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<br />87- 1.03312
<br />I WHEN THI3 COPY CARRIES THE RAISED SEAL OF THE NEBRASl -4 STATE
<br />DEPARTMENT OF HEALTH, 1T CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMF�1IOF HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY TOR.: -
<br />VITAL RECORDS,
<br />i5
<br />DATE OF ISSUANCE
<br />ice- --
<br />APR 2 STANLEY S.. COPIPER, DIRECTOR
<br />;. _
<br />LINCOLN, NEBRASKA BUREAU OF VITAL ST41STICSS
<br />�57(Lot�. Block, 8 S4
<br />STATE OF NEBRASKA- DPARTMENT OF NEALTN
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />DECEDENT -NAME FINST WDOLE LAST
<br />SEX I DATE Of MAT" (W., OA . YA.)
<br />, MARTIN W. KENNY
<br />I Male 3, March 19, 1987
<br />4CE -1. IT W%I , Arif�.ORf.IWDExFM 1. -.., If.li.A..M.,wm. AGE- 1�R:.AA.,
<br />t/NDERI TEAR u"m l DAY DATE OF 172A1... D.Y. v'.)
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<br />ros: wrs Nouts. w"s.
<br />i[e a. American 65
<br />�a ,April 2, 1421
<br />CITY AND STATE OF ERIN (M M i. U.S.A., CITZEN OF wNAT CWNTn /AANtlED, NE", MAIRIED.
<br />NAlR Of SPOUSE (IY.J.. Eiw r.IM...Arl
<br />-OOW ED. MOECED (So-4)
<br />E. Alda Nebraska E U.S.A. 10. married
<br />n. Betty Harris
<br />SOCM SFCYNITY NUIYEN. USUAI OCCU ►A710N d..."."s �f KIND Of 1USINESS ON INDUSTNf CQUNTYOFWATN
<br />508 -44 -5508 I."L0cc°'°T°�A�) Farmers Union Hall
<br />u IL. Coordinator u♦ ,y.
<br />CITY. TOWN d LOCATION OF DEATH INSIDE CIT LMUTS
<br />NOSIITAt OE OTHER INSTITUTION- N.M. (If wN iA.iIA.f, If.OSI WINS( IJ�..r, DOA.
<br />Grand Island. -e. fit es «w/
<br />c6v' ANR_ v. — 11
<br />,',' n�"isYand Memorial Hosp. ,yEmer. Room
<br />RESIDENCE -STATE CONm
<br />CITY.10INOEE0CATION
<br />STIEET AND NUMEEE
<br />INSIDE CITY \WITS
<br />N Hall
<br />„_ ebraska ,�_
<br />,k Grand Island
<br />.,.1019 W. Charles
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<br />♦ - N E- MAIDEN NAME FIRST
<br />unk Kenny (1. Caroline unk Huebner
<br />WAS DE[EASEO ESfN IN U -i ANN" POKEST INP0IMANI- NAME - MATIONSHIP- AWUNG ADDRESS (SKEET W A, D ND_ Cm W TOMK STAtt, 1",
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<br />IE. es WW2 1942 -1945 <it Betty Kenny-wife-1019 W Charles Grand Island Ne 68803
<br />EUYAL CrA..f ' W-10AIR CEMUM W CEENATO/, -MANE EOCIITION CITY CO TOWN STATE
<br />IPA. Burial ID►. 3/21/87 Mk Wood River Cemetery IW. Wood River. Nebraska
<br />- tK NO' f 5-,Z EUNEEAt J101fE -NYIE AND ADOEESS (STEfn W E.PD- ND.. CM W IQWK RATE EM1
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<br />!77 A fel Funeral Home Wood River, Nebraska 68883
<br />Dn. E . v'.1
<br />DATE
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<br />REGISTW DATE 1KEIrED ET tEGISi1AR (w., D. /. r,.)
<br />2 3 1987
<br />I...1 ► „� MAR
<br />CAUSE (ENffR OAYr Off CAUSE PER USE ME (.). (U. AND I,)) f.r.M A..�......I ..A 4.w
<br />PAV
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<br />AS • CONSEQUENCE OP:
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