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 />
|