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<br />LOTS 99 AND 100 IN BELMONT, AN ADDITION TO THE CITY OF GRAND
<br />ISLAND, HALL COUNTY, NEBRASKA
<br />CO
<br />WHEN TNLSCOPYCARRES THE RAISED SEAL OF ME NEBRASKA HEALTHAND HUMANSERVII
<br />SYSTEM,!!CERTFIESTHE BELOW TO SEA TRUE COPY OF THE OR/OMAL RECOM Q11FILEIYITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATASMSSECTION, WHICH/3
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. - y
<br />DATE OF ISSUANCE FF//p LtM
<br />JAN 17 2003 a003OD9/0 �ANLEYa COOPER - .
<br />ASSMTANT STATE REGISTRAR'
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SE"CES8YSTEAF
<br />STATEOFN EBMSM- DEPARTAffM 'OFHEALTHANONOMANSEBYICESi A2kEANOS[IPTORT
<br />Y nAL STATISnos - - - - = -_ -- 02 10764
<br />CERTIFICATE OF DEATH
<br />I DECEDENT -HD.E Fm,.r gruou IAEF z
<br />Ir rE °F DFALX p.NW. Car vawl
<br />George Edwin Monroe Male September 15, 2002
<br />HAD STAN, .1 HIN 'IVy uwgyl Sa Afie -Iak ermWV vxoEPl Onr 1E DFgmx I—, van, —
<br />,YA Whiting, MKansa. I'll y2 NF MOOe°, wY wD1s x,N ADecember 31, 1909
<br />Z. SOCInt SECURITY NUMBER 1 11.F F A
<br />506 -09 -7034 —� ©' ""°"°N —... QNBF ❑ SPA.NNP ",e
<br />� MX"w oaxxr,w..A.el. "e,r,.rw.r, —_ ❑ F OAI— ❑ PAF,e.PAA
<br />° ., . . .E.
<br />St. Francis Medical Center ❑ DOA ❑ CNIAI AW,
<br />x nn TOWN OR FOCAT,ON OF DEATH AN WIFICTVI.— ae I— TI DEATH —
<br />Grand Island re= E❑ N° ❑ I Hall
<br />-SAN RESIDENCE STATE _ —. W COUNTY. -_ -_. III CITY TOWN ON EDCPnoN Be. 11HEETANDxuH9ERI n11—H, pfMe, y, II°EC YL °
<br />Nebraska Hall Grand Island 515 N Grace A, 9:1 H. L]
<br />I -lag.w aDiacu A-1. nxm ANCFEFYA I AN. Mmcea CaEan. nq a ©"HOER ❑w E NAMEOFSPOUSE IDIu.Avemmennnmm,
<br />Ed . Dow D z
<br />Ax. 1. A MENEN ° °TDI:FO psey -Allen
<br />NI Wbite _ x�American ❑ Nara Helen Ca
<br />- Aa us x ,Cre -R eEWESECTI ue xw° .. INDUSTRY a mUGrvau ISVO,- A1MNxs g!MS1P -A w
<br />° '"9 ° EAd a I. w Eaeewry U 9 CwgA -♦ n . .
