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WH*NTHISCOPYCAMMS THE RAISED SEAL OF THE NEBRASKA <br />S✓S%EAAITCERTI STHE BELOW TO BEA TRUE COPY OF THEO <br />THE NEBRASKA HEALTH AND IAYAAN SERVICES SYSTEM, VITAL <br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. <br />DTTF ISSU�ABNCE 200210077 Am-_'� "- XS {W[7PE I <br />NOV SAY■ 8. 2001 Ai=rAW REB187FAR <br />LINCOLN, NEBRASKA HEALTH"HI HUMAN _ TEM <br />STATE OFNBRUSKA- DEPMlM41TE1FRRWALSTAAT WIN S N3ERMICffI PAIDCa:A_ NP SbYPoELT 01 12354 <br />CFRTTFIGTE 0F I) EATH <br />" -- - <br />— _.. <br />, UruNExT -xANE xxsT - .m..r <br />IT <br />1 TE4E OE,TN 1x,1111 r„r +µr <br />n <br />Alice Adaline Johnson <br />Female <br />Nov 1 2001 <br />_ <br />ury AM ATAI UT 8INrN r. m'Irus.A.�mmmmry <br />a - ,awwNWy <br />- N <br />G <br />M *ERWPM lFWn m, 1-1 <br />� u]5. Mrs <br />E1, NGFls' xUTs <br />rvnl <br />Alda, Nebraska <br />87 <br />_ <br />Jan 8 1914 -_ <br />2. socwLRFuIm NUxeEN <br />°.=G GS,TN <br />NosnTAC X❑ «waN oTNEa. N ,,;m Aw <br />506 -26 -9637 _ <br />❑ ENr x,,. <br />w <br />Fm <br />F] mvrTp <br />Saint Francis Medical Center <br />are�rs.Ln� <br />__ <br />— __. <br />11r LO Ano .To <br />w ITT' mm <br />e.Ix ,r , IT <br />� <br />rre nFA.N <br />Grand Ieland <br />rm Z NN ❑ <br />Hall <br />Po.xE3MNCF ITATC cavNL <br />cm TOwNGEmcnTax - <br />- <br />..TNELTAAAI. 5N <br />Nebraska Hall <br />Grand Island <br />709 South Pine St. 688ollw vs ❑X rw` -� <br />u <br />M— AA, wKa. &ary.,^rtmAN.n e.p. I}PN I,IFN.cmnan.sl rt ®,.41Ve0 ❑MTMWEG rvgNF CiSh^V9E (n w.gnimm+naxl <br />1. v. <br />Ix .1 I.,N, rSM+N Fn NEVIS <br />White Mn lish German Herman Johnson -- <br />SVKIr66VPAi XM6nAWFgmp pxo of ba6ME6LiMWSiMS NxrwTW2 6ycrymyigw,VVYawNAwi1 <br />Y V Y1w <br />xFNYS nmi.wAry Elvmnryw Sl[meW IPA GAkwl <br />Bookkeeper 9�GGLE - <br />E T PasT NIGGLE L.sT w,NEA ,�NUr uxUEx sUNx,x�a, <br />Frank Hulse Myrtle Cornelius <br />I,. w.s.,AuN, ENLx ,x N6 AmI,, P41kEG• _ <br />,�NFwA- N_` <br />m �nnw <br />rvm. w.wwl re,e e.a aFN.I...I <br />William Lammert _.. <br />mEdWNU - x.Wnu.PMIE35 6TPFEr Cq RE.a M.pIy ON TGwRn,rE 1 x862 <br />Wormer Rd. Grand Island HE 68801 - <br />N- s➢NATUxsa Llaiadxo. .NEnmaoevoslmr wTE cENEEEAr oncxe+,.TON.. N.LnL <br />2X❑a.Ix <br />092 ❑w.m Nov 3, 2001 Alder Cemetery <br />- <br />_ sT.rE <br />u L _x.xe -" re. eanEreNV Ox exEx.TGNr LOC.�ox 1,11 1a N—N <br />❑o.Anm❑ -1— Alda HE <br />Curran Funeral-Ch 1 4962 S. Alder Rd. -. <br />PNIUML X}E AWnE95 I6��1[r W REO ,n.Lrtv ON LLMx.6L,lF, ➢R <br />3005 South Locust Street Grand IslAnd, NE 68801 <br />N ILNiENCNLV dELUNi ER LWE EGN iaL M.,xOKll Irsnalca- ea^v++�.mwn <br />w FMPIEGVY <br />P, <br />1 <br />V� S <br />1-1 ,r• _ _ NMm <br />ET4M,SaC,(p�Kgr Y <br />7e�P' o—F�d' Cdw Dry 1 <br />-- -- <br />WET4 T76. TA - dAanaiem.m om,N OenN <br />G <br />I,ERSC,axnurcoxomoxs- ew�aex. w+.a <rcNm.I.wx. .m,.mxa x ir.eN.LF.WAS rx., Auro.sr .Enxmro.E .Ai. <br />wcwoxEN, <br />inEOwxcrmrNE P.sT2xwTNS= <br />a <br />uym�PEx <br />mIENANAAV NAT M nJ <br />xoN::N,Um <br />ceS Ow ma cu OrW <br />o,.o _AAA <br />_ <br />U <br />AT wGIX <br />AN. P�.V�i�F� MIMMn.laim. adMlxW <br />R M1r <br />]W. LCC,IKN SiPEETW RF.O. XO. Cm IN lr m I— <br />C1 N.m[n a ^u9sm <br />a❑ W❑ <br />Zla. IAILI .N Mp. WVrval - <br />Aa NATE.NER NANIAINT <br />2M 1N11-1. <br />f'JI—OI <br />�1 -� <br />i� <br />v, <br />m w,esw„m rim r <br />_ <br />41NE OP v`:: TN <br />a. PRGr,ouxrEGGEnG ru. ➢m .,,, <br />wI Pm.x,xxr.FG Gr,LG rNxnl <br />°• z2rTnweA.a,nrwxNxe2. w =�Ew ..,a., x11 wmanwuew <br />tOMCWV6ECW,�y iV rNE TN, ]MxASCAG,N CPT63UE ttxArYr'fiEEx <br />Grv9GEIE0 +ie ]2d WA5CpISEM GN,MEG+ <br />TES %I,,w ❑ uxS,GI ❑ v2rwwn <br />❑ �5 m, <br />M[drN <br />wG❑ ALMp66RLEprV1P IPNr$N.2,x. L.QxI PNV3EAI ttF,I EAAr, r <br />Daniel R. Cronk MD 908 N. Hower Ave. G nd Island HE 68803 <br />m mTE `E By NEm"I"' XA, 1,w M <br />3�G _ - NOV 7 2001 <br />