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200201497
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Last modified
10/14/2011 4:52:16 PM
Creation date
10/21/2005 9:23:36 PM
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DEEDS
Inst Number
200201497
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i <br />}n. C x x N o Ay <br />fi w <br />< c <br />P n T o <br />N ALI <br />3 O <br />r <br />. � <br />Co <br />v n <br />INS M M s �� <br />lt CO <br />ry w <br />N <br />y� WHEN THIS COPYCARRIES THE RAISED SEAL OF ME NEBRASKA HEALTH AND HUMAN SERVICES <br />r\) SYSTEM!! CERTIFES REBELOW TO BEA TRUE COPYOF THE ORIGINAL RECORD ONFILE WITH <br />THE NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM VITAL STAMs"ICSSECTIM MOCH IS <br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />DEC 6 2001 200201497 �AYOER <br />- ASSISTANT STATE.REGISYRAR <br />LINCOLN. NEBRASKA HEALTHAND HUMAN SERVICES SYSTEM <br />STATE OF NTJEW"� DEPAATAffNF OF HFALTH AND HUMAN 5MVICES FINANCE AND SUPPORT <br />VITA IS <br />. STATTIC$ 1 nn 1.2993 <br />CERTIFICATE OF DEATH - - 01 <br />r FcEpw, PAGE .:A.. ANY, I. _o1L _: u. <br />4 <br />nd Island, <br />Nebraska <br />55 <br />'TN <br />_ <br />Sen <br />[emher <br />"IM."Im Y." <br />__. _� <br />,. uCF CFA <br />OF <br />BDOkk e at <br />505 -54 -3742 <br />- m.:T <br />N sFiTAL <br />O <br />[] „A.:.. <br />_ <br />Anrette <br />UTI Nom <br />Olen Lor^ncc <br />x <br />_y <br />I 829 MrMar_tin_ Avem_Le_ <br />Grand Lsland, Nebraska 65801 <br />PNB Ln MEN - IlSAATINE 64CENSE mO - <br />^cFE <br />,.% �oapHUPI % AT <br />❑ <br />❑ <br />C. ""` "` <br />29 McMartin <br />Avenue <br />u. 111EAAI NONE NAAAF - -.. <br />i,:I cA1— AN [eEU,uTav LCC.T.oP <br />TC.PCp I L:ArpNOFF— <br />L&- sTY LPBS <br />MINE i.v. <br />1u1OFD nIN <br />.,,,d T,,1 —d <br />... U - ® <br />l Merri, k <br />LIIiO�I <br />p <br />QR �1 �r1 Q� �� O� <br />z <br />1. <br />"I U P, <br />Whrte <br />e <br />Amacan <br />uEnnL VOUE nppPE65 19 aEET Oe 0.F0 u0 LIrvOa pNVU inn qa: <br />111 11 IN ATIN ',A mow, A <br />1 1111 111 <br />^E. <br />68803 <br />BDOkk e at <br />Vntiet Store <br />^ <br />- m.:T <br />/_r�� -C�� <br />Sam <br />Kranii Sr. <br />Anrette <br />Olen Lor^ncc <br />aN oAM� L ,.CL - <br />_y <br />I 829 MrMar_tin_ Avem_Le_ <br />Grand Lsland, Nebraska 65801 <br />PNB Ln MEN - IlSAATINE 64CENSE mO - <br />^cFE <br />,.% �oapHUPI % AT <br />m T:A:� <br />L v <br />-Nor Embalmed <br />i[��:.,A U:...,�..INOV. 19, 200�We <br />u. 111EAAI NONE NAAAF - -.. <br />i,:I cA1— AN [eEU,uTav LCC.T.oP <br />7 L <br />TNN <br />. MEAN / AN — — <br />MINE i.v. <br />EE.b.rloyCEA. Grand , NF. 68801 <br />c w,N ➢ 2 <br />Kimbe do A. MLCke]o MD 7L9 N. GusCer Crand Island, — <br />� I _ NOV 2 6 2001 <br />uEnnL VOUE nppPE65 19 aEET Oe 0.F0 u0 LIrvOa pNVU inn qa: <br />! 601 N. Webb Road Grand Island, Nebraska <br />68803 <br />/_r�� -C�� <br />ax <br />�� <br />^cFE <br />,.% �oapHUPI % AT <br />n m / <br />uv mm <br />L v <br />Lrr <br />M <br />nP <br />Ej I nL <br />LJ <br />7 L <br />TNN <br />. MEAN / AN — — <br />MINE i.v. <br />1u1OFD nIN <br />pp <br />i111 <br />LIIiO�I <br />p <br />QR �1 �r1 Q� �� O� <br />z <br />�. .,_ _.. <br />i <br />-L'I- F <br />�..m. <br />r� <br />rn <br />LIANT YSP <br />oE] <br />NApN Fp <br />., P <br />A. � <br />Ld�- <br />EE.b.rloyCEA. Grand , NF. 68801 <br />c w,N ➢ 2 <br />Kimbe do A. MLCke]o MD 7L9 N. GusCer Crand Island, — <br />� I _ NOV 2 6 2001 <br />
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