|
<br />
<br />
<br />
<br /> st,,T rn
<br /> n~. n n r
<br /> w S"+ 2 A CJ p h CI) Q
<br /> M (A
<br /> 01 -4
<br /> f7 S' A N
<br /> i M
<br />
<br /> ti[~C us ~ ~ y N
<br /> co to ca
<br /> N
<br />
<br />
<br />
<br />
<br /> WHEN TKS COPY CJIRRES T1 4E RAISED SEA. THE NEBRJSKA HEALTH AND HLUVI SERVAL.
<br /> SYSTEIK IT CERTFIE'S THE BELOW TO BE A TRUE COPY OF THE ORIOWAL RECOM ON FXE WITH
<br /> THE NEBRASKA HEALTH AND HR/MAM SERVICES SYSTEK WrAL STATISTS SECTfON,'MONCH IS
<br /> THE LEGAL DEPOSITORY FOR ViTAL RECORD
<br />
<br /> DATE OF ISSUANCE 200209123
<br /> JAN 2 9 ZOO[ ASBTSTJINTSTATEREQ1~NAl~'
<br /> LINCOLN, NEBRASKA WEALTHAAVHLO WSSWIMSYSTEIif~.
<br /> STATE OF NEBRASKA- DEPARTMENT of HFALTH AND HL7AAN SERV SFW~► L FrA SQ1'Q1CF; . 4
<br /> VITAL SrAnST S
<br /> r.
<br /> CERTIFICATE OF DEATH 0' O O 6 O
<br /> '....cK ar wr.• r. ,~...._._...~--......SASE cwst {7 ~:er ti ii (X O[Arn :~1r+. .ti. •rw, O Sla')~
<br /> n A ct S
<br /> _H a lg
<br /> lard YI a a n a
<br /> n e F l -Y - v "
<br /> „N,j(M. •t FA f LroxA •'.l- t OwrE p V.Tn .•yr'a tY. -M.. _ ~ • •t A~
<br /> i %3.,^^.. y.. .e.f'~`.•.. .,y~Ca -A.FCavrr i n
<br /> • , ao res y , ii .ro~sa +~,.s _ tr: F: • .
<br /> Wnod Ritter Nebrask66?-_~-
<br /> ..45 r'wi. ❑ .sa.• OMFw ❑ oyyq wr ~S 1 w
<br /> 50-5--36-8788 r•o;+.+ ®ar.e....,~
<br /> en ra.Ki~....__Hy-.. ~...••,r..,.,y,.+nwwvvcrr :S. r
<br /> 2312 N_ Custer Ave. ► E] 0" r5'""
<br /> - e
<br />
<br /> Grand T t_"` U_L flail
<br /> Yi ,'.rk ,w .-ta..•r1T ,wr :IT. rc7w+OF tty;atr~•. tr" SrT~F.T ••rR utA.[W r+ ►.ru•4 ,
<br /> "W88031
<br /> Nebraska full i Grand Island 12]12 N Custer Ave. G
<br /> n,.., • : •-••c w na...r• i ee McI.F'~"J1~ Aw+ w.rr Cr--w- ec: •r ix-r wwnrl~Cn L. r'[x]w[a wrE Di S~'fTr'S!. r.wa ,).r w,s.•'r'^.°
<br /> White American LJ ~E4 r-l*y;>=.zA) (Nancy Hall }T
<br /> a• ,x.['u a.,.'. ,rw ar.y.•..". ~ ,r+ .wi;. C~ d.S+cFSS M7uti"a. 's [.7e.+CJeTOn ~wwr 'e~.°~owra ~y ~5
<br /> tir..y w _ r • Er•y[+rF s S.cardra• O •T CaFF~e ' ~
<br /> Truck.._(;river
<br /> ,y ~wuf csaS•., vo(.:~kF tw'.:T v4iKa e+Kt .AC~e[
<br /> r S- r