<br />x.A„ Engineer Engineering 11
<br />Roy _ Men_r_oe _ Florence Stick
<br />ID Wn C 9 ER INU .FORICIER 1 g OIWLNi -NAME
<br />Ivmm awq TO, year WE.AI W rrvkal
<br />No N Nora Helen MOnrOe
<br />I.. wFOPmANi mNIESTADDNI FTxFFTOxxFU IT, Gry OTTOwN STATE ZIP! -
<br />515 N Grace Grand Island, Nebraska 68801
<br />ITEMBELDERiERGANDATTEPAS A DCEaE IT xla Erroo OF DEPOPERPOIN 1210: DATE CFUFT=xYODC°FUnTCUV NAUI
<br />Not Embalmed ❑M'. ❑.—I Sept. 14 2002 Central Nebraska
<br />nn
<br />FUN RAN HOME NAME �EMEIEDVW WEUaTODV IOCAxON 111101 TOWN
<br />Apfel— Sutler— Geddes F. H. ® °' ° " "°°' ❑°inia" z "Cibbnn. NahS,BBI
<br />1123 West Second Street Grand Island, Nebraska 68801 -5899
<br />Cremation
<br />STATE
<br />TARIFF TNIEN J— THAI UAUi PIx LANE FONT N, 11 AND IN III AAN,,I ".aol a.e—I
<br />- E ?CUE iOO1AS A CON5E0UENCE OF Inea, eeeen NOR IN ne+
<br />W A w/y
<br />RUSSEQUENCE I"Inmax am eoom
<br />Ed
<br />OTHER S,GNIFICPNr CONgrbNS CmNromoomN — REAe.E.-mIIIATH AIrtTPSV UE
<br />AFT II IF FEMME. WAE TNRAEA IT uRwNtD IO MID'
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<br />PART r E ., c D N s uAm AND
<br />Plnm +r°s°I ..D xA
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<br />SAW Pee DATE OF Y ua wx T, ma NOUNOF rvauNV z m DESCNDE HOW NaDRIYOCawRIEO
<br />A -SMIL ❑ mM.wrYIrA1 M
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<br />21 °IDT�«OUSCCON�TIITXIoTX,NN� ❑ Y� . �°O',„ PTA ,De.,ADE NF�T 0,1NTEOe — DAY' 11 „HAT ❑rx
<br />,1 NAMEAN =OFD ENT, FI�1PHYSICAN�NDNE1SPXrs ,°MNDNeoUNTYATTOANEY, IrRR ,EI,
<br />Dr. Anne K Mor 729 N rth Custer Grand Island, Nebraska 68803
<br />vza FIECI„"A° — Pee DAT E FILED BY BEDSTEAD ,A. D, III
<br />SEP 2 3 2002
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<br />WHEN TNLSCOPYCARRES THE RAISED SEAL OF ME NEBRASKA HEALTHAND HUMANSERVII
<br />SYSTEM,!!CERTFIESTHE BELOW TO SEA TRUE COPY OF THE OR/OMAL RECOM Q11FILEIYITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATASMSSECTION, WHICH/3
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. - y
<br />DATE OF ISSUANCE FF//p LtM
<br />JAN 17 2003 a003OD9/0 �ANLEYa COOPER - .
<br />ASSMTANT STATE REGISTRAR'
<br />LINCOLN, NEBRASKA HEALTHAND HUMAN SE"CES8YSTEAF
<br />STATEOFN EBMSM- DEPARTAffM 'OFHEALTHANONOMANSEBYICESi A2kEANOS[IPTORT
<br />Y nAL STATISnos - - - - = -_ -- 02 10764
<br />CERTIFICATE OF DEATH
<br />I DECEDENT -HD.E Fm,.r gruou IAEF z
<br />Ir rE °F DFALX p.NW. Car vawl
<br />George Edwin Monroe Male September 15, 2002
<br />HAD STAN, .1 HIN 'IVy uwgyl Sa Afie -Iak ermWV vxoEPl Onr 1E DFgmx I—, van, —
<br />,YA Whiting, MKansa. I'll y2 NF MOOe°, wY wD1s x,N ADecember 31, 1909
<br />Z. SOCInt SECURITY NUMBER 1 11.F F A
<br />506 -09 -7034 —� ©' ""°"°N —... QNBF ❑ SPA.NNP ",e
<br />� MX"w oaxxr,w..A.el. "e,r,.rw.r, —_ ❑ F OAI— ❑ PAF,e.PAA
<br />° ., . . .E.
