|
<br />88~
<br />
<br />100225
<br />
<br />I
<br />
<br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT/OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEG~L DEP(jSlTOR)'<FpR
<br />
<br />VITAL RECORDS. j.ll~jj~~~':.\I:'C~~~:~
<br />DATE OF ISSUANCE /J1~4(.~l!r:r::
<br />DEe 15 1981 STANL~'(;S:;. ~OO~tR~:Rr.REcToR
<br />. ,(. .' . ,. J ..,' 'Y'
<br />LINCOLN, NEBRASKA ~UREAU'OF!VlTA~ ~fATISTICS
<br />
<br />I
<br />
<br />Amended Dec. 15, 1987
<br />
<br />SUTE OF NEBRASKA-DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS 87 1183 5
<br />CERTifiCATE OF DEATH--. _ ^ ::;:,
<br />
<br />llfCEDEHT - HMlE
<br />
<br />
<br />FIIST
<br />
<br />...,DDlE
<br />
<br />LAST
<br />
<br />DAn OF DEATH (Mo., Do,. Y'.I
<br />
<br />Paul
<br />
<br />Franklin
<br />
<br />l.
<br />lACE (. 8.. Whit., Iloc.. "'",.rko" ~GIN/DESCENT (e g . Ita lion. M..icon. AGE - ~ ..rthdo,
<br />Indian_ ek J (SpKI',J GerMCu" .tc ) (SptK1',J
<br />.. White s.
<br />CITY AND STAn OF IIITH (H .... j. U.S.A..
<br />no.... [O""tr,J
<br />
<br />...IDDlE
<br />
<br />atient
<br />INSIDE CITY liMnS
<br />(SpHi~_Y..o,No)
<br />IS.. Yes
<br />LAT
<br />Hatlelll81\~
<br />Shanks. Sr. 17. Cordelia NMN 8R8Bl(8 Tallman
<br />IINfOIMANT NAME IUA"ONSHIP MAILING ADDIESS tSTlln 01' f 0 NO. CITl 01 TOWN. 5888011
<br />
<br />"Marie Shanks Wife 1220 N. Lincoln Grand Island Ne.
<br />CEMEnl' 01 CUMATOI' NAME lOCATION CITY 01 TOWN STATE
<br />
<br />Medical Center
<br />STlUT AND Nu..ln
<br />
<br />ISb. Hall
<br />
<br />Lincoln
<br />..'DOlE
<br />
<br />16. Benj amen NMN
<br />WAS DECEASED EVEI IN U.S. A....ED FOICES?
<br />,T.,. 110. ., ..IIU I (II ,.,. 9.... -' ..... do'" .1 ........(.1
<br />II. No --------
<br />IUIIAL Cr. "'olio". Removal D."
<br />
<br />..z
<br />....
<br />l~
<br />\]i!
<br />~1
<br />~..
<br />
<br />
<br />20< Westlawn Memorial Park 20.1 Grand Island Nebraska
<br />'UNUAl HOME NAME AND ADO'f$S (511111 01 a.f 0 NO. c1n OIIOWN. STAU. 1.,168801
<br />
<br />2'-
<br />
<br />ston-Sondermann 505 West Koeni . Grand Island. Ne.
<br />DATE S'GNED (Mo. Da,. y, J I HOUI OF DEATH
<br />
<br />i~
<br />~:!i
<br />l~o '40.
<br />j~~ PItONOUNCED DEAD
<br />:~~ l' (Mo_. Oar. Yr.1
<br />M ~!:z. 2.i< 24
<br />A.' 0.%8 0.. tho It..... .__"'0"_ orod/.. "'_"..';_. ill _, ...i,,~ ... _c.or""
<br />rho ,;_. d.te ..... plec. a..4 d.. .. .... co,,-<.l .~
<br />....g.
<br />c.--- 24.. IS.....".. ..'"' r.".) ~
<br />01 COUNTY ATtOINEY) ~'rl"11
<br />
<br />2'b
<br />PRONOUNCED DEAD (Ho..."
<br />
<br />..
<br />
<br />NE 688J2
<br />
<br />DAn RECEIVED IY .EGIS'..... (Mo.. Oa,. Yr.1
<br />
<br />2M>
<br />
<br />OCT
<br />
<br />7 1987
<br />
<br />(01. (bl. ANO(cll
<br />
<br />1........1 ......._ _... .11" doo"'"
<br />
<br />1"......1......._ _Nt .IHI d..",
<br />
<br />1,,-.n-01 ........_ _... ."d d_"
<br />
<br />WAS CA.$.! .!JUIIO TO nIDfCA.L
<br />fUMINII 01 ((MONII
<br />Up_,', ,.. ., N.,
<br />2.
<br />
<br />JOe.
<br />'MJ'" A.t WOM
<br />IS,....". -r.. _ ....
<br />
<br />JOd.
<br />
<br />St.." 01 . , D. He
<br />
<br />(In De tOWN ItAn
<br />
<br />~
<br />
<br />~. J~.
<br />All that part of lots One (1) am Two (2) in Block 'l'w:J (2) in Gill:ert' s
<br />Addition to the City of Grand Island, IlDre particularly described as follows:
<br />Camlencing at a point on the Easterly line of said lDt One (1), Forty-Four (44)
<br />feet sout.herly fran the nortreasterly corner of said lot One (1) and running
<br />thence ~sterly parallel with the Northerly line of said lDts One (1) and
<br />1'w:> (2) to the Westerly line of said IDt Two (2) thence Southerly along the
<br />Westerly line of lot'l'w:J (2), Forty-Four (44) Feet, thence easterly parallel
<br />with the northerly lines of said J.Dts One (1) and Tv.o (2) to the Easterly
<br />line of said lDt One (1), tiEnce northerly along t1-e easterly line of said
<br />lot One (1), Forty-Four (44) Feet to t11e place of J:eginning, and being a
<br />rectangular piece of ground having an easterly frontage of Forty-Four (44)
<br />feet and extending \'lesterly across said lDts One (1) and 'l'v.o (2)
<br />
<br />~
<br />
<br />L
<br />
<br />,/
<br />h
<br />
<br />L
<br />
|