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WHEN TNIS COPYCARWS THE RAISED SEAL OF <br />SYSTEMITCER1 XESTHEBELOW TO BEA TRUE <br />THE NEBRASKA HEALTHAND HUMAN SERVICES <br />THE LEGAL DEPOSITORYFOR VITAL RECORDS. <br />DATE OF ISSUANCE <br />MAY 8 2002 200211645 <br />LINCOLN, NEBRASKA I <br />ST.\ 1 F.OF 6EORAS6,\ - H4 PAIL F ALTO T OF IIEALTII AN 0IIC>I. \.\ Sk:H4;IGESFL. \kr4OF; ABIU SORT <br />VITAL STATISTICS 02 04244 <br />CERTIFICATE OF DEATH - -__= <br />ESEDENr -rvArxE .�RST MIDDLE LAST <br />Fx <br />ATE OE DEATH IAA —AN, ...,I <br />Florence Minnie Murphy <br />Female <br />April 71 2002 <br />ITYAND STATE OF SIACT Iff-1 m I A,..m.PAINFUL <br />AIDE ESlI <br />'rvrs.I <br />DATE 11 SIRT "INE -1 Der FAII <br />SFebruary <br />x+oz on <br />NouRS xIw <br />Edgemont, South Dakota <br />83 <br />23, 1919 <br />• SPEADCALL SECURITY NUMBER <br />IN PLACE OF DEATH <br />505532-8522 <br />0 YM,E" —. ❑ ".- <br />❑ E u °an.m O P,n .^ e <br />a <br />ee FACILITY .xa» ".IS Irt -C STAe^a^unINT <br />7217 8 21st Ave. <br />❑ EA ., ❑ OF^ rsa..m <br />ec ATION CA FAT. <br />iI <br />DEATH <br />Bellevue <br />mTYHE, <br />BarPy <br />E, nESDENCE -STATE <br />eouNTY <br />a.r.TO„NORLCY -LON <br />STSEETANIUSSIN II^eWnp S, All, <br />s IN LI " <br />Nebraska <br />gar <br />Bellevue <br />]217 S 21st Ave. 6814] <br />`"AU HE+ <br />D9e' NALLI ei•o. Ammnu^ LA.- <br />T ANCESTRY I S JUion ume.^. Gnmenn4 <br />i ❑u "i ®yyI µE <br />NAME OF Saoull III Yl mdcen.a <br />eAll <br />White <br />German Cutch Scoter Iris <br />❑ A"w R <br />a ue <br />w �bu�. ,NAA xw o,wnaem ewgman <br />KIND OF DURINesE iNwsTPV <br />ox isr.Nry o ^vngnmelaae mmpNm) <br />Housekeeper Nursing <br />Home <br />(o-Iy ^ue.TIA) <br />a ^ " " ^10 <br />'A ..IN NAME FIRST aLACrawford aoTME FIRST MIDDLE <br />Gen Minnie McGilluPrv.uE <br />I FIRMS <br />IDr.NEENT --IS <br />SHarold <br />awus�oE;VDEHr <br />V... QIre.. mene.aY ,.�.,re,i <br />No <br />Mu h <br />wrOP.-T MA.LIUS AOORe. (STREET OR NF D, NO CITY OR TOM STATE ZIP) <br />7217 S 21st Ave., Bellevue RE 68147 <br />OP AMRALMER SIGNATURE & ENO. <br />��e"�.aA <br />ZHea£ep <br />QR. .I <br />r 9 2002 <br />Ho££mann Crematory <br />"ApiE St- Geddes F. H. <br />ne. cEUETEPY OP CPE.IATO"Y\OUnoN cm OR TOM STATE <br />Bellevue Memorial Ch. el <br />a <br />0 °rt'^•' "^ ❑D^^ ^^ <br />7805 W Center Rd Omaha Nebraska <br />III FUNERAL HOME ADDRESS ZETPEETdIa FD. NO c E.EIP) <br />SrA <br />777q [aleco d Gt. Gr nF7 Islands Ng (,p801 <br />�ellevue <br />2262 Hancock Street, LACE 68005 <br />CA IMMEDIATE CAUSE <br />RATES ONLY ONE CAUSE PER LINE CAN m. TZ AND SH Li.rva me,.. ^a„aI, ^e DOLL <br />DART <br />heMPFC Cc, J, <br />, 4�k <br />DDETDC00RAr aEDE ml�. ^�,ea ^ ^ ^.a.^ <br />IS Arles �ISeasc <br />TO <br />EP 66xIFlCn"T CONaiilON6 -cem ELF` n n <br />Mbi e0eei^Wi ^i rtlam <br />gfNNIIF MALE WAS THENEn <br />ADTOaSV <br />REF ouE Iu <br />Ylx i "E aASTTewxT "e+ <br />°LAI"lu <br />Eu a❑PCO" Baia <br />-.u, e,❑ u ❑ <br />ea❑ <br />®D <br />It' <br />ZED EI"IDRY,ID1,.,I <br />CI ICHRDEIN,DRY SCIEFTEPH INI OCCURRED <br />oPART <br />A�eb ❑ D ^e,e <br />❑ SSSD, ❑ NPAP <br />r <br />L-, <br />-scero, ,• nd <br />„a HaN ITONAFANO UTYaRTAM STATE <br />El N .... <br />"C L <br />^m. tlnpe1r <br />DATEa <br />DQ <br />a. DATE .... ED <br />'IF TiInE DF DFwT" <br />r]l7.2GD� <br />y ) <br />o "NET <br />l ED PAY .TAT <br />FAT" <br />„. ,10`62 <br />£[ r <br />pRDxaaNCED DFAD ANT, N, <br />63 <br />4 <br />INY <br />0 <br />° � <br />NUOUNDDNCEDDEND <br />E <br />"i- <br />LAM <br />�e b ^. H. <br />o ^. bo...^ It <br />P <br />.ul .''. <br />a ^.,..bl u PIT <br />D F�`p�Q <br />LAN A. <br />alaraAaa IDDNTRmaTETaTNED TN, <br />O <br />THI- 1a�NSENTa D, <br />❑ YEe ❑ Na .ADD <br />EDaNATaxaEENaaNSIDEPFD, <br />❑ Na <br />❑ YEID a <br />(PHYSICIAN CORONERS <br />x IPF` PHYSICIAN. IANDR ATTDRNEYI n,rewnwl <br />r ��� QtAo I4 Ne 1 9( <br />N. EGISTRAR <br />DATE 4PB RESSMIll <br />{ <br />� I <br />IT <br />