<br />St. Francis Medical Center ❑ DOA ❑ CNIAI AW,
<br />x nn TOWN OR FOCAT,ON OF DEATH AN WIFICTVI.— ae I— TI DEATH —
<br />Grand Island re= E❑ N° ❑ I Hall
<br />-SAN RESIDENCE STATE _ —. W COUNTY. -_ -_. III CITY TOWN ON EDCPnoN Be. 11HEETANDxuH9ERI n11—H, pfMe, y, II°EC YL °
<br />Nebraska Hall Grand Island 515 N Grace A, 9:1 H. L]
<br />I -lag.w aDiacu A-1. nxm ANCFEFYA I AN. Mmcea CaEan. nq a ©"HOER ❑w E NAMEOFSPOUSE IDIu.Avemmennnmm,
<br />Ed . Dow D z
<br />Ax. 1. A MENEN ° °TDI:FO psey -Allen
<br />NI Wbite _ x�American ❑ Nara Helen Ca
<br />- Aa us x ,Cre -R eEWESECTI ue xw° .. INDUSTRY a mUGrvau ISVO,- A1MNxs g!MS1P -A w
<br />° '"9 ° EAd a I. w Eaeewry U 9 CwgA -♦ n . .
<br />x.A„ Engineer Engineering 11
<br />Roy _ Men_r_oe _ Florence Stick
<br />ID Wn C 9 ER INU .FORICIER 1 g OIWLNi -NAME
<br />Ivmm awq TO, year WE.AI W rrvkal
<br />No N Nora Helen MOnrOe
<br />I.. wFOPmANi mNIESTADDNI FTxFFTOxxFU IT, Gry OTTOwN STATE ZIP! -
<br />515 N Grace Grand Island, Nebraska 68801
<br />ITEMBELDERiERGANDATTEPAS A DCEaE IT xla Erroo OF DEPOPERPOIN 1210: DATE CFUFT=xYODC°FUnTCUV NAUI
<br />Not Embalmed ❑M'. ❑.—I Sept. 14 2002 Central Nebraska
<br />nn
<br />FUN RAN HOME NAME �EMEIEDVW WEUaTODV IOCAxON 111101 TOWN
<br />Apfel— Sutler— Geddes F. H. ® °' ° " "°°' ❑°inia" z "Cibbnn. NahS,BBI
<br />1123 West Second Street Grand Island, Nebraska 68801 -5899
<br />Cremation
<br />STATE
<br />TARIFF TNIEN J— THAI UAUi PIx LANE FONT N, 11 AND IN III AAN,,I ".aol a.e—I
<br />- E ?CUE iOO1AS A CON5E0UENCE OF Inea, eeeen NOR IN ne+
<br />W A w/y
<br />RUSSEQUENCE I"Inmax am eoom
<br />Ed
<br />OTHER S,GNIFICPNr CONgrbNS CmNromoomN — REAe.E.-mIIIATH AIrtTPSV UE
<br />AFT II IF FEMME. WAE TNRAEA IT uRwNtD IO MID'
<br />x fxnx.v,x Tx m "r M xrx + OSONE1a
<br />PART r E ., c D N s uAm AND
<br />Plnm +r°s°I ..D xA
<br />I
<br />"
<br />SAW Pee DATE OF Y ua wx T, ma NOUNOF rvauNV z m DESCNDE HOW NaDRIYOCawRIEO
<br />A -SMIL ❑ mM.wrYIrA1 M
<br />U c.xe �] 1 D r NTY °I atp�w,°N. Ea�m 0—EA1D up. A«.T,ON STREET OR NFD xo cDY Ol TOwx smE —
<br />❑xE,A,A vNa1 �o'oo °I �°
<br />g aF RI OATESIGNED um. w...I zm, nMEa DUTX
<br />DAaOFOsxoL- _
<br />AN—
<br />Q, z TES, NE WN , rnEOE U. *1 NTwxwNDm DEAD .w Ely Dl 'zm 1NO 1 -AFDUD sE
<br />5eA DAR- (b� poJ °s1 � g
<br />sR ne - NTrr E.. tare a "e daceaN eHAA "Inr xc _ — aE - 1,11,avNA,
<br />E IDEA �s ""AP.arowaaroe.N»,a�r,....Ed