<br />
<br /> Henrietta Lueb~cear
<br /> William Pau1 . ri_
<br /> .y
<br /> Yc_s lul 29 52/Mar- 1.~Sd i Hbncy P-auLy r:
<br /> ~4i. •-.i <'wawv~ •,..•....G w.'1[rISS _...5••![•C~1NC6 M.GCVtla:CT~'•5'~•#_+r ..0
<br /> A
<br /> 2312 N_ Custer Ave. Grand Isand,t_Nebraska E88 3
<br /> - !H a{.:+f ti~{•v5[WM---^.......'~..N._.~_J.~7oa YfYbO~YJaCY'GM lsDwTt 71C f~MF tEAr OA fJL.wr+yTV +wMC r t:i •7,
<br /> In ~d ~ e , r~~-.. J fltesstlawn Memorial Park --r r:
<br /> t i an 25,2001
<br /> L _
<br /> Hwr w, 7,o -'4rCTF1r L'+•CFF wF '•.p'atlri Gr•aai Siwrf l: U
<br /> Grand Isla nd.Nebraska
<br /> A11 Faiths funeral Hams
<br /> •ar_....,.~t.awi l«:-w', +:lc~~.a ~_:u([r p"afC •u C, r. tw :orrv i*wi[z~
<br /> 2.929 S. Locust St. Grand Island,~N_ebr__asgka~t?88Q7 ~ N «r
<br /> --;...•.MaW:CI. •~'Fr:tif I~M1EHl14V QME.WSE ~'fNU'rE[C{'.t .G, wnp xr E"
<br /> • Lung disease unknown
<br /> ' N
<br /> PuS lle lW wi +l: ~"•Sk 4VC•G[ ci .
<br /> wwSCJtIE r+FSE'~[A TO..E~C4
<br /> xt "wNC ■ E Ft.[YE nA5 +ME A ' ; 76
<br /> piHE c: 4G•+ECwri-.rCn:.r4'r5 CWwm tae•caF+gn rr.rAn e.n .sa.rlrrre F~WFFtFRWGP~04FF'
<br /> ww:+T F'rIC/••rC•M i•E pw+jT ]wyIb'
<br /> r M-11
<br /> .AQ.• •::4 rri •.o ret b rw ,a 1 1~-.
<br /> i_:...---.r.__...-~..-..- ,W C~.+•7 j2-k or..D..'p•' ,3'6C flF3CryEE •r-+. nw!'•+OC[.A'C4C
<br /> ,.,r a trnrT• f -
<br /> t
<br /> ' nh.F1Y AT I+r}1a [ ~'*•PY~•' •yan•-~.. •.'•w' KM Umry ~ OG.SKri S•gEET (}pPi O ML+ [ITV on T,]W'. $iwi(
<br /> J f
<br /> ._'-7 a 1--+~F JF :Xtr:. °J" Tj,,,+••~ 7~. M'E Sr3{O ate. LL. nc ~!M.. TWO Cf OEAri•
<br /> a
<br /> Liani) )rv n nm
<br /> } 7 i.w EtiRihlJ wb W. r~ 'I 7'r TMi[OFo"Tn ~2•C •rd4f•Ctb OEw 4 •,'f 1lM ►Mry1G+S[P OEAP 0'wc
<br /> r 1 ~ '
<br /> 121.
<br /> pro ~ ~ r4~ -
<br /> - 4-r--
<br /> 7ti ;:U rJOw._.W ysF le iD i••E .]EATM l ]6w ~50cM^aMt(A'r-+.L.4 wcw.rp NE[N CC►.54Eft.7 _~•7~a p.44. 'y` __'a ~Si7aV)~
<br /> ~1 •E.~ ' 11J 4°•w!.Dw4 ~ •F.S ~ ,~r[3 ~T -
<br /> wi..~.e+.Ciw~K..we:S'~~r:.,-~csEF.c•.•vSYY.ti: CC~t7'~F~Cw'f ~w*v .^.r r. 'yore a.•r e"1 2001
<br /> 'V
<br /> P- A I—
<br /> JAN s zaai
<br />
|