FNLE9rRY laP -1NYrt NUIOm.Gmnnekl IR.fq MPM. ❑ ... X[NEUF6PoHSF /tl..pivmW,n.ImN <br />L9 <br />xclewa;Xl IsPeam XE�ER oINGRCLD Mildred L. Johnston <br />Wtitr= American <br />lR lrgMny.eeew,wl.el <br />w u6YALOCCUPArIUx IcA.Yaew.mml+a[ry ^xX Iw NwooF a]6wESS NWGTRr muwrw Ie <br />IsE1.iYPwrvase12rv1Pla <br />d»aaNea. xw.Ni.vW <br />Self Employed Farmer Lonstruct ion 2 <br />_ NGn1ER FIx6! NIOeIE MNCEH&IPNUIE <br />FAiXEAXAME M6i MIOME U6i <br />117 <br />Hen r E. Out c ren D5111Y A nderson <br />I A Wpb UECEPDEO EP IN U9. KMFll FOPCE61 Pa INFORM -NAME I ,. <br />EVltivec <br />lvx ro.a vx.l pM.0 Mertlxrazal <br />es 1 12 46- 12/13/46 <br />Iw.l oroA.wi Aw.w6AOOress" IsrRE6ieR RP.o. xo..cm Lw loWn.sAre an <br />R ive raside Lo 4 4 '' -d NFL 58801 <br />Ia YEMLe CPpSPJFIIVX R1P OiR w[. LEMEiFPYOP CRE UHV E <br />uByNFA- GHPTIRE]UU....c N6 <br />PIZfl ®MIY ❑R OtALrr 19, 2004 Aurora Cemetery <br />z1a c6MElWYOFC..TOR, IDLA. LRY OR 61AIE <br />La Fl1HFMLxCNF -uM1F <br />❑aeM"°' ❑°°M Aurora Nebraska <br />Wagner Funeral Home <br />YN. FUNE LX.1 A0CRF56 R]PEEr OR 11 F. O. MV 'TAT' <br />1702 318t Street Central City Nebraska 68826 <br />Nm TE LAUSE IENIEP ONLYONEGUSE PEP UNEFM ILLIq, AX01[II <br />"PARilw <br />�uero,wps >cWSFOUFr]cE Oe <br />/ <br />G Il /<:' CI vO <br />Iw mmelEMnw�wnM.MNM <br />WE1O.ONISACONSF-0UENCE OF'. <br />GE P�EGI F AEPE ]Vi .A.Y rPICMI U <br />A °I O7HOR S AMFD.W7 WNOTRN OmeWA'M PART E AAS6iX]E E <br />N A Ufl OON O <br />' •tlnl[e PPEGNWC M]fRXS9 WF %Ap 6 <br />i <br />PM ❑ // F PA.A W F11 Y[- ❑ r <br />b �T'� <br />OAT"INJVW (Ni GY'nJ R6c NOVPKINIIIRY RAH DFSLWPF W]'NINIUPY pCCV1mE0 <br />M <br />oNlowx.w MQ y,a-�� <br />❑ Swetle ❑ PeMrq P6e. INJJPV Ai'FVPX ]N /&xMl'1ai�' -urem lwxy ]6p LUCATUN STPEEr UFxPe. ND CttY MiaxN STATE <br />aexGeuwpakV <br />A. <br />.- <br />]4 OP. SGNEO 1... Mr. nl <br />]6]nNE OP CFArx. <br />n DAiE OF OFAiHx IM+. Mr nl <br />October 15, 2004 <br />x P xWNLEO GFA Iw.lkr. nJ <br />MC, PRp.VUNDED UEAD (14+^'I <br />ZA. ESO ED Iwa.O+r r. <br />Ra i OF CFAiX <br />$ <br />/0 /1� /oy <br />2317 M <br />§§y <br />..,xla[ee.. ad,��a.m <br />nex..mleemdxewowameuueNelemwn <br />yE <br />ae ioNe oM amr[w•IwEe.aeMn :.w w/alw me: e.N re d:xwa.mea <br />xxNNewm. J'/ 2(`/ M•.O, <br />— <br />gDN6AC6O USE CONrP PJ1ErUiXE GFnmt <br />M[XASOP6AX qi 155VE WNAINMBEPHC[N9oFAEDP <br />AC WAS WN6EM❑4MMEO1 ®Xo <br />❑ v ❑ NO uNwNOwN <br />❑ v XO <br />] 1U ME ANDAOOPESS OF LEPTEM IPHYSILIAN .COPONEX6PXVSIMCRL NWAnOPNEYI ITpXP <br />Dr. Jeff King, MD, 729 N. ter, Grand Island 68803 <br />OAT. 111, GY PEU16rRAR Ma. a,.Y,I <br />1.RF.RAR NOV 12004 <br />LOT ONE (1), BLOCK. T!40 (2), 9LFASAAT9IE`d TWELFTH SSHiDP'TSION IN T!IE CITY OF CAAND IRLADID <br />HALL COUNTY, NFBFASKA <br />