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C, I I,97 STATE OF NEBRASKA- DEPARTh%NT OF HEALTH AND MMAN SERVICES Fl1J�H(;g,�I� 1 VITAL STATISTICS •1 U �� •)� N CERTIFICATE OF DEATH (V V F+ i- Z w w U lJ 0 Q Z Ci v 0 0 u 0 V N N a E c R U L a v O LL FOR VITAL STATISTICS USE ONLY Place... .................... A._............................. 8.... ........................_..C... NSC - .. ...... .. ............. ....................... .__._.............,. .........._..........._.....,,. Work........... ...... ....... ..........._.............._................_. ............................... UC... ..... .......... ............ __.._ ... ,.... ...._..................... _......................_....... Reject ...................... ...... .......................... ............... ....._ - - -_. D. ............................ -E- ................ ...... ... ..Part II ...................... TMV.......... ..... ...................................... ...._................. _..... - ........................ ......... _. Census Traci t: ............................................ _............. v, m.• .nn eer AA...wrcMa wwI herebU Certifj thil f0 be a true, and COrreci CON Of the hied with the State of Nebraska by Signed in my r this day of 1 Notary Public W NERAL NOTARY-Stale of Nebraska TERRY L. LOS HEN My Comm. Exp. i rnt. NnMY FII1S1 MIIIIIIF LAST -- .','CM ] DAIEUFUEAIN AAarTQ. 1Y Peter J V Merten Male Au$ust 1, 28001 OY a [ur nr li SlnrE nr 11 /II /Sa' nlryl nuF -lw1 RL .1 U4OERI CIA R UNDEni p ^v IVrel QS 'AMTS T DAYS Sc. HDURS MANS Blue Fllll Nebraska . -_._— - -_— _. -. -... O April 29, 1916 I va. nlsmunrvry rzel.r. __ -_ ge PLACE UI IIFAIH -- 508 -05 -7847 HOST'DAL [XJ -PALM oIHE. [� NY," ny Blr ler.I, IIY Na.1N rynnr.nrnlYHai Dive eliON^ rr::Mrl EN UCADIII nl ❑ gAyOercrr • St. Francis Medical Center ❑ ^ ❑ oe.,lu.�Ml MCII UWf10H L(H.et XUF 1Y .._________ _ __. bJ IryggE Cq II$ PP CCUNIYp UFAIH - Grand Island e [}d Hall 9n R( ) N'E STAIF W :J INIV qe CITY TUWNORLUCAIION STREET AND NVVDEH pnOwW1y 24 GObl %Ns,,, Nebraska Hall L Grand Island 728 S. Cleveland 68801 w IO PA F V -WN -q ! A ^n h^an ANCF.SIHYLp A M. ren, penmen, ncl 3 jy1 MARRIED j"1 Y`66iip IJ NAME(K $pglgE Illwh 9"�rneM,:•rygl MI hl 151 MI l_I - White IFVER _ America _ -� jOIVC)'ED Viola E. 'Susie' Meinte IAS I15 NLf%,CV AI JH p:,Yp ggryy_rypUp Inp RAND OF BUSINESS INDUS M .ry eYll L' Rill ii lllfl' L /n*er IS EDU ` ISw[RI IMY M191y,1 yr,pF AUTAMFb�I Lq _ Elemer:lerY a SRwpnY p.141 Ce49^ AI A n s.: Funeral Director Funeral /Mortuary _ ___ 2 Years 16 FAIIIII, NAME PITTSI IAUULE LF.51 IT MUTHEfl FIRST - -- ears —'—' MIDIN F WIDEN "NAME ' Peter J. -. Mer_t_e_n Jesse P. Robinson _ IB WAS UECEA$ED EVF II IN US ARMID FURZE$' 19e INFORMANT NAME - — - (1 1-yK Ill Ye1 prve wen eM1.1- Mef: --, Yes WWII 6- 25- 45/4 'Susie' — — -30 -46 Viola Merten _ 19NINEUNMANI MAl11NDAUURF55 ISIREEIDRgfu NU.LIIYORIOWN $lAIE. ZI %� - - - - -- 728 S. Cleveland, Grand Island, Nebraska 68.801 -- - - -- - -- -----_ 20 C TI MEN- 4GNA111(If FIIf.F11SE NU )In MEIHLOCF LY$pU$II DN 11 U. DAIS $IC (.FME IERY pR CREMAI(IRY MAYE F -UdN ❑R.I,M „A AuR. 4, 2001 Grand ter �zz �urir Hsi: YloAie NAM•_ eme PJ CEMEZERY OII CHF 1(7CA 61ry ONIGMI SIA:1 Living stonSondermann F.H. Nebraska Grand Islan d �]] IIINFMLHOMFAUU_F55 UP TOWN $rI AtIE.IF -- 601 N. Webb _Road, Grand Island,_ Nebraska 68803 -4050 _ t] IMMFINATF CAU :E - If NIFR ONV ONG CAUSE DER LINE FUR FOR VITAL STATISTICS USE ONLY Place... .................... A._............................. 8.... ........................_..C... NSC - .. ...... .. ............. ....................... .__._.............,. .........._..........._.....,,. Work........... ...... ....... ..........._.............._................_. ............................... UC... ..... .......... ............ __.._ ... ,.... ...._..................... _......................_....... Reject ...................... ...... .......................... ............... ....._ - - -_. D. ............................ -E- ................ ...... ... ..Part II ...................... TMV.......... ..... ...................................... ...._................. _..... - ........................ ......... _. Census Traci t: ............................................ _............. v, m.• .nn eer AA...wrcMa wwI herebU Certifj thil f0 be a true, and COrreci CON Of the hied with the State of Nebraska by Signed in my r this day of 1 Notary Public W NERAL NOTARY-Stale of Nebraska TERRY L. LOS HEN My Comm. Exp.