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AEG <br />2 D <br />� <br />c m u <br />Cal <br />July20,MF2001 <br />M LIFE, <br />AcE - LA KN <br />xoca'DAY <br />nreoFEIRTH Maem mJ. <br />Fullerton, Nbraska <br />57 <br />M �� <br />xwRS Mlx <br />August 25, 1943 <br />I,L <br />ILION <br />� <br />3 <br />j ® ❑ <br />� y <br />� <br />L <br />(. CJ <br />f <br />je <br />♦✓ <br />CD <br />`\ O <br />.... <br />W <br />C D <br />OFF <br />GJl <br />Grand Island <br />(n <br />C <br />WHEN INS COPYCARRES THE RAISED SEAL OF THE NEBRASKA HEALTHAND NSbMAN SERVICES <br />]IECOFQ;ONFILE <br />mexry <br />4 CT.. Tawry Ox LDCAT'CN <br />SYSTEM,ITCERTIFES THE BELOW TO BEA TRUE COPY OF THE OMBMAk WITH <br />»msOEm <br />p <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VTTALSTI SOCTIOMFAINCH IS <br />Grand Island <br />C <br />THE LEGAL DEPOSITORYFOR VITAL rRECORDS. SAN. <br />FeeGEoIt Wood �':.. <br />11 11 le9.wnee auc..m,riun "enR <br />9 ..a Rem MnexGnm,n, xvl <br />DATEOFISSUANCE LO[5 18 B1k..- <br />xnuE DF SODDEE ix vk ynmKieennem9 <br />-I $0eP^$Ihite <br />JUL 3 0 2001 3, Scarff's Addition [o We gt -Ea_. AAM&S. COOPER <br />-ITCHE , <br />Sharon R. Dunahugh <br />gr nd Island, Hall CDU tyy� SSWTANTSTATE REGISTRAR <br />Na�Taska HTI/A%jp HUMAN SERVICES SYSTEM <br />LINCOLN, NEBRASKA <br />STATEOFNE SK - DEPART OFIm MANnNUMAA SERYICFSFHFhTk .'€AND$UPPORT <br />,., ro <br />USUAL aoDUaATIAI D mA1MAAAKm,RO RT., <br />A KIND OF BUSINESS INDUSTRY <br />F -F <br />vrtALSTAT5nC5 <br />200211805 01 <br />08160 <br />s A <br />DI` 'wln0 pi0'P' <br />CERTIFICATE I __ _ <br />Business Manager Manager <br />DECEDENT� FLAT DE <br />� <br />Terry Lee Graves <br />Male <br />July20,MF2001 <br />CITY AND STATE OF FIFTH ARBIT SA ®m1[ — 11n <br />AcE - LA KN <br />xoca'DAY <br />nreoFEIRTH Maem mJ. <br />Fullerton, Nbraska <br />57 <br />M �� <br />xwRS Mlx <br />August 25, 1943 <br />I,L <br />ILION <br />j ® ❑ <br />508. 52 -1337 <br />-. F-AYF' —. FDA 1, HFIA <br />❑ ER GYAR11I ❑ R,.I- <br />nCITY PARK A — anFlmRY, +LARD -FIR' , - <br />St. Francis Medical Center <br />❑ DDA ❑ ommrsu0oIF <br />Ad CITY TOWN OR LOCATION OF DRAT. <br />.N IDECT.0 T <br />.DUNr.OF DEATH <br />Grand Island <br />. © xA ❑ <br />Hall <br />III N TAT_ <br />mexry <br />4 CT.. Tawry Ox LDCAT'CN <br />AIR-All""' Ieun.wglPCUy <br />»msOEm <br />IRA. <br />Nebraska <br />Hall <br />Grand Island <br />2422 W. 18th, 68803 <br />v.. C❑j NA❑ <br />5 <br />11 11 le9.wnee auc..m,riun "enR <br />9 ..a Rem MnexGnm,n, xvl <br />P ®MxxiED ❑wlpOwED <br />xnuE DF SODDEE ix vk ynmKieennem9 <br />-I $0eP^$Ihite <br />'sA.UmR American <br />-ITCHE , <br />Sharon R. Dunahugh <br />,., ro <br />USUAL aoDUaATIAI D mA1MAAAKm,RO RT., <br />A KIND OF BUSINESS INDUSTRY <br />o x IPP.UroAFm Age.1'a.me AMAwxw' <br />s A <br />DI` 'wln0 pi0'P' <br />Business Manager Manager <br />Grand Island Clinic <br />FATHER NAME FIRST MIDDLE 'IT 11 <br />""HE' FISST "'DOLE Mul"I'DRAME <br />Clifford Graves <br />Ila Horst <br />AM ,e ws DECEASED -ERIN INFORMANT. NAME <br />ARMED FORK <br />S .er�uR <br />No Sharon R. Graves <br />1. INFORMANT MaUxc.DORESS ISTREETORRFO. NO cn OATOwN STATE nEI <br />2422 W. 18th, Grand Island, Nebraska 68803 - <br />R- SICNATHREe LICENSE ND <br />,A METHDDOFVwosTl ESA DATE cEMETER+ORCREM.TDR+. NAME <br />]X <br />F3 y <br />i.tY <br />awIAI ❑RKR11 Jul 24, 2001 Grand Island Cemetery _ <br />ce.eOm.OR.,xEMATDM . mcATIDN cD. oP Tanm STATE <br />A e EAA OME AMC <br />Apfel- Butler- Geddes <br />❑ "YOUS. ❑°LAIC°' Grand Island NE. <br />FUNERAL PRIME ADDRESS ¢-OPRRFD.NO. CR.ORTOwN STnTE. ➢PI <br />1123 West Second, Grand Island, NE. 68801 <br />IMMEDIATE SE 'ENTERam.oNE CAUSE PER LIRE FOR I"I IAi AND IFF I II wl.kAR onu IFS "III <br />MM <br />PART <br />Acute renal failure <br />IT <br />D E TO, 01 AS A COxSEODENCE DF A nM Ed— U—Am ACT <br />Chronic pneunania and sepsis ' <br />wi <br />DOE T O. GP AS ACOxsEWErveE 'TRANIF sn Anen RA eesF <br />OTHER SGwFICANT CONDITIONS. cm iiAFAwF 'q w'M eauF W'M'.MUA <br />PREGNANC: "^'E PALO THERE <br />Au:oaSV <br />CASE <br />REFERRED TO NED'CAL <br />EAST II C3-C4 Quadriplegia <br />E <br />PCORoxERT <br />YKAN MKA'D -sR <br />DATE OF INJURY Add EN, <br />HOUR OF INJURY <br />DESERTER RON INNRV DEPTFORD <br />❑ A RA S ❑ U Hnermi SEA <br />El Se EjR Am <br />woRF <br />PeCWQW�mJ+ERY "rlw`"°�'P n.R 11110 o0A' <br />ITS LOCATION STREET OR AF0 NO CIYOPTOwN STATE <br />❑ NAFTUAe IF .Aee <br />mU❑ NA <br />D.TE DF DE.TH rMU m. n <br />DATE]IGNED RAN AN, II <br />TIME OF DELTN <br />IEJuly 20, 2001 <br />�r <br />'D^S <br />EJul rv23, <br />TIME OFF DEATH <br />RRDxDax ceDOEAO lNO. a, VU <br />AN PRONOUrvcED DEnD I,LMO <br />2001 <br />12:44AM <br />.g8g <br />T� mweA. 'AIM <br />"�ma <br />sea IAFa.R MryxA„ <br />USA <br />,F.1,I AT OF ORANA, _ <br />a „1,Fa 011, I'd AAA M'na K1 Ai1�0A'.A <br />FA Ir F <br />: r <br />eDCODSE CON HE UP'II1 <br />TO ED TORRID <br />—N <br />.]pa HA50PGAN DP>'S�11 F • <br />WAS CONSENT eRAxS <br />FAR US DwN <br />EDNTION NOHSIDEP111 <br />I.ND <br />MDiEP50FLERT' FIER , cHVE'O'ANCORDNERS aHVSVGNN 0R D0vrvTY ATTORNEn mnPmn <br />rNAME <br />mas Werner M.D. 2444 W. Fai e a Island NE. 68803 <br />9v <br />