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A°'1i91 STATfi OF NEBRASKM pFTANTMHlF OF HEALTH ANDNIIMAN SERNCE4 FaEANCE AND SUPNAi <br />200210179 CERTIFICATE OF DEATH <br />0 <br />O <br />ISV <br />O <br />E <br />IS <br />TO <br />F. o <br />� E <br />w <br />A <br />w _ <br />U " <br />O c <br />LL � <br />O a <br />W n <br />4 <br />Z I <br />SIN D•TEFRENNYREDIGTRAR NA W. r„ <br />FOR VITAL STATISTICS USE ONLY <br />cEDENr. XINE FIRST WOOLS usT <br />S. <br />]. DATE OF OSAm 1. <br />Darrell Rc En <br />21, 2000 <br />rtr AxO Sr•rE Of eiPrx mm�VSA. ,M„E.wvl <br />4 OA.WFA, <br />uxDEPl vun <br />uxpERl FAV <br />IPrX <br />•rEOf /MOY,. cW r..v <br />1 �I <br />bv5 <br />Sc XWP9' MWS <br />Grand Island Nebraska <br />SOC4L SECUPTY xUMBEP <br />aL•LE Oi OFAIx <br />5X08 -30 -2523 <br />MSRrtAL'. ® Ip•Iw• piXE0. ❑ NurA,_ <br />❑ EN pMxN ❑ h•qw.. <br />. I.M+u4WVanY•n MmnAl <br />mSt. <br />Francis Medical Center <br />❑ DD, ❑ anlsRxMl <br />F cm. IOWA OP LOCATId OF CEATX <br />AA wI0RV OU(fs <br />N. CglFNIH TN <br />Grand Island <br />n ®"° ❑ <br />Hell <br />4 Al..IFOE STATE <br />A .NTI <br />Ik CITY TOWN ON LOLATI.ri <br />4 ErPEEi ANONVMYP /4xytiy Zy foul <br />N w Nv n <br />uu <br />Nebraska <br />Hall <br />Grand Island <br />2222 W.FOrrest68803 <br />rnfl -C <br />IF N•E. 1.1 wM. &n L A-- •NCESravi•q, xln. W.— pXmLn. -1 It.®WWiED ❑WNOWEO 1]xAME DF6PoUSE I.—pn m•m, -1 <br />"`Ils'°al white Is'°"1 American avDRCED Dorothy Haile <br />u IXLVa•Tlpx / . r.u. a,. u•.e.wul Pwoof euswESSNOUIDV I—ATlw Isow"e+r w.. on•eenyRxl <br />al IsA <br />aNewe <br />W �.. ..N, w Snoo•W. OF <br />�bownar Agency <br />12 <br />NI FATNEII VSIOLE I., V. uOIxER I1NSI MIWLE MNDEN WRVAME <br />Roy D. Enck M rile I. Heins <br />5 OECFASEO EvEx w U.£ N.1O WXCESI I A INFpWAMT. NAME <br />mnOMaIn x•.On ••r W Yx gN+�NnI <br />DorOth Sock <br />_ <br />wfpw•xr uuLwGNONE55 IsiPEElM0.f.O. W,CrtVMi4WN, 9rAiE, N1 <br />2222 Forrest St. Grand Island Nebraska 688 <br />s. M000 DwNTp <br />wlEDEMEPY <br />EGrand <br />DP CM.TOP. xE <br />(� <br />®E.m ❑Rxwn <br />Jul 25 2000 <br />Island Cemq+Fr <br />uNEP.LNDM . <br />Ea cEMnEPr oR CREUATOP I LacATFON cln DR TDwx <br />❑f <br />All Faiths Funeral Home <br />""'°' ❑°e'V^ <br />Grand Isl Ond, Nebraska <br />NNER¢WME AODPESE IETPEEId Rf O. W. Qiv OPipvxsurE, PRI <br />2929 S. Locust St. Grand Island Na <br />SO EWTEC USE 1 I�EM:C�P�d�LYyW�EG�AU6�ER� EFM I•I. RI Olsll arw u. <br />AA.FIT <br />WE LO.MAS•fquSEOVEHF Lf � Wx.vunxn p.•Iwwm <br />IXIWE <br />TO M ASA LONEEOU v.M Rm <br />1 <br />cOT <br />N'fp Ip.Xicprypr E • <br />PART <br />S <br />ulf iEYN£wAE TxEPEA A AV�OFSV = ffmEO iO <br />TIOWI <br />r <br />Yl <br />I <br />i1E FI.9i]MJXiNS+ WGOISy <br />ADWIFAA, <br />Y 10.WN W <br />ANA <br />ECi WMIRY /14. qv. r•I <br />3%. WVR[f uM <br />A4 OEELPIOFIKKV RUVNV IXCVNNEOVn <br />❑ NWnI ❑ M n_ <br />❑: ❑F .q <br />I!•IW <br />[� <br />�. eRVW MV %.yxryl -I•'m nMY[br <br />MLCCADON SDffT OR A D. NO. TITIONrOxx ST•rE <br />w.mrw 1F-F •F, <br />nV❑Tb❑ <br />OA+E Cf OFATN I•M ONVVrI <br />SIA FATE SIGNED /ONp . pv nl <br />:4 Cf LIME OEATN <br />21 2000 <br />a <br />z, D1E <br />e • 5GxE0 (ua.. Wv. r,.l <br />11F TINE OF DEATX <br />Le. "ON. ICL-1. DU 4A NI <br />KED DEAN Irw. <br />i y <br />€ € €I <br />} <br />S u1 26 zo <br />5:45 AM <br />S <br />,l <br />" r,m.W. .0 F. .n MM,. NF» <br />Cn •. xNL N..M..,m,w4,W rN.x9.mL x <br />'., <br />E <br />, Mn.mww•.wwo+wuwM lM.e <br />M,TM, <br />VYCONTI <br />MxTR. <br />D O TDOWDO ITETOTNECEATM <br />IusoNMx MT155 gVnTKw DEEM CpI&pFPED, <br />WAS CMSSIT 6—TEO, <br />❑ VES ❑ M VxItNOwH <br />❑ VE9 <br />❑ VES <br />XAMS•xO.00NE1IA GExTNFA II'NVyLUX,Cp.?YEP'S FXVycVN OP LOUXTIAnONIEVI lWS/w+Y <br />William J Landis 2444 W Faidley, Grand Island NE 68803 <br />SIN D•TEFRENNYREDIGTRAR NA W. r„ <br />FOR VITAL STATISTICS USE ONLY <br />