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41 <br />DEC � n <br />n <br />c <br />I T N <br />2 Y <br />N <br />� <br />lEI <br />u <br />m <br />E.MR. —x .TO.. MY. <br />Slm <br />Grand Island, Nebraska <br />0- o <br />January 21, 1921_ <br />N <br />� <br />PL SICVXTV HVMBEP <br />IS, <br />- -” <br />aA.—ITAL N� <br />LN <br />,.,an.,. DTHgn ❑ N„n�M, �.,. <br />❑ EN CI ❑ Heveem, <br />WIENTHISCOPYCARRESTHE RAISED SEAL DIE THE NEBRASKA HEALTH <br />SYSTEM ITCERIFES TIE RELOW TO SEA TROECOPYOF rHE ORIGINAL <br />THE NEBRASKA HEALTHAND HUMAN SERWCES SYSTEM( WTAL.STAT191 <br />THE LEGAL DEPOSITORYFOR WTAL RECORDS _- <br />DATEOFISSUANCE 200209628 A*4 <br />SEP 0 4 2002 ASSIS.n <br />LINCOLN, NEBRASKA HEALTH AND Mg <br />STATE OF NEBRASKA- DUAaIMGNF OF lmAnnl AND HUMAN SFa' <br />CERTIFICATE. OF DEATH <br />02 10014 <br />cIT NT -RPM. MRS, M TEST <br />I <br />E. <br />c <br />Jack Wil liam Herman IMale <br />August 23, 2002 <br />.m,NO SrA.E CE 1— A-1U1I -,VNVI <br />N <br />o H <br />O <br />E.MR. —x .TO.. MY. <br />Slm <br />Grand Island, Nebraska <br />0- o <br />January 21, 1921_ <br />N <br />� <br />PL SICVXTV HVMBEP <br />IS, <br />- -” <br />aA.—ITAL N� <br />M <br />y m <br />,.,an.,. DTHgn ❑ N„n�M, �.,. <br />❑ EN CI ❑ Heveem, <br />a <br />Francis Medical Center <br />— <br />BF CITY TOVAN OR LOCATION OF DEATH <br />p <br />CCUVOArx -.- <br />m Nr R <br />Grand Island <br />vw ®xR ❑ <br />� o <br />RA . .T <br />m COUNTY <br />CIT Y TOMB ON LOCATION <br />strand <br />ax srReernxD xuMSER UmHMesmc.,v <br />IwI MI,Y UmT <br />Nebraska <br />Hall <br />Island <br />1519 N. Custer <br />®Ne ❑ <br />Y.1 <br />N <br />*NCESR <br />_.1XCESi BY I, AW, MMAYNY DMANNY Y <br />12 <br />WMAURITY <br />z m <br />NAME OF.WMSF E N- ANSI mm./ <br />' <br />.R, ISP.Mn1 White <br />German <br />I]G "EVER <br />VCYCFC <br />Gladys Haas <br />r <br />MAR <br />o <br />,. UsVPLOCCURATION ,amAma.lnmNa a,»amm, <br />r n <br />CO <br />Ma YNAI,eMNI <br />a Self Employed <br />Service <br />re <br />N <br />m <br />'Rws Ut4[w9Ell CMEH w u D M ,pa EF SMANT -NAME <br />mP,mnnnq muI <br />Yes: Rde II 1939 -1945 Gladys Herman <br />x <br />1519 N. Custer Grand IS land, Nebraska 68803 <br />- <br />ED M sa,L.uHE. "- <br />v. Me4a0 OF 1IMPTIrnry <br />W <br />v p <br />N <br />❑RMNI ❑rcrmR <br />August 25,2002 Central <br />G <br />CP <br />W <br />Apfel- Butler- Geddes Funeral Ho <br />�T+ ON.MM� ❑SA_ <br />Nebraska <br />w <br />STATE EPI <br />02 10014 <br />cIT NT -RPM. MRS, M TEST <br />I <br />E. <br />ATE& IT' w. Y „n - <br />R W111 M„ <br />Jack Wil liam Herman IMale <br />August 23, 2002 <br />.m,NO SrA.E CE 1— A-1U1I -,VNVI <br />, &m <br />L81 m <br />Y <br />E.MR. —x .TO.. MY. <br />Slm <br />Grand Island, Nebraska <br />0- o <br />January 21, 1921_ <br />M DAY <br />Hays Mxs <br />PL SICVXTV HVMBEP <br />IS, <br />- -” <br />aA.—ITAL N� <br />508 -30 -3117 <br />,.,an.,. DTHgn ❑ N„n�M, �.,. <br />❑ EN CI ❑ Heveem, <br />f n.Cm.N,n nmrn WNm a,e�wMwr <br />nSt. <br />Francis Medical Center <br />❑ COR ❑ THINFom.,. <br />BF CITY TOVAN OR LOCATION OF DEATH <br />I INNID c1.Mlis <br />CCUVOArx -.- <br />m Nr R <br />Grand Island <br />vw ®xR ❑ <br />Hall <br />RA . .T <br />m COUNTY <br />CIT Y TOMB ON LOCATION <br />strand <br />ax srReernxD xuMSER UmHMesmc.,v <br />IwI MI,Y UmT <br />Nebraska <br />Hall <br />Island <br />1519 N. Custer <br />®Ne ❑ <br />Y.1 <br />IP PACE- Ie.p.. NTM.bxF. Amnicn EMm. <br />*NCESR <br />_.1XCESi BY I, AW, MMAYNY DMANNY Y <br />12 <br />WMAURITY <br />L] WIDENED <br />NAME OF.WMSF E N- ANSI mm./ <br />' <br />.R, ISP.Mn1 White <br />German <br />I]G "EVER <br />VCYCFC <br />Gladys Haas <br />MAR <br />,. UsVPLOCCURATION ,amAma.lnmNa a,»amm, <br />III NNOOI BISW18S INDUSTRY <br />15 "'CI ISpm�,M..Mn�Mgaa m,rwNm <br />Ma YNAI,eMNI <br />a Self Employed <br />Service <br />EN,C11m .W to UR .� „� <br />p <br />FATHER. XANE FIRST ..-IF IITT 1 MOTNEH FIRST MIDOLE MIEN YJANYBE <br />William J. Herman Anna M. Busse <br />'Rws Ut4[w9Ell CMEH w u D M ,pa EF SMANT -NAME <br />mP,mnnnq muI <br />Yes: Rde II 1939 -1945 Gladys Herman <br />_ <br />Ee W M „INEO,ANT NLINDIOCPEIN STNiONN,V NO GIIOa OUNTIN -C[FI - - <br />1519 N. Custer Grand IS land, Nebraska 68803 <br />- <br />ED M sa,L.uHE. "- <br />v. 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