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d�'I)C,A,7I <br />LOT ONE (1) IN BLOCK EIGHTEEN (18) IN BONNIE BRAE ADDITION <br />TO THE CITY OF GRAND ISLAND, HALL COUNTY, NEBRASKA. <br />WFEN THSCOPYCARFI THERAISED SEAL OF THENEBRASKA HEALTH ANO "HUMAN SERVICES <br />SYSTEN; ITCERTw;Es THE BELOW TO SEA TRUE COPY DFTHE ORIGINAL RECOROONFK,EWRN <br />THE NEBRASKA HEAL TH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECHOR WHICH IS <br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. <br />DATEOFISSUANCE - <br />�200c17��7q As^�d, RR <br />LINCOLN, NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM <br />STATE OFMIASKA- DFDDEBS HNTOF MERLIN ANO HUMAN SEAVICPS FINANCE STAT ARDSMFIIMT <br />1771 99 01731771 ISTICS <br />CERTIFICATE OF DEATH <br />OFLIDENTE NAME FIRST M 1E <br />.Ro"DERix I—LF, Ynrl <br />William Ray Bresley <br />Male <br />Fehruar 17 1999 <br />Grtv.lxO EieTF F iunr mMl✓1 LLSl M,ry mnvn <br />•IY'e' <br />VX�EFLOAV <br />T eeq <br />" DAY <br />.,:DL MAN <br />Grand Island, Nebraska <br />63» <br />October 6, 1935 <br />OPAL SECVRTIY xuuOEP AS PLACE OF OFATH <br />505 -36 -3670 HOS "_ ARm.ed ❑ N -REIDY • <br />IN FACARY. AS- m•W,Mmrmw, wwROPPI RAWA ❑ 11 Cd»e.d ❑ HI <br />Methodist Hospital ❑ DE ❑ a " ..Y,+ <br />N. CITY. TOWN OFLOCATiON OF DEATH m r m' EONTVUEN v - <br />»DouglaEATH <br />Omaha, Nebraska Y•� No ❑ s <br />na HECDENT-STATE Yr CVUxry # PTV,T°WNOHLOCATiON I STREETANDNUMBEH prc/wtig�ML wsiV[PTVVmTS <br />,enueNebraska <br />Douglas Omaha 1024 North 47th Avenue TO, ❑ <br />L. nNLEbT <br />OE L.p. WAM SI Amerean FRIDAY Pv ieg ntlrm Menun Cermen era ¢ ❑MnnmEO ( Iwi wE nM °F nuFC rr..vw prvnrru yn nenul <br />BXN <br />LJ <br />m'IEO... "iJhite Is.T�mBcot ch /Irish �NEV Ec /AER <br />UN r•x <br />u OODMRfTION /BA..:AE,WR— AANBmRAI KNOOFBUSwesBINwBTRV R„, " ^_ ^r,.g,,.,r.....S.Fnwl <br />mn RmxN Elenrennry d Eemnoery ID Ri Ceua + <br />Draftsman I Corp. of Engineers <br />12. N%A <br />_ <br />LB FATNEF -INME pP6T drDOLF LA.Si P­ arHT MIDDLE MAIOENSUPNAME <br />I'll <br />Vernon Bresicy helen Montvomery <br />w5 OECEAStu `EH Lea N US w type. INFORMANT -NAME — -- <br />my e.r.,e....T., <br />iPri A. Brooks <br />villa <br />Po INFORMANNAILING FORMANT NAILING <br />ND RECESS FTHFFTCHHFD NO. ETYORTOLAN ITAII III <br />655 Last Neves [rand Island, Nebraska 68801 <br />B LFBALMA RE FLCORSE NO izT. ME ODO OSroso znDATE y j�"ii"Yciest <br />f S t Lawn �� <br />Not Embalmed B w February18 199 <br />_ ❑ ❑ Crem <br />nA 4ENE1 DR C °R AT Orv- owory <br />zz FD <br />aF SIAF <br />06 Wes [Lawn HI11crest Fune® �° ❑D^•n <br />_ 5701 Center Omaha, Nebraska 681 <br />aUNERALr MEADORE55 I5TREET OR R, F, D. NO EITY OR TOWN. STATE ZIP, <br />85701 <br />Center Street Omaha, Nebraska 68106 <br />M <br />EH ONLY ERER EwEFORmIm.ANOlrai.. —. .mA,.d <br />A <br />IaiMEIIT <br />TS'I <br />DUE TO OR A6.I—EOUENLE W AS, uI MVwn omm n"All <br />ARE TO .OR ASACUxyEWENSt Oa - i Imervammmnn nnen aen nay+ <br />AHn pFF wr15 THFHEX F <br />OTXER Sq WFILnNT CONDLTLOrvS Lmonionr conrriewnpmme warn nu wrrddnn ui0✓yv REFERRED T➢ EDICPL <br />AS <br />FHFFUnrvCV I v wa Hy' E ER ONCOPONEH ^M <br />rN °L %ANN A OCA <br />11 <br />II <br />A vm xo Lea N. ves No <br />ILL <br />E6v pmEOFiNmM mlu Ny. Yp M HWROFw v A DID HUr, <br />.CHINE INrunr°mrnnCO <br />I� <br />❑Sx �rmrq L 6L lyNl &HV I m rx.x Lmw AN, LOCAD0." STREET OR R FA NO -1A DH TDwN .T aT. <br />eRl/O�pe }S.TMI' <br />dT e w ^ v.. <br />/,a. w, T zm DnresOrvEn ma ma Y,r <br />.,. DALEUFDEATH Y, — — — Sh TMFIFIFATH <br />a ix -a w <br />DA 11 OT /Ma ,! MEM DEATH '}'t zba. FROxouNLE00EA0 Mo D lrvdn <br />g LAY DA „Y„ OHNCFDDFA <br />Ynmw ff P OF REA ANT e ^dA, pSS <br />ulYeo eR^ er¢odr z <br />PPIE'AZA .,A Sp ume.m NC.o.eA Vw m AVweem41 A. <br />A Tr¢OrLONRNOWN �• <br />DDTOHACLO U6£PoxTRiOUT TO + Hw50Wnx °HT NAi NOOXSIOERED'+TA >JE WAR LOH6EN TEO <br />IW <br />❑ NO YES ❑RVx <br />.nt <br />]I PREFERRED ADDRESS OF EEFIFA REISMAN, CORONER'L>HYBCNNORL°uMVAlloll IRAWIPYENI <br />Dr. Peter Townley 401 Vast Gold Coast Road Papillion, Nebraska 68046 <br />OR <br />(30& <br />/ /” ;!, ! <; . <br />Ill LATE TE FREE BY FIGIATRAR III CA, nl <br />MAR 3 1999 <br />