Laserfiche WebLink
<br />r <br /> <br />88- 106889 <br /> <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE ~,'1.'Ii~Il' Cfil~Y .. " <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPAR~T' of'llE'.\vrn " <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGALDEPOS.'rTORY"'i'QR\':. ' <br />VITAL RECORDS. ~;l'~:':~:! .lV;;"':"\ \'.-:' <br />,"; ; . , : ,..~., LL 1 J!::'-' <br />DATE OF ISSUANCE , '.. .' ,'",' ....] : <br />DEe 1 6 1988 STANLEY s. ~ooPilii;,;:~IRE'c'l'o'R:' <br />. " ...... " <br />LINCOLN, NEBRASKA B\P.\EAU OF VITAIJ ~"~~,IJl.tl'I9S\ <br /> <br /> <br />STlTllJf NEIWICl-lIII'lITMENT Of HEAlTH <br />IU.flU Of VITal nlTlnlCS <br />CERTIFICATE OF DEATH <br /> <br />85 08416 <br /> <br />Of lot.. _H <br /> <br />DrA ",Me.. 0.,< r..J <br /> <br />, <br />l..'OIMAN' - NA....r -1f1.4UOHSHI. MAIUl'lG ADOIESS (STan 01 I.f D. NO.. Clt'r 01: tOWN. "'alL ,". <br />11th Ave Grand Island, Ne.GBB01 <br />LOCATION CllTor fOWN S'''''f <br /> <br />Bertha <br /> <br />Pierpont <br /> <br />"" Grand Island Cit ..... Grand Island Nebraska <br />'UNllAl KOMI-HAMI AND .lDDotfS5 (SfIIll OII.r,D. NO.. Cln at tOWN, STAII.lIl') <br />"A 1123 W. 2nd Grand Island, Ne.GBB01 <br />ION (Mo. Po,. .",) HOUI Of DIAl" <br /> <br />,.. <br />PaQNOUNCID DIAD(H...,., <br /> <br />: 1"111_' ~_...... .-..1.... <br /> <br />!'._l ~__ _....... <br /> <br />.., <br />our TO, 01 AI A CONRQUINCI Of, <br /> <br />!,.........-................. <br /> <br />,<I <br />'All' "t <br />" <br /> <br /> <br />-, <br />1Ml.....u~ <br />f~'"'''''' <br />- <br /> <br />i <br />