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<br />S
<br />Lot Three (3) and the Westerly Ten (10) Feet of Lot Four (4), Block Two (2), Continental
<br />Gardens, an Addition to the City of Grand Island, Hall County, Nebraska. I °c
<br />200310224 APR 11202
<br />KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
<br />offioe of Ydw statistics
<br />CERTIFICATE OF DEATH
<br />2002 - 006875
<br />STATE FILE NUMBER
<br />—FIRST
<br />........ w ..........v -, •- �. ,_. . _.- __ -..-
<br />- -
<br />M
<br />n n;
<br />TO CORONER
<br />Male
<br />March 18, 2002
<br />i. SOCIAL SECURITY NUMBER
<br />rri
<br />tb. UNDER t YEAR I ft UNDER / DAY
<br />d. DATE OF DIRTH {Ma. Day. YrJ
<br />19, 1940
<br />7. 0IRTHKA0E (Ob W Sold
<br />Mr
<br />-' n
<br />=
<br />O
<br />482 -46 -0753
<br />No
<br />61
<br />90b. TfAE OF MWRY
<br />A
<br />JM
<br />December
<br />C
<br />ARMED FORCES? O Y«
<br />03/18/02
<br />3: 04P ;P .
<br />.
<br />We. PLACE DF MwPry -Own Mans. o9W MJd -n1- lent, Neat fwMty. oN+a butlSetp,
<br />W. LOCATION (SYM W Ntntbw «AuN AM M. am «TOwn• Sub)
<br />o eafdds �] Coaa robe
<br />HOSWTAL
<br />S. MILL, KC,
<br />w
<br />o -a
<br />O
<br />E DOA
<br />n Wift HOma 0 Raw-ft 00W mwv
<br />ft. FACS.ITY NAME p' o« stss"M 9" a, I ow ftab"
<br />n
<br />Uni
<br />Kansas Cit
<br />-,
<br />Diane McElroy Truck Driver Commercial Trucking
<br />Wow C] Owwood
<br />N
<br />C.
<br />�..
<br />D
<br />u,
<br />13@L WODE WY L
<br />�,
<br />�_
<br />Grand Island 68803
<br />3 Via Coax
<br />No
<br />n
<br />N
<br />,6. DECEDERM EDUCATON
<br />fsp.c�rr arty MfSAset pade ovmgand)
<br />12iooi"(O-T2)
<br />..
<br />American
<br />White
<br />O
<br />10 MOTHERS WOE FOW MIDDLE MAIDEN
<br />Bernard Edwin Seeger
<br />z
<br />Beulah Loretta Fulton
<br />,fa
<br />c `�
<br />,fb. , a « awn.
<br />o -n
<br />O
<br />3 Via Coma, Grand Island, NE 68803
<br />!Oa METHM Of DOPOSITON ..
<br />Mb. PLACE OF DISPOSMM (No" W own0my. OV W«Y, of now pb")
<br />W- LOCATON-Oy « Town. SWo
<br />�I a" p C waofpn D Rwmwl *Ow MR"
<br />Cn
<br />Tabor, Cemetery
<br />Tabor, IA
<br />tN. FUNERAL SERVICE LICENSEE f LICENSE NO (SWW")
<br />It NAME OF EMBALMER ° LACENSE NO-
<br />Angela O'Neill
<br />2421
<br />1 Sean Wm. O'Neill Mo#7504
<br />M
<br />-13
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<br />S
<br />Lot Three (3) and the Westerly Ten (10) Feet of Lot Four (4), Block Two (2), Continental
<br />Gardens, an Addition to the City of Grand Island, Hall County, Nebraska. I °c
<br />200310224 APR 11202
<br />KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
<br />offioe of Ydw statistics
<br />CERTIFICATE OF DEATH
<br />2002 - 006875
<br />STATE FILE NUMBER
<br />—FIRST
<br />........ w ..........v -, •- �. ,_. . _.- __ -..-
<br />- -
<br />3. DATE OF VEAM7=73; 5
<br />,i. DECEDERrS RAW
<br />Randall Eugene Seeger
<br />TO CORONER
<br />Male
<br />March 18, 2002
<br />i. SOCIAL SECURITY NUMBER
<br />Se. AGE-4 AM erttdq I
<br />(YraJ
<br />tb. UNDER t YEAR I ft UNDER / DAY
<br />d. DATE OF DIRTH {Ma. Day. YrJ
<br />19, 1940
<br />7. 0IRTHKA0E (Ob W Sold
<br />Mr
<br />O
<br />482 -46 -0753
<br />No
<br />61
<br />foe. DAVE OF MLMURY
<br />(w Ob Y14
<br />90b. TfAE OF MWRY
<br />A
<br />JM
<br />December
<br />to
<br />ARMED FORCES? O Y«
<br />03/18/02
<br />3: 04P ;P .
<br />.
