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RCM 'INS STATE OF NEBRASKA — OEIAFTMENT CF HEALTH
<br />2 0 0 3 0 5 6 2 9 BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
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<br />Alice Rombaeh
<br />Female
<br />February 041997
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<br />November Il, 1926
<br />Coweta, Oklahoma
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<br />PI SEEDED' NVMEEP
<br />�. 6441
<br />PUCE DF DEATH
<br />19 ❑
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<br />❑ EP OUW%M ❑ Wamerce
<br />EAUUn.xamp I[rmlxrHl°wnAw N-A -1YHW
<br />PoSt.
<br />Francis Medical Center
<br />❑ COA ❑ OFEW',`W,,
<br />Y. C11 TOWN ON ICwTIC' w DEATH —
<br />In InuE
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<br />COUNTY Cf DEATX
<br />Grand Island
<br />W. [g ❑
<br />Hall
<br />R. xIC.1FCE -6FATE
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<br />FTF E1 a IN /Mnuzry Zm LCdI
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<br />Hall
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<br />348 E. Dodge St., 68801
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<br />IO FACE .Ia0. wnm. AAI ... I M'CEBLRY Ia1 ."'1 MAY WF Cnmaa, ATl 13.O MAAIED ❑WI 13 . NAMEOFSFWSE Id M.ynmMavvrml
<br />UMIE" Zmerican NEVER D C1YC-CCD Robert L. Rombaeh
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<br />u DODWIFIDx Iul+aim/dxw &m wvw.n.r AND DF STARE61NDUSTRr c.Twx I!v .u.l
<br />b ISEIP..NO'°1
<br />aA'a"A"RNF.v.'
<br />..l grt °/9.1r Io-Ie1 FAM 1-1.1
<br />Home Maker Domestic lL
<br />1. FATIER.NAME FIRS* MIGOIE usT +.
<br />MOMER FW6T MIDDLE MAIDEN SURNAME
<br />Phelan Phil' s
<br />011ie Handcock
<br />WAS DECEASED EVER IN u.x MMED FORCES'
<br />16.nr
<br />1M,, NEOPNAXl. NAME
<br />m. ,.11 III»a.sx.SUMAm.w. M—..l
<br />No
<br />Robert L. Rombaeh
<br />IPo. IXE°PMAx! MAwNGAGDPES3 19MEET ON NFD. xC,CT'oP TOWN 6iALEEI%
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<br />348 E. Dodge, Grand Island, Nebraska 68801
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<br />11e. MEMODOFgEPDYT
<br />:. DATE
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<br />Eta CEMETERY PMATORYL°CATgN cry CP 1-1 sure
<br />Apfel- Butler- Geddes Funeral Home
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<br />Grand Island, Nebraska
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<br />.A FuNERAIXOME A.D. ISTNEET ON E F O. ND_ Cm DR TOWN STATE. n11
<br />1123 West Second Grand Island, Nebraska, 68801 -5899
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<br />DATE OF INJURY NAM WL nI
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<br />.I o N. ❑
<br />DATE OF DEATH /Ma. NY IT)
<br />E71 DATE
<br />M
<br />CATEEIGNEC IAM. D... v.1
<br />TAN (DEATH
<br />4, 1997
<br />HDArtgIGNED
<br />19 cS
<br />IM.Or."1
<br />e«. PRGxD UxOWDEPD Ian bµ Y..l
<br />iIG. PRONDOXCEDCUC IW11
<br />,H
<br />February 7/1997
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<br />RCM 'INS STATE OF NEBRASKA — OEIAFTMENT CF HEALTH
<br />2 0 0 3 0 5 6 2 9 BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
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<br />t
<br />IS
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<br />Dr. John A. Wagoner Jr., 800 Alpha, Grand Island, Nebraska 68803
<br />IGg14st 20_511egiasV Lot 11, in Buenavista Subdivision to the City of Grand Island,
<br />I HEREBY CERTIFY THAT THIS IS AN EXACT PHOTO —COPY OF THE ORIGINAL DEATH CERTIFICATE
<br />FILED WITH THE BUREAU OF VIT(AL IS�TyICyS � �IN J rLINCOLN, NEBRASKA.
<br />GENEAL NOTARY -Snle al Nearasia
<br />I C) (
<br />.C_
<br />RAYMONDA.OSEKA
<br />My Comm. Exo. Nor, 27, 2004 AP£EL —BUTLER `GEDDES FUNERAL HOME
<br />1�
<br />ELEDEM- FIP uiDME w4F
<br />N -C,
<br />B sE.
<br />s oATE°P DEAiN .Oa.. varl
<br />CEAFAT,AI;ary
<br />Alice Rombaeh
<br />Female
<br />February 041997
<br />` l.,Weus wrMEFN,,)
<br />s. .N B
<br />uxOEA vFM
<br />R ... r ✓..11
<br />M ws
<br />MIN'
<br />Ina
<br />November Il, 1926
<br />Coweta, Oklahoma
<br />70
<br />PI SEEDED' NVMEEP
<br />�. 6441
<br />PUCE DF DEATH
<br />19 ❑
<br />-26 -2776
<br />I1a TDL. FWARx1I DMER. .W. B °
<br />❑ EP OUW%M ❑ Wamerce
<br />EAUUn.xamp I[rmlxrHl°wnAw N-A -1YHW
<br />PoSt.
