|
LEGAL DESCRIPTION: Lots Seven (7) and Nine (9), in Block Twenty Two (22)3 College
<br />Addition to West Lawn, an Addition to the City of Grand Island, Hall County, Nebraska.
<br />0
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />140V Ib IN STANLEya PER_ DIRECTOR
<br />LINCOLN, NEBRASKA 200303433 BUREAU. OF VUAL- STATISTICS
<br />STATE OF NEBRASKA— OEPARTYENT OF HEALTH 82 12458
<br />BUREAU OF VITAL STATISTICS
<br />ProTlc$mATD At AFATMn , ,-.i
<br />DfCIOENI -NAME IIE51 A. ! T n ✓ r� DATEOEDEA (AA.-I, 1'I
<br />Braun Male November 28, 1982
<br />Clarence Arthur R.
<br />MCL- b -0- WSila. \IaE, Arui[an pIO1NIDEXENTP {- x^Iien,Mr.knn, AGE -Yn EinMq UXDIII"A. ON RE I OAY DATE OF" "Xl3ls.Ory, lr.l
<br />Indian. )rspwN31 Girn..R.l lip..'Iw rrn.) 56 MOs. DAYS XWES. MINS. Dec. 5, 1925
<br />WSite American r. a.
<br />CUY AND STATE OF IRLX (N wlir LL$A. CIl1IENp W11AT[WNTRI fD, MEVEIMMMED. MIME O1510VH(N.ib, lismmiMn noaa
<br />"[ U.S.A. f "rrie5d�°'') Jacquelyn Pickett
<br />Spald� in Nebr. v. ID.
<br />sOC1A3s {C iNUMEe! uSUKacu[AnoN rem uMal•aA dan•a./inv ratl INDalum"155C.F. COUNTY OF DEATX
<br />^' "nR M ^'ica" 1 I Railroad IM. Douglas
<br />„508-18 -5718 „jaec�'Tanicai or D3 I
<br />CI1T, lOWNOIIIXAlIp101 Df1fX INAD![III UMIIS X051114 pOTXEI INSi11UlION -Mew fNm.fn.iMac naTM nolll lMx3T�IMk�m.OW.,prMl
<br />fSpreN,_Ynw IN) viw "n )
<br />1e Omaha ,,,. es ,v. Joseph Hospital 1,. ,Inpatient
<br />R{SIDENCE -STAIR couNTr
<br />an.rowN OE EOCATION Snfn aDNUM,ER wuoeem suns
<br />sp i
<br />,,,_Nebraska Hall ,,,.Grand Island ,$x.2126 No. ParkMAVe „n ffi
<br />,3, IA Nq XfR- IDEM
<br />A
<br />RE Anthony Braun IL Frances qry Bqal1,lwpe�Cg, Q{�Oy11MyfJ�,.{
<br />WAS DECEASED IVIE IN U.$, AFMID FOKESY INfOYMNT- NAM[- fE4TION5H11- NAILING AW{f SSnd Is13ano,N Ne113r. BWOf"
<br />n.. n. ...n w,...i..., «a aa.. >—.•.0 lJL2 1 llilE NE .000.V
<br />WW114 -14- 44/5 -12 -4 ,.Jac el Braun wife 2126 NDN Pars e sTAIE
<br />SU OALcn_s_.Wnerol T Dec 1r <FMIiEn OE CREMAfOIY -NAME
<br />Burial NI, 1982 ,o.. Westlawn Cemetery Em. Grand Island Nebr.
<br />fMMW !- SIONALURFtOf Sf NO. NNFFAI ROME- NAMLANO ADORF[5 ISItlEE9l lda xp,GC1N1Dy"Y S,•Y�.q 68801
<br />214 „Livingston - Sondermann -s, 505 W. Koeni
<br />n. DATE D I., D ,. TO XDVE OF DEA X
<br />DATE DuaH (Al , w,, 10 � y
<br />S Y M
<br />ll ,sa. November 28, 1982 ` .EarLOUNCeO UAD nEN+ouucfO Dfmmn..i"
<br />i 0A M!D (Ma., DeP Yr.) NW I Or DEAIM t - flAp DAY Yr.)
