WHEN THIS COPY CAMMS THE RAISED SEAL OF THE NEBR
<br />SYSTEM IT CERTWES THE BELOW TO BE ATRUE COPY OF
<br />THE NEBRASKA NEAL TH AND HUMAN SERVICES SYSTEM,
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS
<br />A2SIUM ,200302715
<br />LINCOLN, NEBRASKA M
<br />STAu,, OF N"RASKA- UEPARTAff]IT OF Im'LLn1 AND NIm1AN S®
<br />VRAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />nF_, oeN, PAN, ux', M�.,,F LAST
<br />�SZ.
<br />Clarence George
<br />Baxter
<br />m
<br />2
<br />D
<br />-� -„
<br />.�
<br />g
<br />o
<br />0
<br />rri
<br />rr
<br />III I I
<br />I HONE,
<br />Sr. Paul, Nebraska
<br />y4
<br />ni
<br />El in' 1111CT�v N,uBFn
<br />vLAaE
<br />o.'PAT.
<br />-Ni
<br />\ A
<br />Z
<br />R
<br />❑
<br />m
<br />506 -44 -2244
<br />a
<br />< m
<br />O
<br />wN, I- "AN”
<br />A�St.
<br />-
<br />C1
<br />, owa. N
<br />Francis Skilled Care
<br />❑
<br />�y,
<br />p IOW V OI,OCn au J OU I
<br />o
<br />NO.FI Fly I NTI
<br />ii
<br />Grand Island
<br />= ❑ No ❑
<br />Ha'.
<br />?A..�oomr -T_ -.
<br />-C�,.. �„rn+oA mc.T�O.
<br />Id eTna
<br />rn
<br /><
<br />o
<br />3
<br />r
<br />TV
<br />w
<br />a
<br />2
<br />s3
<br />n
<br />IN
<br />�1
<br />WHEN THIS COPY CAMMS THE RAISED SEAL OF THE NEBR
<br />SYSTEM IT CERTWES THE BELOW TO BE ATRUE COPY OF
<br />THE NEBRASKA NEAL TH AND HUMAN SERVICES SYSTEM,
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS
<br />A2SIUM ,200302715
<br />LINCOLN, NEBRASKA M
<br />STAu,, OF N"RASKA- UEPARTAff]IT OF Im'LLn1 AND NIm1AN S®
<br />VRAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />nF_, oeN, PAN, ux', M�.,,F LAST
<br />�SZ.
<br />Clarence George
<br />Baxter
<br />Ma.
<br />....;.gin TN ,�N:,. A.- mA �An
<br />-� -„
<br />.�
<br />NNOF
<br />w� „�
<br />11, NIPS
<br />III I I
<br />I HONE,
<br />Sr. Paul, Nebraska
<br />y4
<br />El in' 1111CT�v N,uBFn
<br />vLAaE
<br />o.'PAT.
<br />-
<br />ACAFmu
<br />❑
<br />�11-I'T
<br />506 -44 -2244
<br />wN, I- "AN”
<br />A�St.
<br />-
<br />❑
<br />, owa. N
<br />Francis Skilled Care
<br />❑
<br />O°'
<br />p IOW V OI,OCn au J OU I
<br />_
<br />NO.FI Fly I NTI
<br />s [.auvwoi ov
<br />Grand Island
<br />= ❑ No ❑
<br />Ha'.
<br />?A..�oomr -T_ -.
<br />-C�,.. �„rn+oA mc.T�O.
<br />Id eTna
<br />22, 2000
<br />❑
<br />❑ A,.NSO..n.
<br />NA N "L '1.b 2'2 A., e,ea,v ewu
<br />e s Aulencane�'n rT �: M Airport Rd -❑ NP L2
<br />n rt rt w rt N White 11 Gran �`.M ❑ ).Ante ov SOO s v, •.r,,...
<br />0 0 0 o Nebraska Ha d Island 9 1 W
<br />Ep '" s °` °' '4' ". Elsie Alexander
<br />m W�,R m - ,,.,., eD«a„..mmmv .EIE t sss F. sA,.n e n
<br />MSC O a M occ r' Cattle
<br />Farmer Agriculture/Feeding _ 10th Grade
<br />o - FINET MITTALL IIINNE.t - -_
<br />mCmr�
<br />w �n Tom Baxter _Lena Christine Sess
<br />°n is a or+usx,.m.ww- -- --
<br />F
<br />rh Mn ry no Daryl Baxter
<br />Cac.ELAess m n
<br />,T. TOY„ AN III
<br />m MA.. 4.xeQ 1/ P-LI os
<br />m Y R. 3J ❑
<br />m 0 m _ ka 68803 Ell CEMILTICYCII PIPE
<br />,PA wAp� land Nebraska
<br />3L66 N Monitor Rd. brand Is
<br />'} X Ma 26 2000 �Wes[lawn Memorial Park
<br />�-rtW m O n cevF.Fev owcae %aio oc - - curt
<br />7 m � OY,
<br />Mm re w Livingston- Sondermann F.H. ❑ °n^ °'^ ❑°oi Grand Island, Nebraska_
<br />Z m M M �mnc I.MI PIN-1 .,EAU -, a1.FO.o moon -1 sTnzevn
<br />1 N Webb Road, Grand Island Nebraska 68803-4050
<br />m
<br />6G
<br />p, 7 N p' O ..,r - RON[v ONE L NF men o -A 11
<br />m °y
<br />s o ouFxwoF - PE.- �PE.- r
<br />NU
<br />0b��m" [��C ✓D
<br />y g 0. OF .o m -
<br />Wp J.
<br />m �/,� n T 1" I A I �v�—I E 0 ECG,
<br />o n y �GYT�CL4/U C( L1�2 unoF �A. 1. ,r _ ❑+ ❑.�^?�L FIA "F -�._– INII IN THE "OfFITIC'
<br />rt n0 Iti
<br />y y
<br />~ m y � ] , ..❑ Nno❑ �Nm -.�M ..�.r. LecnT Ox 5 F ouaFO NO .inr n.i
<br />L PAY INJURY AT o m ,b rl .amc... ., u., T
<br />DiuFF OFFIe H un III "I
<br />k F3 - 00
<br />1YT1 AN II III PI
<br />, y�xa yy
<br />T✓
<br />X ❑ 11, ❑ N _V N iFFNI
<br />h�
<br />A . b»..' ,.Na
<br />❑. Z., x ❑.1 AN
<br />island, A( E (,E W5
<br />„TEF#N ff3 &I
<br />
|