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<br /> GJ ~s: m () () ~",.1.
<br /> ,
<br /> ~ ~ .." :x: )., .':~:".~'" C;, C'
<br /> c: tn en '. '-:..J:J C) .-.< c::>
<br /> 2r~ n Z () ::r C:J c );:.. N
<br /> X ~ 0 A .'~.t"" ... ~
<br />/'0 ,... '-'1 p,
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<br />l'Sl G""' a 'lii :J: N c:) -..,.', c::>
<br />(j) (,~
<br /> (D "'1 -
<br />....... O(I) 0 " " r OJ ::3
<br />....... Ceo ~ t::".,) ( :c: t
<br />0'1 0 r T ~ f :;:, )'::':1- 1 ','f) ~
<br />w ('-i , .. ! ~ :3 r .,.....J
<br />(j) ~ i', r- f--'
<br /> "
<br /> (/"1 ,. ~ (j')
<br /> ., f--oO :-;~ Cfl
<br /> (' };.>- c....:>
<br /> _C ----- "-'
<br /> CD '-,., en Z
<br /> <l0 0
<br />
<br />
<br />
<br />INDEX BOTH DEATH CERTIFICATES AGAINST
<br />Lot T?ree (3) and the N~;therIy Thirty-Six (36) Feet of Lot Two (2) in Block One (1)
<br />m West Park Addition to the City of Grand Island, Hall County, Nebraska
<br />
<br />Co . CJt)
<br />
<br />STATE OF NEBRASKA
<br />
<br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA HEAL TH AJlD H' 'UII AI SERVICES
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COpy OF THE ORIGINA~~'WtTH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STAT'~;SI:~~ IS
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. .... .'.' .... =~:1?--'!f:fS;j~1 'C:S;""2..~J~::
<br />
<br />
<br />DAO"tc'i2AiOOO .~;'"~J:
<br />
<br />LINCOLN, NEBRASKA 2 0 0 6115 3 6 HE~I-~~~.-,
<br />
<br />Grand Island, Nebraska
<br />7, SOCIAL SECUIIlTY NUMBER 81. PLACE OF DEATH
<br />
<br />Rehuke
<br />sa. AGE. lMl_,
<br />(Yf'.!
<br />82
<br />
<br />
<br />3, DATE OF DEATH 1_.001<. Y-I
<br />
<br />1. OIiCEOIiNT - NAME
<br />
<br />FIRST
<br />
<br />STATE OF NEBRASKA - DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATlSTIC~ \
<br />CERTIFICATE OF DEATH {. j.
<br />
<br />I,lIDD\.E LAST 2. SEX
<br />
<br />Fred Eno
<br />4. CITY AND ST"TE OF BIRTH lIINitIfl uS.A.. -counIr;l
<br />
<br />Male
<br />
<br />June 24, 1990
<br />6. DATE OF.-rH 1_ 001<. Y....,
<br />
<br />:J
<br />January 5, 190;"
<br />
<br />5b. l.lOS. I
<br />,
<br />
<br />D"'VS
<br />
<br />5c, jl()\JRS:
<br />
<br />506-09-6213
<br />
<br />~
<br />
<br />JlQSffi& 0 Ir.~ 0 ER~ 0 DOA
<br />
<br />~ dlN..._ _ 0 _ 0 0Iher /$p<</Iy!
<br />lie, CITY, TOWN OIl ~OCATION OF DEATH ed. INSIDE CITY LlMlTS lie COUNTY OF DEATH
<br />:~d;' ~'~" IX f't.j;)
<br />Yes
<br />lid STREET AND NlJMIIER (1ttcIudi/I(I ZiP ClJ*1
<br />
<br />
<br />lb. FACilITY - -
<br />
<br />III Nit iretI/UbM, (JIw SIr" MId Ilu<IrI>>rI
<br />
<br />Nebraska Grand Island
<br />10, RACE -I'.g.. _, Ble<l<,.-m.icen I""'an. II, ANCESTRV 'o.g..l_. l.IoJ..an. _men, Ole.) 12 MAIlRIED,NEVER I,tAAAlED,
<br />elCll$(>>cJlyl (Sp<</Iy) WIClO'M;D, DIVORCED I$p<</lyl
<br />White American Dlj Married
<br />,.... USUAL OCCUPATION I~ tittdol_ _ (/UI'''G'''''' 11 '.b. KINO OF BUSINESS INDUSTRY
<br />oI~"",_"~1 / :-\~\
<br />Mechanic ~
<br />16. FATHER _ _ FIRST I,lIDD\.E
<br />
<br />
<br />Grand Island
<br />lie. CITY. TOWN OIl UlC.'T1ON
<br />
<br />Hall I
<br />... .... CITY UMlI'I
<br />~ r_.,.
