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! <br />.: <br />r r <br />n r) <br />m <br />January 26 2002 <br />OtVAPOSTATEOF&M 0w1MUSA.I1.Ar..r+N •tars Sr'MIA41 /YEAH VAOENI DAr <br />•DATE OF M MAR D.A r.W <br />C::) <br />Januall 14 1 <br />�f <br />C1 C1 = <br />r) <br />El %I "w" <br />720 -03 -4408 <br />p EN ore... <br />C] ft w . <br />• MT.. .wol.rr.ot....AwrA le ,wOW <br />D`' " <br />Iii <br />03 <br />St. Francis Memorial Health Center <br />c . TOrMT ON LOCATION a< pEAM w .Cd= CITY LO M w COLWM O. DEAM <br />r" Q M9 <br />M <br />Grand Island <br />St CITY, T0*"ONLOCATAf. w STAUTANDWOMP A1W61OW&Cdob w MMDE CnrtYTS <br />A •STaT! <br />Nebraska Hall Gr .- <br />rr M. ❑ <br />0 • No YM1w. Sam AnMIC NINA 1 f. TM ME- WI, W=Wk D.wr1 atl IJ © O .AOOwtD <br />11 NAY! OF Sr01q! II rdo Pr AurA. na..N <br />w1 White a..arl American "�`" mofo <br />Pheif <br />Y USUALOCCMATION /0+'.Ydd.p..urv.lwl,ala. I/O IUD OM Suva" 09"TM N EplG►TIDo O..TA CMr.r4 <br />a/ as at awn,f EArwr a Sw.II.rY Q 1i1 C.Aq. 11 J M Y I <br />Owner Houck <br />2S. PAONOUNCEO DEAD I.WI <br />♦ FATMEN•MAW FfW MODIE LAST I) Y0T1(ll F051 <br />60=1 YMDEM S081AAa <br />Samuel Houck-15r, <br />1 s-7 to <br />:. wAS OELEAEED EVER w u! ~0 010fe r <br />—ops"w • IIAME <br />_ <br />"w; w V:AI I. )w Ow Tjw 94946 <br />LIM <br />Barbara Ellanhure <br />j <br />`- <br />7S. Q.N.w:a at wAlw�I.M'An. <br />P.1wMEr.M w Mr 00I door acco"oa <br />C� �. <br />N W" ow &W ~ MIa aw r N caY1MM Now <br />AM Taw / r� v" R r`J <br />: T <br />a OO /OSACCO USE CONIT�TE,WM TO TP4 MAW <br />EDa -AS OW.AM M ?PALE IT1 1 SE CONIr C" <br />E <br />)D A *AS CONSENT C~Ttcr X-0 <br />� <br />ElYES (X1 NO 11 UrANOwp <br />IS 40 <br />YES <br />cn <br />o <br />C <br />Lot 1 in <br />Block 2, Knickrehm Second <br />Addition to <br />the City of <br />Grand <br />Island, <br />Hall County, Nebraska. <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES " <br />SYSTEM, ff CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECQW,, PDX IWTH <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTIC9.3EC"ON,_ Vim_ ? iS_ <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. - <br />f <br />DATE OF IS UANCE <br />NOV 2002 = aft- s Xi 6Qp4 <br />ASSISTANT STATE REGISTRAR - <br />LINCOLN, NEBRASKA HEALTH AND HUA4A SER flCES S STE[f - t <br />200212474 = _ <br />fTAMOrN DRA38A.DeAWMfiOF=& NA10,XtA11fBR,►1CSMAN= <br />Vf7M WAIN 0 8 5 <br />71Cf <br />nCS'E7CEf+ATR rw i1RAIM <br />OSCOXM • NAME FMKT - -- - LA&T 2 MR <br />1 DATE OF MATH Mb.1 AV Y.W <br />Samuel McKenzie Houck Jr. Male <br />January 26 2002 <br />OtVAPOSTATEOF&M 0w1MUSA.I1.Ar..r+N •tars Sr'MIA41 /YEAH VAOENI DAr <br />•DATE OF M MAR D.A r.W <br />79 »you 1 a IL MUM w" <br />Januall 14 1 <br />Omaha, Nebraska <br />DE SCROE Now.CA91Y OCCIIAMEO . <br />-§5%Z-SW-WW ►AAASEN w MMCE or DEATH <br />13 r..- OTHER <br />El %I "w" <br />720 -03 -4408 <br />p EN ore... <br />C] ft w . <br />• MT.. .wol.rr.ot....AwrA le ,wOW <br />D`' " <br />" " <br />St. Francis Memorial Health Center <br />c . TOrMT ON LOCATION a< pEAM w .Cd= CITY LO M w COLWM O. DEAM <br />r" Q M9 <br />]w i�ME OF OEAiw <br />Grand Island <br />St CITY, T0*"ONLOCATAf. w STAUTANDWOMP A1W61OW&Cdob w MMDE CnrtYTS <br />A •STaT! <br />Nebraska Hall Gr .- <br />rr M. ❑ <br />0 • No YM1w. Sam AnMIC NINA 1 f. TM ME- WI, W=Wk D.wr1 atl IJ © O .AOOwtD <br />11 NAY! OF Sr01q! II rdo Pr AurA. na..N <br />w1 White a..arl American "�`" mofo <br />Pheif <br />Y USUALOCCMATION /0+'.Ydd.p..urv.lwl,ala. I/O IUD OM Suva" 09"TM N EplG►TIDo O..TA CMr.r4 <br />a/ as at awn,f EArwr a Sw.II.rY Q 1i1 C.Aq. 11 J M Y I <br />Owner Houck <br />2S. PAONOUNCEO DEAD I.WI <br />♦ FATMEN•MAW FfW MODIE LAST I) Y0T1(ll F051 <br />60=1 YMDEM S081AAa <br />Samuel Houck-15r, <br />1 s-7 to <br />:. wAS OELEAEED EVER w u! ~0 010fe r <br />—ops"w • IIAME <br />_ <br />"w; w V:AI I. )w Ow Tjw 94946 <br />LIM <br />Barbara Ellanhure <br />j <br />yes_ WW II <br />7S. Q.N.w:a at wAlw�I.M'An. <br />ITr WO-1 —Yw.— <br />Not Embalmed <br />1 -But <br />F. H. �6""' Q°°'.. <br />�EIF.j <br />1123 West Second St Grand Island, Nebraska 68801 <br />n "WPA ! CAUR NTEN pLr C.a CAUY n A l.a Io11 :r Ax AND KM rarY. *owe" W" on eM <br />W <br />DUE Ttl. 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PAONOUNCEO DEAD I.WI <br />� C <br />bss <br />1 s-7 to <br />:oo 1. <br />� "=a <br />j <br />,r <br />S a. <br />JN 0041sT MrAn..A1.0A dMl 4904.. a1NY1a M�MV.Ka AN M.rN <br />7S. Q.N.w:a at wAlw�I.M'An. <br />P.1wMEr.M w Mr 00I door acco"oa <br />C� �. <br />N W" ow &W ~ MIa aw r N caY1MM Now <br />AM Taw / r� v" R r`J <br />: T <br />a OO /OSACCO USE CONIT�TE,WM TO TP4 MAW <br />EDa -AS OW.AM M ?PALE IT1 1 SE CONIr C" <br />E <br />)D A *AS CONSENT C~Ttcr X-0 <br />� <br />ElYES (X1 NO 11 UrANOwp <br />IS 40 <br />YES <br />T MAYO AMD AppTESS tlr C7J11re71•.wrana:wcvais�s.... �.,..�..,�......... _. .,r... ..-- _' <br />