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<br />I <br /> <br />r <br /> <br /> <br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA. SrATE <br />DEPARTMENT OF HEALTH. IT CERTIFIES THE BELOW TO BE ,4: fRH'ij'.~9py <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPaRTM~T: OF (HEALTH <br />BUREAU OF VITAL STATISTICS. WHICH IS THE LEGAL :D,E:PoiHTORY.~FOR: . <br />. I ...... ,.- ,.' ." <br /> <br /> <br />:::L O:~:::'CE' ':~: ({l:&ip;u)~' <br /> <br />STANLE~II' ,>,COOPER.. inR'ECTbR <br />BUREAU O~' ~f~~L ' s'ltA~i;Tics <br />, ,. .. " .. ....~.... ,.... ." ,..~ <br /> <br />I <br /> <br /> <br />.DlCIDlNT NAM' <br /> <br />flU' <br /> <br />._,. ",_{',::CC: <br /> <br />STATE OF NEIUSICA-lfM.ilWIfif OF HEALTH <br />BUREAU Of VITAL STATlsncs <br />CERTIFICATE OF DEATH n <br />MI DD4.1 III <br /> <br />.' 88~::<1.'O 1 S 9 9 <br /> <br />Edward <br /> <br />McDermott <br /> <br />McDermott I Zoa Green <br />IN'OI,lU.NT NAMf _ InATIONS"" MAllIMG ADDIUS l"IIIf O. .. D. NO. CITY 011 lOW... SIAgB'gb 1 <br /> <br />19, Mildred McDermott(Wife) 721 W. 1st. St. Grand Island Ne. <br />("'AllIlY 01 CIE/oIATOIY NAME LOCATION CITY 01 'OWN STArt <br /> <br />20< St. Mar "s Cemeter <br />fUNElAL HOME NA.lolf ANO AOOlns <br /> <br />Wood River <br /> <br />Nebraska <br />68801 <br />Island, Ne. <br /> <br />nLivin <br /> <br />Koenig, Grand <br />HQUI Of DEATH <br /> <br />:-~t <br />ld 2~0. <br />.!f5.. ,IONOUNCIODfAD <br />!..t: 1 (Mo" 0.." Y,,) <br />utsz 2. . <br />JA~ 0.......... ___ ON!e< _-,,-.M... ~ Of'lo. ....110 ....n... .. <br />: 8 , tit. ...... ...... .... ... the .. .. C.IIIM(~ . . <br />u 2".11;'-" _ 1;_.' ~ <br />E S 'IlYKIAN 01 (OUNlY AnOlttlYll',,.. .. ',i"'J <br />- c::"" .,,- <br />,n. ,), Dee N. tJOt.4.'C\t-A. oJlA.d~, /I:'( b~ IVE <br /> <br />OA1I IICEIYIO AitG'Siil 11~:" Y,.) <br /> <br />2610, o7UO <br /> <br />2~". <br />rlONOUNCfD DIAD 1110." <br /> <br />'" <br /> <br />~rool <br /> <br />Ifl....... ......-. ..... _'* lI_tk <br /> <br />t./d7(.lq6 <br /> <br />......... .......... HI'" ..... d.._ <br /> <br />1.-........ '-....... ..... ....., ...... <br /> <br />~:~~~~~t ;'~~ ;::111' <br /> <br />Y.. 0 No 0 21. <br />OUC"'. _ ItoUUIY OCCU <br /> <br /> <br />WAS CA$I IIH..O 10 "'DlC"\ <br />.ILUIINII 01 (~I <br />15_i" rfH .. No' -JA f\ <br />29. ,~ <br /> <br />~. <br /> <br />"1111 01 U 0, No <br /> <br />CITY 01 lOW" SIAn <br /> <br />L <br /> <br />-1 <br /> <br />L <br />