<br />Custer 68803 Yes
<br />13. NAME OF SPOUSE (If"'*gw___
<br />
<br />
<br />to; --Francis Skilled Cat-'e -
<br />... RESIDENCE - STATE
<br />
<br />Alvena Kuhlman
<br />
<br />~ c< IieeonI*y fG.121 '
<br />Unknown '
<br />FIRST IMXlt.E
<br />
<br />CelllleI1..., Sol
<br />
<br />lASl
<br />
<br />Alvena Rehuke, 1212 N.
<br />roc CEMETERY OR CREMATORY. NAME
<br />
<br />NMN Bauman
<br />ISTPIfET (lII RF.D NO. CfTY OIlT~. SlIlTE.a'l68803
<br />
<br />Custer, Grand Island, He.
<br />2Od. LOCAT1ON CITY OIl T~ STillE
<br />
<br />Gustav NMN
<br />
<br />". WAS OECEIlSED eveR IN U,S. _0 FORCES?
<br />IV... no, C< uN<.1 (" yw. P _ "1Cl_ 01_1
<br />
<br />No ------
<br />
<br />*- 8lIAlAL. Ct_._a1, 2Ob. DATE
<br />Do<-.
<br />Bu
<br />
<br />Rehnke
<br />
<br />
<br />27. 1990
<br />:t3Y <j-'
<br />
<br />Westlawn Memorial Park Grand Island. Nebraska
<br />22 FUNERAl tiOIolf . NAME AND ADOAESS ISTREET (lII RED NO. crry OIl T(Maj, STilT(. ~ 68801
<br />
<br />Livin ston-Sondermann 50S W. Koeni Grand Island Ne.
<br />(ENTER Oi.~Y ONE CAUSE PER ~IHE FOR ("I. Ibl. AND (eU - -- --
<br />
<br />~ I((IM t1r k-" GAW
<br />-----
<br />
<br />rbl
<br />DUE TO. OR AS A CONSEOUENCE OF:
<br />
<br />-----
<br />
<br />
<br />DTHEll SIGNIFICANT CONOITIOlIS - ConIlI1IOnI conlrlbulillg 10 <Ill'" bill not ,_
<br />PART
<br />.
<br />
<br />25 WAS CAIE I&8HiD m~
<br />
<br />;.J'~-
<br />
<br />2M. tHJUfIY ... T WOflI(
<br />ISpedy Y.. C< No)
<br />
<br />281. PU\CE OF INJURY - AI",,",". ta,,,,. _ feclOrY,
<br />....~...., I$p<</Iy)
<br />
<br />STREET OIl R.FD. NO
<br />
<br />CITY 01" T~
<br />
<br />SlAlE
<br />
<br />27.. DATE OF DEATH IIrIo.. C>>y, Yr.}
<br />
<br />281 DATE SIGNED IIrIo.. C>>y, Y'I
<br />
<br />2Ib. TWE OF DEATH
<br />
<br />
<br />.\c June 24 1990
<br />it ~ :. ~;E=; 1;'6':' YI11 9 0
<br />
<br />! i 27G. To'" - 01 my k-iIt,
<br />- ~'l_
<br />" """ T" "
<br />;l9o. DIll TOBACCO USE CONTRli)IJTE T T
<br />
<br />27e, TIME OF DEATH
<br />
<br />lli i i 2Ile PRClNOtJtlCED DEAD (Mo., 0I0y, Y, I
<br />$~
<br />
<br />~i~ 210 00",._01..--....-........""--_.
<br />~.. ...."""'_..-"'___ID...~-
<br />
<br />~
<br />.., PlllOIlOlINCS) llEAO ~
<br />
<br />DYES
<br />
<br />~
<br />
<br />~
<br />
<br />:;:VES
<br />
<br />~
<br />68803
<br />
<br />.. tlor Yo-,
<br />
<br />David
<br />32. REGlSTRAR
<br />
<br />Custer
<br />
<br />Grand
<br />
<br />
<br />NE
<br />
<br />JUN t;) 1990
<br />
|