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<br />~--rs-~~~ <br /> <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH. IT CERTIFIES THE BELOW TO BE A,~RPE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMEN:r:OF HEALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DE~OSITOkY FOR <br />VITAL RECORDS. '" <br /> <br /> <br />DATE OF ISSUANCE ~ 88- 105582 ~J..~~, <br />JUL 271988 I STANLEY S(co.~~~~"P~CTOR <br />LINCOLN. NEBRASKA BUREAU OF ViTAi" ST'Jl:TISTICS <br /> <br /> <br />STAn IIF HEIIlASIlA-D[JOAlITIlOO DF HEALTH <br />BUREAU DF VITAl. STAnsncs <br />CERTIFICATE OF DEATH, <br /> <br />DtC!DINT_NAMI <br /> <br />... <br />IISIDINel_ srAlE <br />IS.. Nebraska <br />. H _ <br /> <br />INSIOf CITY UMlU, <br />~~K'~~_N.J <br /> <br />WAS DfClASfD (VII IN U.5. AIMID fOKUt <br />~:y-;;;; :~~~:'4'j" -(6~'~:44" <br />IUIJ.u.Cq_i_.'__1 July 20, 1988 <br />..., <br />Sf <br /> <br />Oldham Mildred Surrell <br />INfOlMANf - NAMI - 'fl..ltONSH'" - MAIUNG "DOllS! IU.U 01.., D NO. (~'if8?rr- ""fl. lIPI <br />,~ry Ann 01dham-Wife-1729 St. Paul Rd.-Grand rsrand, NE. <br />C!MIJIIT 01 C'I!MAron - HAMl lOCATJOH em ot TOWN sr..n <br />:KlI Grand Island Cemetery 2Dd Grand Island, NE. <br />'UNflAl HOMI NAMI AND "OMISS ."." 01 u 0 NO. C'" 01 tOWN. IT"". fart <br /> <br /> <br />~fe1-But1er-Geddea 1123 W. 2nd, Grand Island, NE. 68801 <br />. .It. N (Me. Par. " J U. 01 DIATH <br />i~j ,.. <br />li5... "ao'~UNCIODlAD <br />t"'~i (M...,:)D,.",.j <br />M ....=z 2 <br />IM"~, ......"'.."............. J~iI Oo...........--.....J-~.::.:I.................-..... <br />~ ~ ,!~~ :.::=.--::::;....a........... <br />Irs ""' Itl.... 01 COUHT'f ..nO.NlET) n,p. .. ";"'J <br /> <br /> <br />~le Kemmerer M.D. St. <br />UGl5TI4I <br /> <br />,.Y,., <br /> <br />;I"., __,. <br />. IMMlEDlA CAUS! (ENfU ON'" OH1! CA.U <br />''tOUlE ~.UOltJj f~u~( ~,d IV t.. <br /> <br />'" <br />DUlE TO, 01 AS .. COHSfQUlENCI Of. <br /> <br />~ .""""-'a.-_...... <br /> <br />,.. <br />'.uti ~1 COtCImONI c~.--....,.... 1Il_"',." ...._ <br />· hOo'\f <br /> <br /> <br />u.nOlI.a .... <br /> <br />an OIIOWN u.." <br /> <br />1 <br /> <br />- <br />_...ar.... <br />,~,-....... <br /> <br />>Go <br />