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<br />I
<br />
<br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA:: a.a..rn.- 100279
<br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW 'l;OB~:ATRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE'_~D~~ARr~NT"OF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEq:6t,'1?EPOS:tTORY. FOR
<br />
<br />::::L O:~:::CE ji#;/j~
<br />
<br />STANlJEY'. S;. GOOPER,<DIRECTOR
<br />1- ~ . _ .... -"
<br />LINCOLN, NEBRASKA , BUREAU 'OF YIJ'Al> STATISj!.CS . k'
<br />~~-r TwO (~),~ Gioc(cELEVcfV {rl} of f~oL~if1/S ~ Ac&)..L L<-,-,.,
<br />
<br />SEP
<br />
<br />1 1987
<br />
<br />r-'
<br />
<br />- OECfOfNT NAME
<br />
<br />STATE OF NEIRASKA-DEPARTMENT DF HEALTH
<br />IUREAU DF VITAL STATISTICS
<br />CERTIFICATE OF DEATH ll_
<br />MIOOlf LAST! SU -
<br />
<br />t- I!""--'"
<br />
<br />
<br />fiRST
<br />
<br />I. Francis Whyte
<br />lACE - (e.g_, Whit.. 110(". A",.,icon OIIGIN/DESCfNT (e.g., Itolion. M..icD".
<br />'nJjan_ eflc.' (Speci',) G.rfttOn. ek.)(SpMil,J
<br />. White 5.
<br />CIT' ...ND ST...n OF IIITH (H .... i. u.s......
<br />no".. tOIl"".1
<br />
<br />1987
<br />
<br />1914
<br />
<br />..
<br />SOCI...l UCU.'TY NUMIU
<br />
<br />"b, St. Paul
<br />.UIDfNn-ST...n
<br />
<br />l5a, Nebraska
<br />... HU N.....f fl.
<br />
<br />COUNTY
<br />
<br />,'NSlOf CITY liMITS
<br />,~~4Ki"Yes No)
<br />LAST
<br />
<br />6th
<br />
<br />I5b,
<br />
<br />Hall
<br />
<br />Grand
<br />LAST
<br />
<br />M'DDlE
<br />
<br />MIDDlf
<br />
<br />John
<br />
<br />Whyte 17 Mary NMN McCullow
<br />IIN'OIMANT - NAME - In..lIONSH" MAILING AOOI(SS (STIUT 01 ., D NO. elf" 01 TOWN. STAn. 1"1
<br />
<br />19 Esther Whyte(Wife) 1007 West 6th, Grand Island, Ne. 68801
<br />n..nu. O. CIf.....TO.. - N.....' lOC...TlON CITY 011 TOWN ST...n
<br />
<br />NMN
<br />
<br />
<br />A...
<br />
<br />z~
<br />>.w
<br />i~5 2'0.
<br />~~s... 'I'ONOUNCEDDEAO
<br />I:t: 'i .(Mo, Oar. Yr.)
<br />u~z I 2~.
<br />~~g
<br />~~&
<br />
<br />~Grand Island, Nebraska
<br />68801
<br />
<br />Koenig, Grand Island, Ne.
<br />'HOU. Of Of...TH
<br />
<br />24b
<br />'IONOUNCED DEADIHou'l
<br />
<br />M
<br />
<br />2'
<br />0. .. It.... .. ._n.~ .....ler "'........ti_. ;" WI' ~i..i_ de..... _cuRed at
<br />"'- ti_. ... cntd pl._ ON dve to the (ow",) .toted
<br />2... (S'g..DfIll" ...., r.II.,,,,
<br />01 COUNTY AnOINEY) L'IP. 0' ~
<br />
<br />~o
<br />
<br />26a.ISi.,..,_,.
<br />27. I_orATE CAUn
<br />y'UT
<br />:.. Cerebal vascular accident
<br />DUE '10, 011 AS... CONUQUENCf Of,
<br />
<br />,.. Cardiac arrest and cerebral hypoxia
<br />DUE TO. O. AS ... CONSEQUENCE Of,
<br />
<br />St. Paul, NE. 68873
<br />O"'TE UCf'SfE p' .EGtTV" Oa" .o,}
<br />
<br />26b,
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<br />2 days
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<br />
<br />4 months
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<br />I,,"-"allt.,.._ _... ...d deoth
<br />
<br />(d
<br />PAlT 0'"11 StGNlfKANT CONDITIONS C~;,'-- I_trilt...... to d_'''' boil ..., ..111l~
<br />II
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<br />WAi (AU l,nHtD TO MfDKAl
<br />UAMlNU 011 COIONfI
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<br />OAT! Of INjUn ,..... Dol'. y, ,
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<br />INJun At WC)M
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