STRTE OI HE90.ASIG-0EVORTMENi OF NF.A4H
<br /> BUREAU Di VI1RL STpTISTICi
<br /> t eD H, N— CERTIFICA7E OF �EATH y�� 95'�ZnBqf��
<br /> If R=:�mond Harry Fellvock ��Male �S��T �����•--
<br /> ,. P •��19�79
<br /> I , �..o—�. .�., .....,.d,��,o�,«�<<. � ,,..; . .�� �........ �o�. .E.. ��o�. o,. o.,. ,..,,,,,....o., ...,
<br /> ..,,�e�riite _,. ....�rs..-„i a�" ..., w .,�e.
<br /> c•. 77 ebor .s µoun. March 2, 19oz
<br /> I �...ov � �a.mn.. � 's... '�ii�i�x��o �� ....� e -.. eors.� z »..w.... —
<br /> •'Tii11����aNebr. U. S. 'A. °mw eorrv..in � om�n�-r. . -.�
<br /> i Nu ' , �ia�T�e°� 1(athxyn lia�son Fellvock �
<br /> 0 o�ie..r„<.�->�e xoi�.omu wurvnwoe
<br /> <�r50G-3�0.2563��� c�d'�1` .�,.ei .,. � , . o�e�.w�s �_
<br /> � � �XS�Fiospital Ha11
<br /> ..nr.,,,.:
<br /> � �esioe�<e urzslend uN �," StA&� ' APLfi1fSYtt@'I4uzsing Homo . inPutienk ,�
<br /> TC . O OX . SIR[IwnDNUV.][�
<br /> 17vhY� I1} n�jF3).1 T3� tC L
<br /> ��TYr s_DT x. Gx 3 and ��a. 517 East �2th St. `�..`'�C�'x•
<br /> .44�Mt9 w.DfXN.wF w,
<br /> �` [ ( rycbext Fellwock ��� Piinnie Hexb�t .
<br /> �.-�es �v 1 �S (0`o-1=� p�„ xathryn kellwock�pouse 517<East<12�:h�C�zand ;sland
<br /> Oi E
<br /> _H..i�el �e 9 4�73 NeWestiuvn Ceeeteri Grand islanZ Nebr.
<br /> °•� �c o w ewe ....e ro. . v
<br /> �W , VHLivx ton-Sandermann 705 ld. Koe�tig Crand eIs'.¢n2� i7e C�
<br /> � y . . ...� ._..'y�.� .... .. „ ��.`.:. . � "" .....,_........
<br /> I < . �.r mv. \ _ ..o . ►,� �. .
<br /> � eSen+ 5 oq79 c
<br /> r 1 .. e�. } b. ) .
<br /> � '� nOV C ONOVrCEOOGU�xevl
<br /> „ept. _, 1979 � ' ` , '
<br /> ..�,e..�o.mo.essorceeira ..rsu.� m.a.e�s�msc..�o.cou�rr.iwo�eni.o.,...:.,� °••. --
<br /> r S L. Y.usen, Ai, D.�Q0817orth�-E,ov�aid/ A�v'e „Crand Isiand Ne. 68801 M
<br /> �,k��'L�GG�'Oki Wrv,�-/-c—s�w w..o,. .
<br /> y. . ► ���LC1� �.O.fi/ �—�
<br />„i, N u:i� ,�. � � . i � i..r��»�L -7 L// Y ��
<br /> . �ACD1.�+.�IV..�,W A�� AwesV
<br /> ou. m o�.s.m.sEOUe o, — i
<br /> � �ew:n�eM.d" C�)� ._�..�...........<,
<br /> ' vuuo.o.u.cew�ouew<eiS,,
<br /> ..'�ar�.�K..�<o.� o..� a..._....,. .-...............I:Co.. .,° .31 n�.e n:. . .,,. 1'�0 �. �.,
<br /> o . . , T� ..,.���., ,� ..o..',.._._, .aw�.. .�o.�„ `•❑ . ' . ,,o.w �no�„.. ��.��
<br /> >�.• _---L�_ I.o �.,
<br /> WAEN Ti?IS COPY CARAZES TNE RAIStiD SCAL OF�.TI3E NEHRASKA
<br /> STATE DEPARTMENT OF HEALTN, IT CERTIrIES THF. ABOVE TO HE
<br /> A TRtiE COPY OF AN ORSGINAL RECORD ON F:LE WITFI��THE STA:E
<br /> UEPARTHE�7' 9F IiEP.LTY., BUREAU OF VITAL STATISTICS� LHICH
<br /> IS TNE LECAL DEPOSITORY FOR VITAL RECOROS�. '
<br /> Q/L/��f . ..LJV��rJ �
<br /> DIRF.CTOR OF VITAL STATISTICS M10 ASSLSTANT 3TATE FE6ISTltAR �
<br /> LINCOLI7, NESN�SI(A ?55uCd $epYCm62Y 12���}979
<br />
|