|
<br /> ;;g 1---";> i
<br /> :1=10 nn ~ <:") (,/)
<br /> m c::::.:> C!)
<br /> a ." :I:)> ~~ c:.-, o -l
<br /> ;; c: m (I) ::3 c:l> N
<br /> Z n:I: z-l
<br /> ~ i\ '" = --1m 0
<br />N :E: ~ 0 -c: -<0
<br />S rn !{I N 0"" 0 if
<br />lSl G") n CI) N
<br />0) ..."
<br />m '" :x: ""T'l z (j)
<br />lSl U, :J: rrt I
<br />~ Cl
<br />-I rYI -0 l> co 0
<br />0'1 :::t [ r ::0
<br />is r" ::3 ...r:
<br />r.;; Cl r l>
<br />N U'l (J)
<br /> t-' :::0<: Ul
<br /> tn l> <::>
<br /> ..... c..:> ..................
<br /> ~ -'= Ol' N ,....
<br /> - 0<> ~
<br /> n
<br /> m
<br /> '"
<br />
<br />
<br />
<br />STATE OF NEBRASKA
<br />
<br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE r.,EBRASKA HEAL THAND/::!JJMAN $ERVICES
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUECOPv OF THE ORIGINAl. RECJJgtJ-fDLALl5"rlflITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL SWiS.TICS-"SECTfoil'WHICH IS
<br />
<br />::::::~;::::~TORY FOR VITAL RECORDS. ;6L... ; "_L.-' _-:J..2~.~H\-
<br />MAY 1 7' 2006 2 0 0 6 0 A 5 0 2 ('-:' f!ftANLE,'1 sj Po9PER
<br />':I : ASSI$TANT STAT,E f!ESI$'RAR
<br />LINCOLN, NEBRASKA Hf,4LtH AND. HfJMAN SERvICES
<br />
<br />1,5'.
<br />.,
<br />'"
<br />
<br />
<br />NAME
<br />
<br />STATE OF NEBRASKA-DEPARTMENT OF HEALm,-
<br />Bure.. 01 Via.l St.lI.tie.
<br />CERTIFICATE OF DEATH H~
<br />._. LU II
<br />
<br />",'""",:. ~'~':,
<br />
<br />
<br />-"17
<br />
<br />06Goa
<br />
<br />flU'
<br />
<br />OATE
<br />
<br />t MOM'".' 'o...'t~ "...
<br />
<br />l.
<br />
<br />IACI! _fl. "'010. .......C.... '''O'''N.
<br />II(.. . INCIf't' t
<br />
<br />w
<br />
<br />HARRINGTON
<br />
<br />8 1977
<br />
<br />~;1V'MIt:caUJClWW& of,," s.
<br />Grand Island
<br />
<br />.-....,
<br />
<br />I. Nebraska
<br />$OCt..... SECu.ffY HUMlfll
<br />
<br />It. 506-07-8325
<br />llEStOfNCE-STAn
<br />
<br />,..Nebraska
<br />fATHfll-"'AME
<br />
<br />" Lutheran Hospital
<br />MAl~D. Nl!Vfll MAlIllll!D. SUllYIVNG SfOUSf ,If Wlf(. 0"" -1M.. _ I
<br />
<br />,. U. S.A. :1lv:t~D t UK"" " Ruth Eisenhart
<br />USUAl OCCUPATION '01" ....., O. WOK OUN' '''''''0 .01'10 KINO O' IUSINI!SS OIIINDUSTlIY
<br />WOIttarG U"~ ""IN It "'.1. l
<br />131_ Cattle Feeder
<br />CITY. TOWN. 011 LOCATION
<br />
<br />'Ce Grand Island
<br />
<br />.._,
<br />
<br />'A.
<br />..._ (,.,. u..on STlIHT
<br />""(If' 'U 01 MO'
<br />,c, Yes 'Co.517
<br />
<br />MOMI-MAIOfN N.4Mf
<br />
<br />Owner
<br />
<br />
<br />Stolley Park Rd.
<br />
<br />COUNTY
<br />
<br />I".
<br />
<br />Hall
<br />
<br />"II'
<br />
<br />,.."
<br />
<br />""_.
<br />
<br />..."
<br />
<br />(..)
<br />
<br />
<br />ton
<br />
<br />Grace
<br />
<br />Long
<br />
<br />151.. Ben
<br />
<br />'-WAS DlCIASl!O !VII I.M u.s. AItMIO FOllCl!S7
<br />ev... _ .. ...k_) (II _ ,I.. _ ..... .... off _)
<br />
<br />""''' oa ....... _.. (". 01. g~13li'1I. Z"'.
<br />
<br />
<br />DEAtH WAS CAUSED IY,
<br />
<br />II.
<br />
<br />I t,.--
<br />
<br />(0100"'010$, "..m. I (..,
<br />"'Nle" G.... "" 10 .
<br />~,::,:,'::~'~:"'':,$:~:~: Otll. 10.
<br />LWlNG co.uU Ld'
<br />(e,
<br />
<br />'.lIT 1,_ 0''''1 SlGNWlCANT COMDl
<br />YO UUIIf GIYIM 'M ...., II.)
<br />
<br />
<br />ACCIDENT. SUICIDE. HOMICIDE,
<br />011 UHOI!Tl!llMIHEO ,INC''''
<br />!II.
<br />INJUllY AT WOlIK lNJUIY .., _. ......, "''''. ..octOll1'.
<br />I $"e," '1$ 01 ~ OffOC:' ILlIG" ..C. . $ItC~
<br />
<br />2h. .
<br />
<br />CfltflfICATION-
<br />'"V'ICIAN:
<br />. ""'NOlO I'"
<br />tl.. OICI""O.._
<br />CfllTlflCATION-MIOl flAMINEI C , ClIO _ ...", Of '"'
<br />...........'tON 01 ... IQOIt AMD/Ol ,.. ..w"ttGA'.IiON, ,... ... O'tNlONJ
<br />lIfAlM OCC_ ON tllf ...." _ OUl. to ..... (..tlMl" "....,.
<br />U.
<br />Cl!mHflI-NAME ."'" Oil _tt
<br />21.. C.D. McGrath M.D.
<br />MAI.WG AOOllE$S-OI",/f1
<br />111.
<br />ILMlAl. ClIEMATION. II/oIOVAL
<br />I $t'I.C.'fW'
<br />
<br />A
<br />
<br />'MOM'''. 0..,. fit...
<br />
<br />--
<br />
<br />-
<br />
<br />11<. -. M. MI.
<br />LOCAnON I..un o. 1,'.0. NO.. c,n 01 lOW... $'"'' I
<br />
<br />-
<br />
<br />lit.
<br />
<br />/7'77
<br />
<br />LEGAL DESCRIPTION: The WEst Half of the Northwest Quarter (Wl/2NWl/4) in Section 23,
<br />in Township 11 North, Range 10, West of the 6th P.M., Ball County, NE.
<br />
|