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<br />Census Tract Na.
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<br />BVS.2 O>>M~ 12-82
<br />
<br />STATE OF NEIRASItA-OEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
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<br />200606848
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<br />DI! CEDEHT NAMf
<br />,
<br />
<br />fllST
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<br />MIDDLE
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<br />
<br />DATE OF DEATH (Mo.. 00,. 'r.)
<br />
<br />lAST
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<br />L BERNARD JOSEPH PULTE August 2, 1987
<br />
<br />UCE-{!t.g" Whil.. Ilock, A....;c.ft OIIGINIDlSCENl (.,g.,lfali""._.ic.ft, i AGE ......I~ UNDO 1 YUI UNDU 1 DAY DATE Of IIITH (Mo,. 0." Yr.)
<br />Il>di.~. ....) ISpKif,) o..-ft,_,lfSp<<if,' I'IY"." MOS., OATS I H.OUU' MINS,
<br />~, White 5. American. 6a 61 6b :. : 7, March 24, 1926
<br />CITIZEN OF WHAT COUNTIT1. MAUl EO. N , R MAIIIED. I NAME 0' S~SE IIf .i", gi_ ",o"ju no...)
<br />,,'r,' I WIDOWED. OI'jOICED (SpKif"
<br />hat Nebraska 9. U. S .A. !loMarri~d nHelga Gress
<br />USUAl. OCCU'ATION IGi..l:i~d of....ri: don. doti"9 ...... i llO Of BUSINESS 01 INDUSTRY COUNTY Of DEATH
<br />af ......i'" pJtfw. ...ft;' 'ft;,.d) I Car gill Nut r ina Hall
<br />I' !3.. 'l.ant l"'lanager IIJbFeea Com an 14a
<br />CITY, TO N OR lOCATION OF OEATH INSIDE CITY LIMITS HOSPITAL 01 OTHER INSTITUTION - N._ (If "D' '" ."hr. II HOS' a. "OT '.."0" 00....
<br />($p.ej'ilr Y.. Of" "'0) gi.. Jtr...f 0 rut. ,",ill'" iber'. 0.,.,.'..""/1....... I.... pati.1"I1 (5p_l'I-"
<br />and Island. Nebraska ...Yes u.l.~t. .I."ranc~s Medical Center T~.Inpatient
<br />E -STATE COUNTY I CITY. TOWN OR lOCATION STIEET ANO NUMBER jlNSIOE CITY LIMITS
<br />Ii ISPtR''/ h. 0' No)
<br />T5b. Hall 's<. Grand Island IUd 2410 Gateway Ave. 'TS.1 es
<br />fll T MIDOlE LAST, MaTHU IoIAI0EN NAME FIRST MIOOlE LA T
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<br />Pulte
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<br />Cecilia
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<br />NMI
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<br />Lee
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<br />, 11
<br />IINfOIMANT - N.......E - REI'" HONSHIP.. ........IUNG ADDRESS ISTlEH a. 1 '0, ..0.. (,'" a. 'OW", srA H. 11.)
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<br />!'9Hel a Pulte-wife-2410 Gateway Ave. ,Grand Island~8~2~
<br />t CEMETERY OR CIE........10ay - N......E LOCATION CITY 01 TOWN STATE
<br />j , Service
<br />"Oc.Central Nebraska Cremat~on 10<1 Gibbon, Nebraska
<br />i fUNERAl HOME N.......E ..NO ADDRESS ISTIEE! 01 U 0 ..0. ('TV a. TOW", STAll. ZIP1 68801
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<br />!l1Livingston-Sondermann.505 W.Koenig,Grand Island, NE.
<br />
<br />DATE SIGNED fMo, O.r. Yr.) I' HOUI Of OEATH
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<br />J!i!5 11., 1~b. No
<br />I.! ~ = . PIONOUNCEO DEAD i PRONOUNCED OEAO (Hoor!
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<br />tSj"nOih,,. aP'tfl J'ifi.~ -.K
<br />~ Of CERTlfIE. (PHYSICIAN, C
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<br />John J. Cannella, NO
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<br />Nebraska 58303
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<br />DUE 0, O. AS A CONSEQUENCE Of,
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<br />OATE RECEIVED IT REGISTRAI (Mo., O.r, y,,)
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