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Lot 15, Block 23, College Addition to :nest 1-n4n, an Addition to the City <br />of Grand Island, Hall County, Nebraska. <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />AEpARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A TRUE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DRk%R, ' & &T OE HEALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEG"'bEPOSITORY FOR <br />VITAL RECORDS. <br />DATE OF ISSUANCE. <br />� <br />MAR 2 4 1997 PER.% (RECTOR <br />sTANL�z £, , .� <br />LINCOLN, NEBRASKA BUBEAU QI� STATISTICS <br />87-104 <br />STATE of IIEMIAM-90AM MT of *FAUN 8 6 0 3 5 8 9 <br />p1�M OF VITAL STATISM <br />CERTIFICATE Of DEATH F�&3 <br />- - - M DfaM fw . D•r- r. r - - <br />i= <br />L <br />pECfDEM -NY,! fl W E <br />1 , ROBERT LEE rch 12 1986 <br />PEERY Hale i <br />SffM C. �..1W:w, w.i«.. aGE- rr..+a.. Uf(0l� t va" yfgf!'f Dat Dail Of MEM(w.D. -f . <br />YA;N. Wy h. a.«4«. OMON.Ia (rn ! rDf - Dan ! MOun . WIGS <br />c......■ its.« (.i <br />a�r._.q�(sr.•ar( _....a .. a., AG -74 _ 1�. ,Janua 24, 1912 <br />F.On S_ 70th St., Lincoln, ri oajiu <br />-n M%VM -- ..,,. _..._ __. _ _ <br />ran <br />5 minutes <br />' Cardiac arrest <br />Mv .01 • E -OF: <br />2 weeks <br />Multiple organ failure <br />. ,,,,...,....�.......++.► <br />. <br />as ro, a u • cONSEDYFMCf a <br />6 weeks <br />Aorto- ente <br />R ric fistula <br />cr++.....w+�s+� .uwni ri"..+.:.. ...r <br />...sc,se.f.f.roro . fa.c.. <br />reau.Krof cofo.a <br />° Sepsis, wound infection,coagulopathy" ,« _' w :. ,:+ No <br />r -- <br />- - sts�ae�: � ..o.+cro,. u.'met � � wre a A+x�r nr n.r: +• : s <br />O. MaEl�f awFi�C ,�. fifwirl i <br />30 S,.�F lOC ^LOM Sf!!, Of if O r. <br />Cn1' Of tO�M it•7! <br />IS . r f. W <br />PIKf O Ml11E1' -v Y.n.. /,«.. <br />min bin► M, fSfwYll <br />III <br />