<br />u
<br />21 °IDT�«OUSCCON�TIITXIoTX,NN� ❑ Y� . �°O',„ PTA ,De.,ADE NF�T 0,1NTEOe — DAY' 11 „HAT ❑rx
<br />,1 NAMEAN =OFD ENT, FI�1PHYSICAN�NDNE1SPXrs ,°MNDNeoUNTYATTOANEY, IrRR ,EI,
<br />Dr. Anne K Mor 729 N rth Custer Grand Island, Nebraska 68803
<br />vza FIECI„"A° — Pee DAT E FILED BY BEDSTEAD ,A. D, III
<br />SEP 2 3 2002
<br />L
<br />Roy _ Men_r_oe _ Florence Stick
<br />ID Wn C 9 ER INU .FORICIER 1 g OIWLNi -NAME
<br />Ivmm awq TO, year WE.AI W rrvkal
<br />No N Nora Helen MOnrOe
<br />I.. wFOPmANi mNIESTADDNI FTxFFTOxxFU IT, Gry OTTOwN STATE ZIP! -
<br />515 N Grace Grand Island, Nebraska 68801
<br />ITEMBELDERiERGANDATTEPAS A DCEaE IT xla Erroo OF DEPOPERPOIN 1210: DATE CFUFT=xYODC°FUnTCUV NAUI
<br />Not Embalmed ❑M'. ❑.—I Sept. 14 2002 Central Nebraska
<br />nn
<br />FUN RAN HOME NAME �EMEIEDVW WEUaTODV IOCAxON 111101 TOWN
<br />Apfel— Sutler— Geddes F. H. ® °' ° " "°°' ❑°inia" z "Cibbnn. NahS,BBI
<br />1123 West Second Street Grand Island, Nebraska 68801 -5899
<br />Cremation
<br />STATE
<br />TARIFF TNIEN J— THAI UAUi PIx LANE FONT N, 11 AND IN III AAN,,I ".aol a.e—I
<br />- E ?CUE iOO1AS A CON5E0UENCE OF Inea, eeeen NOR IN ne+
<br />W A w/y
<br />RUSSEQUENCE I"Inmax am eoom
<br />Ed
<br />OTHER S,GNIFICPNr CONgrbNS CmNromoomN — REAe.E.-mIIIATH AIrtTPSV UE
<br />AFT II IF FEMME. WAE TNRAEA IT uRwNtD IO MID'
<br />x fxnx.v,x Tx m "r M xrx + OSONE1a
<br />PART r E ., c D N s uAm AND
<br />Plnm +r°s°I ..D xA
<br />I
<br />"
<br />SAW Pee DATE OF Y ua wx T, ma NOUNOF rvauNV z m DESCNDE HOW NaDRIYOCawRIEO
<br />A -SMIL ❑ mM.wrYIrA1 M
<br />U c.xe �] 1 D r NTY °I atp�w,°N. Ea�m 0—EA1D up. A«.T,ON STREET OR NFD xo cDY Ol TOwx smE —
<br />❑xE,A,A vNa1 �o'oo °I �°
<br />g aF RI OATESIGNED um. w...I zm, nMEa DUTX
<br />DAaOFOsxoL- _
<br />AN—
<br />Q, z TES, NE WN , rnEOE U. *1 NTwxwNDm DEAD .w Ely Dl 'zm 1NO 1 -AFDUD sE
<br />5eA DAR- (b� poJ °s1 � g
<br />sR ne - NTrr E.. tare a "e daceaN eHAA "Inr xc _ — aE - 1,11,avNA,
<br />E IDEA �s ""AP.arowaaroe.N»,a�r,....Ed
<br />u
<br />21 °IDT�«OUSCCON�TIITXIoTX,NN� ❑ Y� . �°O',„ PTA ,De.,ADE NF�T 0,1NTEOe — DAY' 11 „HAT ❑rx
<br />,1 NAMEAN =OFD ENT, FI�1PHYSICAN�NDNE1SPXrs ,°MNDNeoUNTYATTOANEY, IrRR ,EI,
<br />Dr. Anne K Mor 729 N rth Custer Grand Island, Nebraska 68803
<br />vza FIECI„"A° — Pee DAT E FILED BY BEDSTEAD ,A. D, III
<br />SEP 2 3 2002
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