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1���` 100411
<br />r WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE
<br />I DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DE*TJa F HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAI,'�EPOSTtIRY ^FOR-
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />JAN 22 STAIiLLi g';: CooPt.; �iRECTOR
<br />r
<br />LINCOLN, NEBRASKA BUREAU OF V1t9W,,,STATISTICS
<br />STATE OF NEMUM- KIPANTNENT OF NEALTH g 5 03485
<br />WJKM OF VITAL STATIsms
<br />CERTIFICATE OF DEATH i
<br />NAME E MI LAST DATE DEATH (M.., De,, Yr.1
<br />Neumann Malcomb Harris IT Ma 3.March 24 1985
<br />E -[. B, WSiI., BI.L \. AiNrL[M OBIG11t/DESCENTI..f..NNi.w.MN : aew. AG! -+wr RlwW, UNOEt I YEAf UNOtf 1 DAY DATE OF BNTN (AM., D.r, Y1
<br />Iwt/i.w, r) lsp.r.F,1 j " .H.) (Sp -'y) {� i (T -i j MOs. DAYS NOU • MINS. 1905
<br />. White s. American U� M. 80 .. I« f1 T Feb. 9.
<br />• AT! OF BRIM (M wN i 4TS.A., CITIItN OE WHAT COUNTfY MAIMED, NEVle AutNlO. NAME Of SNOUSE lH . Bn+r..I.w waww•1
<br />WIDOWED, DtVOIC[O(S.•aiy)
<br />Bow, Nebraska 9 U.S.A. ID Married „Mildred E. Esher
<br />SOCIAL SICUMTY NUMBH USUAI OCCUPAnON(Gi- t:wi.F- A Mw• /.nwE •r.r 10-Of
<br />WSINESS OR INDUSTtY COUNTY M DEATH
<br />IT. 506 -09 -7947 r>. rap Tj ItlaVbealer „,/f 11,,Salvage Yard,' / lo, Hall
<br />CITY, TOWN OR LOCATION OE DEATH INSIDE CITY IUUTi HOSPITAL Of OTHER INSTITUTION —Never Of w.F 1- V`*I., �+q (Wy37�Nk•.• DOA.
<br />(Sp.•iy 7n «N•1 Ri.. „r..l e+d wuw+6a•/ ,.u••. tf• «A,)
<br />1 Grand Island +... Yes w. St. Francis Medical Center 14..Inoatient
<br />RESIDENCE -STATE COIlN1Y 1 CITY, TOWN Of LOCATION STREET AND NUMBER ' INSIDE CITY LMUTS
<br />w.Nebraska Isr. Hall �Ix. Grand Island
<br />Isa. 1010 N. Eddy (Sp-if,
<br />S... YesN�)
<br />M —N MIDDLE U M R—MAI Mimi — Walter J. J. Harris I Etta - Neumann
<br />1
<br />WAS
<br />DECEASED EVER IN U.S. ARMED FOfCtS7 I INTORMANT — NAME — R[UiIONSNIP — MAILING ADDRESS (STpl1 Cr ■ t D NO. Cm p rOwra. SIATt. Ir1
<br />+. «.o,NI.,.ww •NNwNuww.l ; +,Mildred Harris Wife 1010 N. Eddy Grand Island, Ne.68801
<br />u.
<br />BURIAL C1~4.w. R..l I CEMETERY Of CREMATORY - NAM[ LOCATION CITYOITOWN STATE
<br />March 27, 1985 Grand Island Cemetery I,a Grand Island, Nebraska
<br />w.. Burial !E►. ML
<br />f —S TWE B LKE NO. �] Y3 a 1 FUNERAL NOME —NAME AND ADOIESS ISTEteT q U.D. No.. CITY oe TOWN. sure. EHI
<br />T o�7 InA fel- Butler- Geddes 1123 W. 2nd Grand Island, NE.68801,
<br />DAi MAIN (•M.. O.Y. T••1 �-
<br />DATE . D
<br />SIGNED (A4.,. Yr.) IHOUR DEATH
<br />M <- I
<br />O
<br />DA NE (AM ,, Yr) N DRAIN �i� OUNCEDDEAD PRONOUNCED OfAOfN.ur1
<br />$ �Q it(M...o.,.rr.1
<br />i}O i]►. 3 — �. ^ �� Ike • /— M 'sy = i4. M Mw. iw Mw N•Mi •aawrN ..
<br />i } � T• M,. M+ N w L.•.+.MR.. I..+. N W - ...NNN N. w d•A F �� 0.A• ►awa N •,..r•.w WI•r w,My. M M'i^
<br />ii aa.wN.l M.M. � T "�/ � wr w., NM .N •Ma..w. M + Mr a•wNM n•.•�
<br />• j
<br />I +..•w.. •^M rrN) � TN. (Si,Mr,• •M I,MN I►
<br />ANO I> OF C69T0FI1ff(PffYSICtAH. CW —AN Of COUNTY ATlORNlTI (i,p• .r P6m1
<br />David R. Colan, M.D. 729 N. Custer, Grand. Island NE. 68801
<br />STW RECEIVED BY REGISTRAR (AM., De,, Y )
<br />(ENTER ONLY ONE CAUSE PER LINE fOR 111. !S). ANO (<11
<br />►ART .� y //Ow4 -�
<br />A c seoveNCE a:
<br />A A., -E-t Mv..LinPd[_ Tl!- 14,LC?IUA) 2y�OsfCr
<br />Index against:
<br />The North fifty - seven feet six inches (57' 6 ") of Lot
<br />Eight (8), Block Two (2), H. G. Clark's Addition to the
<br />City of Grand Island, Hall County, Nebraska.
<br />UN-
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