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<br />'s Memo: East 27 feet of Lot 6 and all of Lot 7, in Block 11, in the Original Town of Doniphan, Hall
<br />County, Nebraska.
<br />
<br />STATE OF NEBRASKA
<br />
<br />.. '."~._,,,.._~'-
<br />
<br />1. DECEDEI\IT . NAME
<br />
<br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND lIJJ.MAJJl SEB VICES
<br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COpy OF THE ORIGINAL ~ili:fJ.MiJJ:J#WJTH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL st,ATISr~sif,i;Tl~!f,~wlllJ{H''!fj
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. . fl.:;j:"l~-'~\\
<br />
<br />
<br />DA~~I:~A;~~6 200704033 :1'i~j~Jitl
<br />
<br />LINCOLN, NEBRASKA HEAL Tit-AND'}ll;JMJJ..If"$ERV/C/~fi
<br />:.: :. =: ,. ~\ . ',. =-.. .'" ., ,.
<br />...:~,:l'-:.. . -
<br />STATEOfNElRASKA-DEPARTMENTOFI1EALTH --
<br />BUREAU Of vrfAL STATIS11CS
<br />CERTIFICATE OF DEATH \ '.
<br />LASf 2. SEX 3. ClATE OF DEATI1 (IthrItt, w,. y..,
<br />Morton emale August 1, 1993
<br />
<br />,'.
<br />
<br />,...,../
<br />
<br />9 3.. 0 9 2 t 8
<br />
<br />4. CITY AND STATE OF IllRTI1 I" IitIIIn U.S.A, ...... aIIriy/
<br />
<br />
<br />
<br />. 7."'DiTE OF lMTl1 (~Ooj., y~
<br />February 9, 1916
<br />
<br />T
<br />
<br />IillOOLE
<br />
<br />Jane
<br />
<br />Ellen
<br />
<br />51. '" - I.IIl 8lIlIlday
<br />IV".I 7 7 511. MOS. I DAVS
<br />, ,
<br />... PUCE OF DEATH ru. 0 0 00"
<br />~ A In/IIIII1I EAI~ ..
<br />5 0 7 - 90 - 31 93 !..2II1I8; 0 NonIrIf Helme 0 ___ 0 '*'" ISpdy/
<br />MI. FAC/UTY - NWM IlftlOl~,gIw___/ 8c, CITY. TOWNQR LOC"TIONOFDEATH Ic1IH8lDEC/TYUMlTS
<br />co . nt 'T ~.... h He . tal. 0 b (/Jp<<Ify Y" (Jf No!
<br />---oa~ ~ep sp~. _ __"_ _m;t a _~_.
<br />
<br />Giltner, Nebraska
<br />1. socw. SECUATV ;;uueeA
<br />
<br />Ie. COUNTY OF OEATH
<br />
<br />I Nebraska Doniphan
<br />I '0" RACE. I'.'. -. ~ AmIricIl> lndlM. 11. ANCESTFIV (..wo..... umc.n, GtrmIn. tIC.I
<br />I !Ii" (~ lap,dfy/ .
<br />, Wnl.te Amerl.can 0\0
<br />
<br />12. UAIIIIID,NEVSIIoWRED,
<br />WIllOMtI. DNOACIO ~/
<br />Married
<br />
<br />
<br />... ~
<br />..... r..,..
<br />Yes
<br />13. NAIll! 01' IPOUIIE ~ -. .........
<br />James S. Morton
<br />
<br />...
<br />
<br />E - STATE
<br />
<br />
<br />Ie. CITY, TOWN OMLDCATIOtl
<br />
<br />14a. USUAl OCCUfO...TION (tJM II1nd d -x .,..... N/tIQ _ 14b. KIND OF IUlIlNElI8 lNDUSTllY
<br />
<br />H'oule'wTlrn ~ \'-\ Own Home C\\'\
<br />,.. FA TIlER - NAME fIAST MIODlE lAST 1,. UOTI4fllI - Y.AIDEH IWolI!
<br />George Torgerson
<br />11. WAS DECCA8ED EYER IN U.s. _0 "ORC1iS?
<br />(Y~ (Jf .....) {I,..,... _ _ .... d NIVlc:tII
<br />
<br />2Oa. llUIUl.. ~,-.
<br />00IlQ:IM
<br />Burial
<br />21.
<br />
<br />.. DATE
<br />
<br />
<br />......., 01 ........,.1O-t2l t
<br />I
<br />~ &..-
<br />Florence Benson
<br />jSTJI&t 011 ll'.o. NO.. orrY 011 ~
<br />W.. Walnut, Doni .......,
<br />
<br />CiIIIIP tw., Sot
<br />
<br />D
<br />
<br />ZlO.
<br />
<br />
<br />Case Cemeter
<br />2..S-</ II. ~ . NAMI....'IO ADOMII
<br />
<br />. Hi b~r Mortuary,
<br />OM. Y IJJIoi: .""" .... _ MtIJ ..
<br />
<br />
<br />Gi 1 tner llehraaka
<br />IU'.o.MO. 011
<br />Inc. Box 204, Aurora, BfiU1i
<br />..................
<br />
<br />Acute inferolateral lIIVOCardial infarction, acute mitral
<br />TO. OR As A 00/....,.. 01:
<br />~;~~~lcpathy
<br />
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<br />CITY (II' 10iiI
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<br />
<br />8a
<br />
<br />.. TIlE CI AIIJM
<br />
<br />-1
<br />l
<br />
<br />1993
<br />
<br />~I .. 1IllIIClMDUNCIi:XAO /ItIO. DIp. YrJ
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<br />0"- 01<<) >>~~ 0... .,60
<br />tl.'-WNlO....-.i_:.;:..........;llI'I_-:,:.: ' .. ~yfiJJ:.J, "..,... -
<br />Alan M. Ka.ne8hige, 1'1> Cal:diac Ce8t.c 3006 IiIJIiIbeter St.
<br />
<br />.. ..~SiIWi'Imt
<br />!J va ..
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<br />~,!E 68l3l-2044
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