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<br />f Legal Description:
<br />
<br />Lot Twenty (20), in Block Three (3), in Southern Acres Addition
<br />to the City of Grand Island, Hall County, Nebraska
<br />
<br />ST A TEOF COLOR
<br />... HOLDTOLlG~TtO VIEWWATERMARK
<br />2 0 0 6 05859 ...... stAT~OF(:OIj)RAOO
<br />CERflFICATEOF DEAtH
<br />
<br />3. D,Ue: OF DEATH (Mom/'!. Dd'f, Y'e.:ifl
<br />July 6, 2000
<br />1. $IATHPlACE jClty ilntJ Stat.s 01 O"'''i,;
<br />Cou1lfrv/
<br />Superior, Nebraska
<br />
<br />9d. COUNTYOFCEATH
<br />La rimer
<br />
<br />Dorothy Lee
<br />Hartzler
<br />
<br />C010rado
<br />1:J,e.INSIOE 13'. lIP,COOE
<br />CITV
<br />LIMITS'?
<br />~~-:: 80537
<br />
<br />1100 N. Taft
<br />16. OECE[J~N1'5 EOUCArlON iSf'f!!C','Y 0/111' hlg/'!e$r
<br />fo~g;~:~IZ:cdJl~;~nj';Z_~~~;~ng:{1+)
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<br />16
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<br />A H .
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<br />("I"",MltId'-.'441f"
<br />
<br />N -N an4 A;I at on"h " to O'l:eeaaed.
<br />
<br />. ..
<br />
<br />Cecil S. Macy
<br />208. t..U;:THOO pF DISPOSITI N ",:'/ (C.. \\:,(,,,:,>
<br />a Syrlal )G Cr~,",a~IOrl c,Rl!mQV,~:"f~,St:~,C.,>::"
<br />o OQnatlcfl 0 ,()th.r (SPf'C'ifl'J .,:,,'!,::,:;',,':' '
<br />
<br />Colorado
<br />
<br />wife
<br />
<br />Co ZIP,
<br />
<br />80537
<br />
<br />TO 8E C/O'IIPl.ETEO 8V COflONEA
<br />
<br />2_
<br />3_
<br />
<br />. NAM , I l. ANOMAllIIIIGAO RON tTr,,: ","': II
<br />
<br />GarvinC.Murray .. .'l~QIL.~bI.~e
<br />3'. NAME Of" A.TTENDING P~f.f$ICIA.N IF OrHEFI TI-I~ CERl'FJE~:(Tr,o~int) ,:'''. .
<br />
<br />Lo~elarld ,Colorado tiP'
<br />~,
<br />
<br />80538
<br />
<br />
<br />32.. !WANNER OF DeATH \
<br />K Nlltu....1 0 'Pl!!lnding
<br />In'M$ttoeI"lon
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<br />I:) Aee4denC
<br />
<br />O$l,ik;lde
<br />LI Homicldtjj
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<br />a u,,...tiNI'\t'G
<br />~nnl!!lr
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<br />'D (ql Do nc,t'.nt8f mact- Of d,..na (.~.~ or AftpI,.((M'y ,,",-f).-lOn.. It'I~",..1 tHt~..... ~"t
<br />'we~ .......,.
<br />Interval bI!!Ilw1II*" ol'ls.t
<br />and death
<br />
<br />IntB-NBI betw..n on..,
<br />and death
<br />
<br />In d-'*n'nil"hlG OMI.. Cf d."1'I1
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<br />THIS IS TO CERTIFY THATTHIS IS A TRUE ANO CORRECrCOPYQFTHI:: OFFICIAL RECORD WHICH IS IN MY CUSTODY.
<br />
<br />~ONA~H~
<br />
<br />STATE REGISTRAR
<br />
<br />Do not accept unless prepared on security paper with engraved.borderdisplaying the Colorado state
<br />seal and signature' of the Registtar. P~NAt. TY BY LAW, Section 25-2-118, Colorado Revised
<br />Statutes, 1982, if any person alters, uses, attempts to use or fumishesto another for deceptive use
<br />any vital statistics record. NOT VALID IF PHOTOCOPIED.
<br />
<br />DATE ISSUED
<br />
<br />JU N. J 7 2006\
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