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<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A, TRpECOPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEP~'ft-m~'F(.P.F>l,lEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL,~DE~OSITq~~:FOR
<br />
<br />
<br />::::LO:~:::CE ~j;~
<br />
<br />OEe 3 1987 STANLEr:is;,:..~.OQ~E~>- P~~ECTOR
<br />LINCOLN, NEBRASKA BUREAU 'OF.~~i\t' af~T.ISTlCS
<br />..\\.\.....,..."
<br />, '''';
<br />87--107228
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<br />STATE Of NEIUSICA-DE'ARTMm Of HEAlTH
<br />IUItEAU Of VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />
<br />83 04626
<br />
<br />MI
<br />
<br />(Mo.,Oa,. YI'.J
<br />
<br />MagdeHn
<br />
<br />14".
<br />IfSlD!Ne! ST.n
<br />
<br />Grand Island
<br />
<br />COUNTY
<br />
<br />"co, Nebraska
<br />. H N
<br />
<br />,,~,
<br />
<br />Hall
<br />
<br />Box
<br />
<br />INSlDf CITY liMitS
<br />(Sp<<iVtl Of' No}
<br />IS.,
<br />
<br />2Apfel-Butler-Geddes 1123 W. 2nd, Grand Island, NE.68801 ,
<br />04 HID (Mo_ 00,. Yr.J HOOI Of DEATH
<br />j"~t
<br />~~3 2.to.
<br />lis.. PItONOUN(ID DIAD
<br />l-l; 1 ,Me,. Do,. y"j
<br />2". M u!:z 2.
<br />I.... MIl"'" "~r;,- -...... J~iI 0.... -... .-- ....,.. ............ i. ..,...i.iN No'" o<<vn~ at
<br />c.......... J.d. /"'l .!8~'" ti_...... -4.t._..-4...,..... c__1) a.....
<br />2 .,,,.-.-...,r. .,'" l ~ u 2.....IJ.i.-'_.rwlf,If.'....
<br />HAMI AN "DOnSS Of CEln'lll ( Y IAN. COIONI..S' SrctAN 01 COUMJY "nO.NU) tr,pe or ";,.,,
<br />
<br />2'~
<br />PRONOUNCED DIAD {Hour}
<br />
<br />..
<br />
<br />
<br />...
<br />
<br />Peter
<br />
<br />I
<br />INfORMANT HAllAf In..."ONSH" MAIliNG ADOIESS tSlUn OW.. D NO., CITY 01: 'OU-e8't11 ZIP) ,
<br />"Daniel Baasch-Husband-Rt. 4 Box 81-Grand bland. NE.
<br />C!M!T!IY O. C.!.....TOIY NAM! lOCATION CITY 01 TOWN ST.n
<br />1983
<br />:10<, Glrand Island Cemetery 2001, Grand Island. Nebraska
<br />'UNItAL HOME HAME AND A.ODlfSS tSfIl" 011.'.0 NO. (1T'f oa TOWN. 5TAtI. ZIp)
<br />
<br />Elsie
<br />
<br />Gundenrath
<br />
<br />S. F.
<br />If Gin...
<br />
<br />
<br />Grand Island
<br />
<br />
<br />1111,-"-1 It~ ..... ..4 cleo.
<br />
<br />
<br />~~
<br />
<br />/()~
<br />
<br />I.....,....___...........ct....
<br />
<br />,.,
<br />DUE TO. 01 AS .. CONSlQU!NCf Of,
<br />
<br />~-
<br />
<br />h...,....I"...... ...... .104 cI_'"
<br />
<br />
<br />WAS CAN _tfUltD ro MfDtCAl
<br />D.AMlN1I 01 COlON"
<br />IS",";" .,.. 01 H.,
<br />29
<br />
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<br />-::";-~~ JOe.
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<br />:~;',Kt:k DEAR CLERK:
<br />
<br />lT1I1I 011' 0 ...
<br />
<br />CITY 01 'OWN
<br />
<br />SU..II
<br />
<br />Please file the above death certificate against
<br />the following legal description:
<br />
<br />~.,
<br />
<br />A tract of land comprising a part of the Southeast Quarter of the Sout~east Quarter
<br />(SElSEl) of Section Thirteen (13), Township Eleven (11) North, Range NlI1C (9), West of
<br />6 h P M Hall County Nebraska, described as follows: Beginning at the southwest
<br />the t f' 'id Southeast ~uarter of the Southeast Quarter (SEtSEl); thence northerly
<br />c~rner: sa t line of said southeast Quarter of the southeast Quarter (SEiSEl), a distancE
<br />a ong t ewes d F (440 0) feet' thence def lecting right 88017'50" and running easterly
<br />of Four Hundre orty " ", I d fl ti g
<br />f F H ndred Six and twelve hundredths (406.12) feet, tlence e ec n
<br />a distance 0 our u, - , d Fif F (454 0)
<br />ri ht 91042'10" and running southerly, a distance 01 four Hundre, t~- ~ur, "
<br />g I 1i t- nid Southeast Quarter uf the Suutheabt Quartel (SElSEl),
<br />feet to the sout I ne 0 Su . I ' Q t
<br />· 1 1 l'd ~outh line of the Southeast Quarter of the Sout least uar er
<br />thence wester y a ong sa .~ f Iii d
<br />(SElSEl), a distance of four hundred six (406,0) feet tu the plnce 0 lee nn "R on
<br />
<br />containing 4,166 acrea more or less
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