YT i '..:i ,� -�� -°!4�'Yj ,' s ej�"r� ' t[r.. - ; , .. . . _ _. . °-----........ . . _
<br /> �` r
<br /> . � ��,� �� y:, . Y �, .
<br /> f l ., t ' �
<br /> �; ` � , . , ,;:. ' '(
<br /> �., .�' .. � . � , ' , .
<br /> � � � ��� .,'> . .
<br /> .,:,�ws..,Y.K. . . , ,. . ., . � .
<br /> ., .„ Q:M.4.�Y �•_.____.-_:_:_. _.._._....--•----------- --------------t'---- .y�_.�Olu•4�•• - �
<br /> .�.�' :'
<br /> ' ' ' , .
<br /> WHEN THIS COPY CARRIBS THE RAISED SEAL OF THE NEBRASKA 3TATE �,
<br /> ° •� � DBPARTM�NT OF HEALTH. IT CERTIFIES TNE BELOW TO BE A TRUE COPY
<br /> � OP AN ORIGINAL RECORD ON FILE WITH TIiB STATE DBPARTML'NT OF 1�F�.TiI .,
<br /> �� „ � , ' BUREAU OF VITAL STATISTICS. WHICH IS TNE LEGAL DEPOSITORY F�R
<br /> ,. ., VITAL RECORDS. �
<br /> . ° `9 5 9�tD�°4"e; ���I�j �
<br /> " � DATE OF ISSUANCE � ���"/
<br /> . ������
<br /> �J(�� �� �gg� gTAN�;EY $. COOPER, DIR.BCTOR
<br /> ,_
<br /> . � � LINCOLN, NEBRASKA BURLAO OF VITAL S�ATISTICS
<br /> ., �� _ . .
<br /> . . " STATE OF NEBRASKA—OF.PAHTMENT Og HEA6TN �_'. -` "�
<br /> • - �� BUREAU OF YRAL BTATISTICB -- - ..
<br /> . . CERYiFlOATE 0�DEA?H `. '.'"
<br /> • ., , o ocnr.wWe rmsr �auwt usr t s¢x �o�rEOF oum nwn.nn�in
<br /> � �, .� � Amerilla Ruth Ho oa3
<br /> � � � ANO MATF Ot OWTM Pro��n UBA.�Mrw�bl'1 6a A6E-iaY 8.'CiGf e os bw*►+ Plwyt Ope YMq .
<br /> ' . �v�� sn rOS� DwrB x hOUFS �S �
<br /> '; Kearne , Nebraska 82 � ;
<br /> z- � �aocuu.a�cuwrv a auca a oe�m � a.o.e.+ o w owuw. o oo� ..-,
<br /> -- °;• . , 505-68-9296 .�fa ❑►..w�» ws�aK. �oa�r&c.c�r, `.�
<br /> . ^ , a r�curr•namo n�amr,anw.asor.�e�o+an �arv.iamo»►xwr�a�o wrM a�an� » carRYaourM `�� _
<br /> - �' i.. . Home: 421 S. Madison Grand Islarrd Yes sall ,.� ��
<br />' - 1�RESiOENC!•BTATi 06 M1i b GT1I.TO►M OR lOCA1qN Yi 87i1EGT AIID NUYBFA (NC1�O2W GW ���p� .
<br />� � ? Nebraska Hall Grand Island g21 S. Madiscn ��
<br /> � +o uawno. �w�nrur�. ���eearnr�sa�ur�r.oeu�oM.nNa 1!MAPR4D.NE1IER�LOHNRD. Il N�IMEOF670NSt ID�tltOMlavtlM�Ot�M1 ,�`�
<br /> ' ,� .�e�r�o.cM
<br /> � b vr+eor¢o.onos�craoiwn
<br />, . ��. ' . White American 0 Married le L ,
<br /> u.uswuoxuv�na�rr.n+a�ea►.or.m�.a+w� /� +armnaeuswESSmousmr l r�r�wr+naweo�awio-+a� eoro.n.w�x ••
<br /> � .`� � . d�a+lrb�Mwsn/tiMW ��1 ��0 8 i ..;.i-
<br />� . . '� , Homemalcer pom2stfc
<br />. �i 16/�TIIER•N11ME i�T NiODIE tABT 17.IpTIRN•MNCENtW1E �ST �T �-:
<br />- ° � � � � John A. Hindalo � �
<br />_, . . ( •• - � 10.1160RUIWT•NRYE-YNYK►110 ;J ISTREETORILFAM0..dMORiOYfN.OTA7f.L�1 �_
<br /> L •�
<br /> _... __ . . .. .