<br />We. PLACE DF MwPry -Own Mans. o9W MJd -n1- lent, Neat fwMty. oN+a butlSetp,
<br />W. LOCATION (SYM W Ntntbw «AuN AM M. am «TOwn• Sub)
<br />o eafdds �] Coaa robe
<br />HOSWTAL
<br />S. MILL, KC,
<br />OTHER
<br />,,O
<br />T.T/'! T_nfr
<br />E DOA
<br />n Wift HOma 0 Raw-ft 00W mwv
<br />ft. FACS.ITY NAME p' o« stss"M 9" a, I ow ftab"
<br />Sc. CITY. To". OR LOCATON OF DEATH W. COUNTY OF DEATH
<br />lWvandotte
<br />Uni
<br />Kansas Cit
<br />10. ,1. StN►YIwiOSPOUSEAfaN,°A + nW* narmJ ,ta. DECEDENT 'SUSUALOOCUPATON(OMrfonda+nA ,fb. KW OFSUSoESSANDUSTRY(Dow
<br />MWW [] wIw Mvftd dam d&AV ~ ef ft Do asf aaa MW) °1w name of tampon)
<br />Diane McElroy Truck Driver Commercial Trucking
<br />Wow C] Owwood
<br />,fa RESIDENCE- -STATE
<br />1fb. COUNTY
<br />,fc. CAM. TOWN. ORLM.ATPJN AND 21P ODOE
<br />13d STREET AND NUMBER
<br />13@L WODE WY L
<br />Nebraska
<br />Hall
<br />Grand Island 68803
<br />3 Via Coax
<br />No
<br />,i. ANCESTRY -{LL Own AM Vft !w1u Ulan. Y4er^wo.
<br />Hawp. 04; as W: sfoJ (fPW1)
<br />it RACE"(NmSuo Amwk4n Bl ors
<br />K01M, aeeJ (SPacrM
<br />,6. DECEDERM EDUCATON
<br />fsp.c�rr arty MfSAset pade ovmgand)
<br />12iooi"(O-T2)
<br />ewe (1-4 or
<br />American
<br />White
<br />/ . A
<br />10 MOTHERS WOE FOW MIDDLE MAIDEN
<br />Bernard Edwin Seeger
<br />I
<br />Beulah Loretta Fulton
<br />,fa
<br />,fb. , a « awn.
<br />Diane Seeger
<br />3 Via Coma, Grand Island, NE 68803
<br />!Oa METHM Of DOPOSITON ..
<br />Mb. PLACE OF DISPOSMM (No" W own0my. OV W«Y, of now pb")
<br />W- LOCATON-Oy « Town. SWo
<br />�I a" p C waofpn D Rwmwl *Ow MR"
<br />0 oatwM [I 0*W
<br />Tabor, Cemetery
<br />Tabor, IA
<br />tN. FUNERAL SERVICE LICENSEE f LICENSE NO (SWW")
<br />It NAME OF EMBALMER ° LACENSE NO-
<br />Angela O'Neill
<br />2421
<br />1 Sean Wm. O'Neill Mo#7504
<br />V. NAME Alm ADDREW OF "W
<br />Crawford- Marshall Funeral Chapel 500 South Main, Sidney, Iowa 51652
<br />sk. To M bW of any bwftfte. &$$I 00eun.d at Rte 0"," W Plea. W dw 10 dts eetwe(s) tia On M baw of o wtt*wbm WWW t w"196W% ti +ey wkdon deOt oo0vod at to *W. dMs
<br />W4 wwrw o NNW. W plea. W dw b M ca x*s) ad m«nw w Wded-
<br />It nw. W 'Foe) X
<br />(�e W TO) X sp v-
<br />tfb. DATE S*NED (W.. Day. Yr.) Ufa TOM OF DEATH lit Mb. DATE $IGNEO (Mc.. Oey. Yr.) 1dcTHE OF DEATH _ s 03128102 3:04 P.M.
<br />s
<br />ad NAME of ATTEND" P►IYSICIAN F OTHEA THAN OEATIFtEiI (FIT» Or Phtu .° rid. PRDNOUNCCED03/18/02 DEAD . Yr.n Yis. PROaoLN� 4O P
<br />2S. HAW AND .k1*F fSS OF C£ATIFMA M4"ICiAN. OR COMmm iT:h et F�")
<br />Alan C. Hancock M.D., 9241 Parallel, Kansas City, Ks.
<br />« n««ew NOW06601 dAW OAK" cwdww .meL « Roe coon on h ft* U hi°yal >� ~ 0nH
<br />rWAMTEC""F*W CRUSH INJURY, CHEST
<br />db or cor4Wn 0 w -In
<br />r_► a I
<br />d,"" DUE TO (OA AS A CON9EOUENCE Oq:
<br />b. I
<br />DUE TO (OR AS A CONSEOUENCE On: I
<br />tieglwiay let Como" t
<br />bans.
<br />� UtDE1�1L CAUSE
<br />E ow" roor k*jFY * k TAT bd DUE TO (OR AS A CONSEOUENCE On:
<br />s
<br />d.
<br />Pl1lfT a. voter etpwasw oa�w.w+ aw,�w.r
<br />........ w ..........v -, •- �. ,_. . _.- __ -..-
<br />- -
<br />- -- - -
<br />N DETERM*NMKi CAUSE OF DEATH
<br />TO CORONER
<br />Q Yes
<br />[fiYis
<br />Q"'F�
<br />O
<br />No
<br />No
<br />U. MANNER OF DEATH
<br />E] D Prrtdaa
<br />foe. DAVE OF MLMURY
<br />(w Ob Y14
<br />90b. TfAE OF MWRY
<br />A
<br />JM
<br />TRUCK AXLE FELL ON
<br />HIM
<br />«tT•etat
<br />AoGdwe
<br />03/18/02
<br />3: 04P ;P .
<br />.
<br />We. PLACE DF MwPry -Own Mans. o9W MJd -n1- lent, Neat fwMty. oN+a butlSetp,
<br />W. LOCATION (SYM W Ntntbw «AuN AM M. am «TOwn• Sub)
<br />o eafdds �] Coaa robe
<br />"w"tr1
<br />S. MILL, KC,
<br />KS .
<br />dowrnk"
<br />T.T/'! T_nfr
<br />1025
<br />
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