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CeoENT. X,ME FIRST MIDDLE U5,
<br />I SIX
<br />° ITT CF DEATH EAFFEE1 DAN 1 —I
<br />Kim Lee Mallory
<br />Male
<br />December 26, 1997
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<br />Stacy Quinn
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<br />PROCATION
<br />ISIeeMA+M A,FA .a E��cw 1
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<br />"w�° rcle `President D
<br />Business Telecommunicatio
<br />I.TRI DINT I.. LAST 17
<br />MOTHER Fire MITOTIC MAIDEN SUP,NME
<br />Stan NMN Mallory
<br />Jerre NMN Bailey
<br />H, IN As [ECFwsED 'NOR IN u s AN
<br />INFOPNEED RARE
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<br />2, 1998
<br />Central Ne. Cremation Ser
<br />m FuxERALHOME NAME
<br />° cFMETEPY CRwFAATTRY LOCATIoN COY OR TOWN STATE
<br />Livings ton- Sondermann F.H.
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<br />^' Gibbnn, Nebraska
<br />DID FUMNALROMEADORESS 1STREET OR HF.D. NO TORSI . CITY OR TOw STATE ➢ -
<br />601 N. Webb Road, Grand Island, Ne. 68803 -4050
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<br />CERTIFICATE OF DEATH - 97
<br />1471;7
<br />PEOisTR.P
<br />DATE FIIr_D SY PEG( P Mm. De P)
<br />CeoENT. X,ME FIRST MIDDLE U5,
<br />I SIX
<br />° ITT CF DEATH EAFFEE1 DAN 1 —I
<br />Kim Lee Mallory
<br />Male
<br />December 26, 1997
<br />I
<br />CITY AND STAFF OF&PTN /xrvx ."A —PERSIAN
<br />AnGE - ,ey IIEFFAI
<br />�OE�1 YEAR
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<br />Mullen, Nebraska
<br />nlei 46
<br />December 25, 1951
<br />MIL RECURTY
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<br />❑ ED MLARME Psaexe
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<br />1614 West Division
<br />❑ ECA ❑ — FEMNN,
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<br />S,. INIASECOVISMIS
<br />& Tv of DEATH
<br />Grand Island
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<br />Hall
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<br />1614 West Division 68801
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<br />NA MADA SPoUEE Ix me. gXPASSIA -1
<br />HEIPPERY, White
<br />1$pe"'M�P American
<br />xEVpH
<br />M
<br />wIF
<br />Stacy Quinn
<br />s uFU.a OCCwknoR Ic,».NADEDREAwAREAR, REEK ,m
<br />xIKD OFSUSwESS INDUSTRY NH
<br />PROCATION
<br />ISIeeMA+M A,FA .a E��cw 1
<br />sE"°`" °" °'s"°° ° " "' ° -IZi 4 Tae `rs ° "'
<br />"w�° rcle `President D
<br />Business Telecommunicatio
<br />I.TRI DINT I.. LAST 17
<br />MOTHER Fire MITOTIC MAIDEN SUP,NME
<br />Stan NMN Mallory
<br />Jerre NMN Bailey
<br />H, IN As [ECFwsED 'NOR IN u s AN
<br />INFOPNEED RARE
<br />eStacy
<br />Mallory
<br />m IKF EETCRRFD MAIOxsADDPESS 1STR NOm
<br />. cCRTDwN. STATE API
<br />1614 West Division, Grand Island, Ne. 68801
<br />m ER. &D ND
<br />NAR.
<br />I, METxrooFIASPO&,M1x
<br />S❑&,
<br />eTAre
<br />vdan.
<br />EreHV OHCPFM.TOHY. NAME
<br />q.9
<br />oGLCa..�L'� X9//4 -2
<br />❑R,
<br />2, 1998
<br />Central Ne. Cremation Ser
<br />m FuxERALHOME NAME
<br />° cFMETEPY CRwFAATTRY LOCATIoN COY OR TOWN STATE
<br />Livings ton- Sondermann F.H.
<br />®c^^•»^ ❑D
<br />^' Gibbnn, Nebraska
<br />DID FUMNALROMEADORESS 1STREET OR HF.D. NO TORSI . CITY OR TOw STATE ➢ -
<br />601 N. Webb Road, Grand Island, Ne. 68803 -4050
<br />TF WT9E (ENTER ONLY FINE FALSE PER LIKE FOR U, IN AND 101 IER— MEARAP..uwe.e
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<br />DATE NAT Der ,
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<br />R R PHV R CORI PHYSICIAN OR CW r M
<br />NAME
<br />Ryan DCrouch 00, 800 A ha Street Gand Island Ne 68803
<br />PEOisTR.P
<br />DATE FIIr_D SY PEG( P Mm. De P)
<br />DEC 31 1997
<br />V v
<br />LOT 8 Block 7 Charles Wasmer's Addition to the city of Grand Island, Ball
<br />County, Nebraska
<br />T.
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