<br />,tea 211. December 1 1982 L><. 4:15 P.M. •i` 5e. «n '
<br />S2 I.IE.S.•M•Y1n•HM.we..W e.n.a., x•..., a.W .ne rX«..a m.nx. E18 a.aw....n.aw
<br />•.,Mn w•M. S A..ls:..won Mrixu► -.
<br />A13
<br />NAME A AODEESS M CE fIEl1IX1$ICO EKS I $ICI W COUNTY AITOFNEY) R[pa ar Innll
<br />Michael J. eaver M.D. 607 f,. 30t1 Suite 4740 DATE RECIIrvE. IYiKTSYUEH(M:3"I, h.l
<br />RE W.. DEC 31982
<br />w aM rM
<br />Y]. IMMfdATF US! ([NIn ONSY ONF
<br />IAEL 24 Hours
<br />'., Acute M ocardi al Infarction ,.,,�-
<br />Uf IO, OE Af A CONSEQUENCE W.
<br />PI uml Sn...n uwM aM a..n
<br />WE TO, OE AS A CONSIDUENC{ OE
<br />„I w ro waus
<br />TART x33MM.SU1sc 3- c-a,lien wnMR�XnR 1. a.vM e«.x «I•ra r "...4CYI'xw ,FAA,,i�JMixsr (S�MYrw xu lE3KIMIXEi9=4"
<br />11 1N. U 21 No L. it •, µNo
<br />KGpM. 3NC,R. xM1.CIp. UNYII, WR OF 1..IM... A., uJ xDW O. Ni I C{ %nEI N]W ,MVtl MCUtlED
<br />OR NNMMD IN. Ill. x. NrrMl
<br />RA
<br />,YCId MYURY -u3a. .�. ei.u.,saw.. SD{Mwx SM SIIn OR R1.O K. C,IYd TOWN S,AR
<br />fTrxN, vn r N.l sxin _i A...n. 11-14,
<br />b.. M. O
<br />ITT
<br />a
<br />D
<br />ri
<br />G,
<br />EIS
<br />(p
<br />N
<br />u
<br />o
<br />O
<br />Pf
<br />[JD,
<br />S
<br />7C
<br />2
<br />C/
<br />T4
<br />m
<br />W
<br />s
<br />t—
<br />GT
<br />m
<br />CJ
<br />cn
<br />y
<br />c.D
<br />Z
<br />O
<br />LEGAL DESCRIPTION: Lots Seven (7) and Nine (9), in Block Twenty Two (22)3 College
<br />Addition to West Lawn, an Addition to the City of Grand Island, Hall County, Nebraska.
<br />0
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />140V Ib IN STANLEya PER_ DIRECTOR
<br />LINCOLN, NEBRASKA 200303433 BUREAU. OF VUAL- STATISTICS
<br />STATE OF NEBRASKA— OEPARTYENT OF HEALTH 82 12458
<br />BUREAU OF VITAL STATISTICS
<br />ProTlc$mATD At AFATMn , ,-.i
<br />DfCIOENI -NAME IIE51 A. ! T n ✓ r� DATEOEDEA (AA.-I, 1'I
<br />Braun Male November 28, 1982
<br />Clarence Arthur R.
<br />MCL- b -0- WSila. \IaE, Arui[an pIO1NIDEXENTP {- x^Iien,Mr.knn, AGE -Yn EinMq UXDIII"A. ON RE I OAY DATE OF" "Xl3ls.Ory, lr.l
<br />Indian. )rspwN31 Girn..R.l lip..'Iw rrn.) 56 MOs. DAYS XWES. MINS. Dec. 5, 1925
<br />WSite American r. a.
<br />CUY AND STATE OF IRLX (N wlir LL$A. CIl1IENp W11AT[WNTRI fD, MEVEIMMMED. MIME O1510VH(N.ib, lismmiMn noaa
<br />"[ U.S.A. f "rrie5d�°'') Jacquelyn Pickett
<br />Spald� in Nebr. v. ID.