<br /> tl WRBOECFASED IN N1YED
<br /> . . .,'�:Z- .: -. .. . � = IYAGtiC23 {-'1�•r.g�wterrw�w�erl ' ,
<br /> . rj:.;f No aller Ho -421 s. d o -
<br /> . " aoa eu�a�cmnsno�Arm.w aao wte soe e�r¢aroacaew v.ur¢ aoa wurqa arv rowM a�tt —
<br /> `; � � fal June 1 1992 Granc7 Island
<br /> �, . '� �" ' a,- .sioru�unE�uca+ �w �dZ�/S � '2s xore•wu+tucoboaESS isra�aaar.o.NO.arvarwmsr� ari _�_
<br /> � � . � a fel-Butler-C�es I123 W. 2nd Grand is
<br /> YSE ( OKIr 0lIE CAUSB oER POR UF(D1�Np�q � UIIMYY IMMr�
<br /> • � � � VAI1T � � �
<br /> •'"-:�•:. '=t< , � �
<br /> � i Y�nnOWMn aM+
<br />_ . �i_�4�r • Wl�0.q165A � i —_-
<br /> � i
<br /> "' 1 v`�
<br /> _-' . ..hti ..�i! . WL OR 11 � � ��, `__�
<br /> � --s� ' ' � � � �-- � `.�.'
<br /> �i�!��:•7': tf • tARf tiLYASE WIISTIIERt A Rl AYTOPSY i!WASCAGi TO
<br /> �e.rP����`�, IAIR �T •COnyLOrr��q1D01�� �Wt�1�M^ �,INTIIQPA9T�YDIRN9f h�01CIp PAbJ �� O —
<br /> ' _ _ • , Qw` � i j� r�s� w O ��Y~
<br /> °"�al�w:�_t _ .: . �'a�vdorio�n�a� tsa� a►nauwar lw.wr•n� ax�ouaorawwr seooc owArocamneo ----
<br /> :;.,,���yr,a. __
<br /> =-s��:�..
<br /> ___--.`Ss`:,i... ., y�.IK�111Y 11T Y10N1 !M.MCH Oi NNRtl.At HpMiMM1 Mul fttblY• lQ4 lOd1IqM BTIIEEt rtID NR C61Yq1 TO�MM 6fATE
<br /> y
<br /> -._ � (Sscl/YtldNW dnb+r'1eGMe fS0�+q7
<br /> y`t; _
<br /> �;t`;�,;,�*y�,.r:" � � IIh DAiEO�OEAn�Ab. .riJ 20+D�TB StCNED Ab.�14•rrJ 2Ep AME 0�OE11tN • -.-.--_
<br /> -=�"`'�� , • ss MAY 28, 1992 y! —
<br /> - H.k.x:.:
<br /> �-"v r^� - s� t700Ati EDI�Or►.n1 47e.T�YLOfoGiN ��g` ZlevNOMOUNCEOOEAD Ab.47.r�! 2�arRDHWNGEDOE�D fM7+�
<br /> ���`� ' �•' iNAY 2S, 1992 1:00 a.m. `y�d --
<br /> .2�r,� - . s��T�w�Q .O�p�oCeu��OtlltidM. �rq0�� dtMbEM D°�' �N1Lm�.01bN0WC�N70Y�q�i�IG�W�00CU A —.
<br /> '7'7� . —
<br /> ��W�,�-rs „ .. �i ► .ror�
<br />---°��'L:-"`�-'� � � ' 21a dDTOMCLOUSECO�N/I1Rlt1i1'iTOME0E11 !O/NA40ii0N10RTSSYE00NAT10uEEEMMMS10WE0� JOD W/44COMSFMf fYVMEDI �,'
<br /> _ .._ . Z`,'� � O tE8 /VO UO O UNItNOwl1 O vE8 a0 0 YE6 C MD �__
<br /> . .• •- �• �t NIWE ADDRESSOtCfA16EpIMrS�CNaCOp01tEA8PNI�SICµO�+COYNtY 7iONtE�/1 RYP�oRir; �"''�-
<br /> . . � . �':''-
<br /> .�.,�� � . W. . Landia .D 2444 Faidl G and Is d �
<br /> � � ,t ar.�amun uo are skco e��`_*_} t�o.at:_� n_,'
<br /> .�A...j l,�+ •� �"
<br /> — . � . - r.i.�
<br /> _ .. i o • . .
<br /> . o � . ' , ' .. _ . .... . � ' u . o ' .
<br /> . ; _ �--_�.�,2.�_�: . , .. ..
<br /> . .
<br /> .
<br /> • ..
<br /> , ,.; . . . ,� �
<br /> __.--_'.e��! __ - ______ _.,.. ._ _ .. _._ _-.___. __,_ . _ ___ ._ .- _
<br /> �"�' -..:.
<br /> ,:.1M _'_>�;,:
<br />_'. . . .. - . .` .. .
<br /> �. . . . . - . ' . . . . .1
<br /> ... �'o � .. �
<br /> ) .�
<br />_ , .. . ., .. - . ' o =� •
<br /> Jl., .. . . ' , . . {
<br /> .� - - _.�.�.L_�- .-.--.. - _ —-,-
<br />
|