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TOWN OlIlotAnoN Of' DEATH <br />Grand Island <br /> <br />eo PlACE 01' DEAT.. <br />HOSPITAL 0 _ OTHE~ <br /> <br />DEA~ <br /> <br />o DOl. <br /> <br /> <br />eo. FlESIOENCli. $TATe <br /> <br />Nebraska <br /> <br /> <br />'0. <br /> <br />v.~....D <br />'3 I\lAlIEDF8POUK 11I_"'__ <br />Daniel A. Ewoldt <br /> <br />--- <br />C~"....5'1 <br /> <br />" FATHE". NAME <br /> <br />~ <br /> <br />Chester <br /> <br />NMN <br /> <br />Amelia <br /> <br />NMN <br /> <br />Ohlberg <br /> <br />'8 w~s oe~o lIVf" IN U.S. _0 FORCES? <br />IV.. "". ......1 I' jM.go.._MIl_a1_1 <br />NO <br /> <br />UI.. 1NF0l'lUANT <br /> <br />I,IAIlING ADDRESS <br /> <br />Daniel A. Ewoldt <br />ISTFlEET 011 ".FD. NO" CITY 011 TOWOl. STATE. ZlPI <br /> <br /> <br />F"3Y <br /> <br />Grand Island. Nebraska 68801 <br />2,. METHOD OF DlSPOS'TIQ" 21.. DATe <br /> <br />I 2'<. CEUETERV 0" C"E"'''OIlI' . _ <br /> <br />IXIs""", <br /> <br />o RfImova,1 <br /> <br />Nov. 5. 1996 Westlawn Memorial Park <br />7'" ceUETERv 0" c..eUATORV lOCATION CITV 011 TOWN $TAn <br /> <br />Livingston-Sondermann F.H. D~ DDon""'" <br />220 FUtlEIIAL HOllE AOOIlESS (STREET (lR II.F.O OlD CITV 011 TOWtl. STATE. ZIP) <br /> <br />Grand Island. Nebraska <br /> <br />505 West Koenig. Grand Island. Nebraska 68801 <br />23 Ir.lftAE(lIAZl~lAUSE /; ,ENTER DOll V OtlE CAUSE PEIl LINE FOil I., ~bl AtlO 1<11 <br />PARr f/ - I <br />I 181 ~~LL Du r <br />DUE TO. 'lIl AS A CONSEOoJENCE OF <br /> <br />...,...,.. ~onMt pwj!'" <br /> <br />/)1.. !:J.:.:~ <br />.,. , 0f*II......., <br /> <br />I <br /> <br />Ibl <br />. . DUI! 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