<br />Francis Medical Center
<br />❑ COA ❑ OFEW',`W,,
<br />Y. C11 TOWN ON ICwTIC' w DEATH —
<br />In InuE
<br />D
<br />COUNTY Cf DEATX
<br />Grand Island
<br />W. [g ❑
<br />Hall
<br />R. xIC.1FCE -6FATE
<br />ED,.,
<br /># Cllr. iOwNOPLCCPW N
<br />FTF E1 a IN /Mnuzry Zm LCdI
<br />11ID RYIIMDs
<br />Nebraska
<br />Hall
<br />Grand Island
<br />348 E. Dodge St., 68801
<br />YW ❑ F. ❑
<br />IO FACE .Ia0. wnm. AAI ... I M'CEBLRY Ia1 ."'1 MAY WF Cnmaa, ATl 13.O MAAIED ❑WI 13 . NAMEOFSFWSE Id M.ynmMavvrml
<br />UMIE" Zmerican NEVER D C1YC-CCD Robert L. Rombaeh
<br />•, [oC
<br />u DODWIFIDx Iul+aim/dxw &m wvw.n.r AND DF STARE61NDUSTRr c.Twx I!v .u.l
<br />b ISEIP..NO'°1
<br />aA'a"A"RNF.v.'
<br />..l grt °/9.1r Io-Ie1 FAM 1-1.1
<br />Home Maker Domestic lL
<br />1. FATIER.NAME FIRS* MIGOIE usT +.
<br />MOMER FW6T MIDDLE MAIDEN SURNAME
<br />Phelan Phil' s
<br />011ie Handcock
<br />WAS DECEASED EVER IN u.x MMED FORCES'
<br />16.nr
<br />1M,, NEOPNAXl. NAME
<br />m. ,.11 III»a.sx.SUMAm.w. M—..l
<br />No
<br />Robert L. Rombaeh
<br />IPo. IXE°PMAx! MAwNGAGDPES3 19MEET ON NFD. xC,CT'oP TOWN 6iALEEI%
<br />348 E. Dodge, Grand Island, Nebraska 68801
<br />��RRg Eno
<br />11e. MEMODOFgEPDYT
<br />:. DATE
<br />Nc CEMETERY OR CREMAi°PV.xmE
<br />�uMREr o1�2
<br />©e.M ❑P.
<br />M 02/08/1997
<br />Westlawn Memorial Park Cemetery
<br />E Eu�1 -LH E -NP
<br />Eta CEMETERY PMATORYL°CATgN cry CP 1-1 sure
<br />Apfel- Butler- Geddes Funeral Home
<br />❑
<br />Grand Island, Nebraska
<br />.A FuNERAIXOME A.D. ISTNEET ON E F O. ND_ Cm DR TOWN STATE. n11
<br />1123 West Second Grand Island, Nebraska, 68801 -5899
<br />W.IDUT -AE IENTEP °A'LI - I CD— PER NAW FOR bL N1 AXCldI ITF—, Rwm FA. A, FAF
<br />Arm
<br />lal /1 /�I /Y lYS9'd .
<br />I I mmm.Arem.clm
<br />A.�DF CE
<br />OVEN. P x OP
<br />NI iVJl Aa �
<br />I A
<br />RR a Due CEIRE F—II FAFAW -°..1 AT, WFA
<br />q
<br />OTHER RGAINICANTCOxoD1°n's. GFWFW1.ml AF9FFMIWIDAN1M,.IYeJ
<br />.RTI IErE EA A. AUTOVgv
<br />EyM
<br />"EN T..IA1.
<br />wR
<br />FART Plln.a:o
<br />N oxm110
<br />E..M1
<br />YAM AI
<br />E5•
<br />tBa
<br />DATE OF INJURY NAM WL nI
<br />NCUPCEWVRV
<br />CPIEEHOWIWCPYO :U PED
<br />,,AN ❑ u ---
<br />rEl
<br />AFMF ❑RYA
<br />IT WE-
<br />ThI e�OOb. „x,1�y� TAT .NE,I
<br />OR, l°CATOx STREET OP R F D. F. Cl VOR TOWN STATE
<br />❑ H T�x . 1M. rc
<br />.I o N. ❑
<br />DATE OF DEATH /Ma. NY IT)
<br />E71 DATE
<br />CATEEIGNEC IAM. D... v.1
<br />TAN (DEATH
<br />4, 1997
<br />HDArtgIGNED
<br />19 cS
<br />IM.Or."1
<br />e«. PRGxD UxOWDEPD Ian bµ Y..l
<br />iIG. PRONDOXCEDCUC IW11
<br />,H
<br />February 7/1997
<br />1:05 PM�e
<br />a
<br />'”
<br />b1n.
<br />.T.R
<br />=1
<br />d dW Mw.
<br />9i TT
<br />ELVII aE
<br />COUS C
<br />gB.D DGMi
<br />DNoL:EE L R D'9
<br />Ma XP9 CPGAN EOOxsibl OEEx CCN61DEPEM
<br />°PoGY'S
<br />e0 ➢WA9WXEExTGMNTED+
<br />ON.
<br />ND
<br />❑ YFS NO
<br />.uuv exn enne.ee na new mH..lsx erumumsPHV61LIPx
<br />OP fADNiO' AnOPNEVI lTrwn Nlwl
<br />Dr. John A. Wagoner Jr., 800 Alpha, Grand Island, Nebraska 68803
<br />IGg14st 20_511egiasV Lot 11, in Buenavista Subdivision to the City of Grand Island,
<br />I HEREBY CERTIFY THAT THIS IS AN EXACT PHOTO —COPY OF THE ORIGINAL DEATH CERTIFICATE
<br />FILED WITH THE BUREAU OF VIT(AL IS�TyICyS � �IN J rLINCOLN, NEBRASKA.
<br />GENEAL NOTARY -Snle al Nearasia
<br />I C) (
<br />.C_
<br />RAYMONDA.OSEKA
<br />My Comm. Exo. Nor, 27, 2004 AP£EL —BUTLER `GEDDES FUNERAL HOME
<br />1�
<br />
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