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<br />I <br /> <br />LINCOLN, NEBRASKA <br /> <br />MJr>':J 1J~~Jt;~~ ~= <br />, ",'.c '.,J."IIV~,'!f.:. .C", '. " <br />. -. .. -. .} .-.~. <br />STANLEY S~. 'CjJQPER~ _Dl;)tGTOR <br />,~ ._.1: ~'.. Co II!>...... (, :'" r <br />BUREAU OF Vl;~AI.(' ,Srtl.'rI:STICS <br /> <br />. r,"." <br /> <br />I <br /> <br />I <br /> <br />BUREAU OF VITAL STATISTICS, WHICH IS <br />VITAL RECORDS. <br /> <br />DATE OF ISSUANCE <br />DEe 3 1 1987 <br /> <br />DECEDENT NAMI <br /> <br />I~J It) .6 )~ r? j1~7~ j<lle hr "d 5~ <br /> <br />STATE Of NEIIlASIlA-DD'AlTMEJIT OF HEALTH <br />BUREAU OF VITAl STATlsncs <br />CERTIFICATE OF DEATH~ duD <br />MlDDlI S,. DAn Of DIATH 1-,. Da,. 1../ <br /> <br /> <br />fiaT <br /> <br />MIDDlE <br /> <br />2316 Pioneer Blvd. <br />fll$T MlDDlI <br /> <br />1510. <br /> <br />Hall <br /> <br /> <br />Emil <br /> <br />F. <br /> <br />Roeser <br /> <br />Frieda <br /> <br />H. <br /> <br />Detlefsen <br /> <br />1 <br />IHf()UU,NT _ NAME _ IflATlONSH" _ MAILING ADOIEU (5IlIn oa '.r.o_ NO_. CITY De tOw... !,u.Tf. ZIP) <br /> <br />.".Emelie Roeser-Wife-2316 Pioneer Blvd.-Grand ~~~gAd, NE <br /> <br />CEMITU1 011 CIE_TOlIf NAMI lOCATION CITY 011 TOWN STATE <br /> <br />1987 <br /> <br />~. Grand Island Cemetery ~. Grand Island, Nebraska <br />'UNEtAl HOME NAME AND ..DOlUS tST.11 oa '.'.D. NO.. cln oe TOWN. ST"1I. 11'1 <br /> <br />~pfel-Butler Geddes 1123 W. 2nd, Grand Island, NE.68801 <br />DA I $I NID 1_, Da,. 1../ HOUIOf DEATH <br /> <br />HOUI Of DEATH <br /> <br />i.~ <br />'::!z <br />1~3 2_. <br />1~5 aO. PIONOUNCfOOlAD <br />r:~ 1 (Mo.. 00', Y,.} <br />4: 15 3M u~z 2... <br />. ........,.a-...... "hw JA~ ~......... ........, ~ eM'" ............. ,..,....-..... _1_"M1.. <br />... \ ~ ~ ~ ... ti_. ... .-.4 ..... ...... __ .. .. c..-(.) ....... <br />2... (Si...... ..., J,"., ... <br />1'5 PHYSICIAN ()I: COUN" AnOlNtT) tJ,pe ... ',i"" <br /> <br />2_. <br />NONOUNCEO DEAD (HourJ <br /> <br />M <br /> <br />DA1I Of DEATH r..... Do,. "../ <br /> <br />~. 2300. November 28, <br />l~ DATE SIGNED 1_.. Do,. "../ <br />~~ <br />u~ 23... <br />.n <br />:!. <br /> <br />1987 <br /> <br /> <br />2 . Vincent <br />IIfGIS1IAI <br /> <br />81981 <br /> <br />I"....... It....- ___ eM ..."" <br /> <br />hrI..--1 ........ .-.. eM ...."" <br /> <br />..._._1".._... .-.. ewd ... <br /> <br />WAS CAli ...lftD to "DIeM <br />IUMINII 01 C~. <br />~if, 'We Ha' <br /> <br />:JOel. <br /> <br />... <br />IMIUI"I' AI wo. <br />,....." ".. ... ...., <br /> <br />It.11 OII.PD. .... <br /> <br />cln 01: 10WN StAll <br /> <br />... <br /> <br />r--- <br /> <br />l <br />t: <br />fL <br />f, <br />, <br />r <br />i <br /> <br />. . <br /> <br />L <br /> <br />~ <br /> <br />./ <br />j.. <br /> <br />.,1 <br />