<br />sOC1A3s {C iNUMEe! uSUKacu[AnoN rem uMal•aA dan•a./inv ratl INDalum"155C.F. COUNTY OF DEATX
<br />^' "nR M ^'ica" 1 I Railroad IM. Douglas
<br />„508-18 -5718 „jaec�'Tanicai or D3 I
<br />CI1T, lOWNOIIIXAlIp101 Df1fX INAD![III UMIIS X051114 pOTXEI INSi11UlION -Mew fNm.fn.iMac naTM nolll lMx3T�IMk�m.OW.,prMl
<br />fSpreN,_Ynw IN) viw "n )
<br />1e Omaha ,,,. es ,v. Joseph Hospital 1,. ,Inpatient
<br />R{SIDENCE -STAIR couNTr
<br />an.rowN OE EOCATION Snfn aDNUM,ER wuoeem suns
<br />sp i
<br />,,,_Nebraska Hall ,,,.Grand Island ,$x.2126 No. ParkMAVe „n ffi
<br />,3, IA Nq XfR- IDEM
<br />A
<br />RE Anthony Braun IL Frances qry Bqal1,lwpe�Cg, Q{�Oy11MyfJ�,.{
<br />WAS DECEASED IVIE IN U.$, AFMID FOKESY INfOYMNT- NAM[- fE4TION5H11- NAILING AW{f SSnd Is13ano,N Ne113r. BWOf"
<br />n.. n. ...n w,...i..., «a aa.. >—.•.0 lJL2 1 llilE NE .000.V
<br />WW114 -14- 44/5 -12 -4 ,.Jac el Braun wife 2126 NDN Pars e sTAIE
<br />SU OALcn_s_.Wnerol T Dec 1r <FMIiEn OE CREMAfOIY -NAME
<br />Burial NI, 1982 ,o.. Westlawn Cemetery Em. Grand Island Nebr.
<br />fMMW !- SIONALURFtOf Sf NO. NNFFAI ROME- NAMLANO ADORF[5 ISItlEE9l lda xp,GC1N1Dy"Y S,•Y�.q 68801
<br />214 „Livingston - Sondermann -s, 505 W. Koeni
<br />n. DATE D I., D ,. TO XDVE OF DEA X
<br />DATE DuaH (Al , w,, 10 � y
<br />S Y M
<br />ll ,sa. November 28, 1982 ` .EarLOUNCeO UAD nEN+ouucfO Dfmmn..i"
<br />i 0A M!D (Ma., DeP Yr.) NW I Or DEAIM t - flAp DAY Yr.)
<br />,tea 211. December 1 1982 L><. 4:15 P.M. •i` 5e. «n '
<br />S2 I.IE.S.•M•Y1n•HM.we..W e.n.a., x•..., a.W .ne rX«..a m.nx. E18 a.aw....n.aw
<br />•.,Mn w•M. S A..ls:..won Mrixu► -.
<br />A13
<br />NAME A AODEESS M CE fIEl1IX1$ICO EKS I $ICI W COUNTY AITOFNEY) R[pa ar Innll
<br />Michael J. eaver M.D. 607 f,. 30t1 Suite 4740 DATE RECIIrvE. IYiKTSYUEH(M:3"I, h.l
<br />RE W.. DEC 31982
<br />w aM rM
<br />Y]. IMMfdATF US! ([NIn ONSY ONF
<br />IAEL 24 Hours
<br />'., Acute M ocardi al Infarction ,.,,�-
<br />Uf IO, OE Af A CONSEQUENCE W.
<br />PI uml Sn...n uwM aM a..n
<br />WE TO, OE AS A CONSIDUENC{ OE
<br />„I w ro waus
<br />TART x33MM.SU1sc 3- c-a,lien wnMR�XnR 1. a.vM e«.x «I•ra r "...4CYI'xw ,FAA,,i�JMixsr (S�MYrw xu lE3KIMIXEi9=4"
<br />11 1N. U 21 No L. it •, µNo
<br />KGpM. 3NC,R. xM1.CIp. UNYII, WR OF 1..IM... A., uJ xDW O. Ni I C{ %nEI N]W ,MVtl MCUtlED
<br />OR NNMMD IN. Ill. x. NrrMl
<br />RA
<br />,YCId MYURY -u3a. .�. ei.u.,saw.. SD{Mwx SM SIIn OR R1.O K. C,IYd TOWN S,AR
<br />fTrxN, vn r N.l sxin _i A...n. 11-14,
<br />b.. M. O
<br />
|