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7- 105667 <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BR A T f COPY <br />OF AN ORIGINAL. RECORD ON FILE WITH THE STATE DEPA) k$i1 JJULTIJ <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DOI k'FAR- <br />VITAL RECORDS. <br />DATE OF I CE ,M1 <br />APR STANLEY S.'COOP44,41RECTOR <br />LINCOLN, NEBRASKA BUREAU OF VITAL STATISTICS <br />Legal Description: Lot Nine', <br />(9) in Block Forty -four (4A);� <br />in ussel Wheeler's Addition <br />to the City of Grand STATL OF NOORAORA- spARTMINT OF NMTN 86 04654 <br />Island, Hall County, Nebraska OYKAII OF VITAL STATISM <br />CERTIFICATE OF DEATH <br />_ to <br />WA Y14 (m., wr, Y, I. <br />Don DeForest Koister <br />Kale <br />April 266, 119M <br />/ s, <br />N /- .M•INw.MMiINI, <br />1"= 4w0wMAw� <br />� t1Ol Ntilitw..wr,r..l <br />, <br />,_ site <br />9.«w..«IHSew•rp <br />American �� <br />(rlu <br />TT <br />r <br />r Septaimber 26 l <br />CWT AVS STAT9 09 901M IN NO-U S A. N W%A1C ON <br />I ' .0- www! <br />........r.l w,00wec. DW09Ltofsrwl/r1 <br />ID Married <br />„ Mary Brandt <br />YM CWA foiwli.I wl./.11w lwrrq «NI <br />_ <br />1mDo1WNNttd0404"SM AN <br />507-14 -6345 'f�! `MlE'ff9m%cher <br />Fdu nil <br />„ Js <br />r atioD i1i <br />WlOCAflONp�iN <br />Graff Island <br />WNW MITIMMI NOiMALOtOWNINSWUMN- N~INWiwNMN. NNDM'WNMI WwN 00A. <br />IS/N rNNlh1 /M Ih ww1 w.«A«! DMrwN. «I[w« .w. l.nw.«I3ww/pl <br />I..is I x,10 W._ 11th St. ,.. R A <br />1010"mLt -STA" COUNTY CITY. TOWN W WCATION fTll![TANDNUAU[0 I" CZ nrNar Nwl <br />!fall Grand Island 410 W. 11th St. <br />„/Mtrssis I» IS, IH IS♦ <br />- - _'�.... u ;r 101" NAW PIRST WOMI" LAST <br />Estiai <br />0[CSASt9 t" 04 U S A909 N7K[i/ IINOWANT -NAAN - H/AMNSNN - NANING ADM[SS OF I M.I Y NO. Cm W 10WN.mdT <br />is Yea :RRI Date* Un 19 410 - w. 11th St . Grand I eland <br />{~y'NA�, .(wyri«., �CIM[[1ST �tNlAMiMf. -N/WI LOCATION CITY pR 1pWN 5[AlE <br />Anatomical Board o th� <br />R April 29 86 <br />,.. �,. ,/, h <br />AND A�- MLS I D ND, 11, W TOWN. PAN. SM/ <br />-NAM( IPMP fOOOl <br />6 <br />„ Livingston- Sonderamm 05 N. Koenig Grand Island. NZ <br />- - -- <br />Iw. 9•r. r, 1 <br />rw <br />ii <br />j NgIgUNCtD MAD <br />, Of OWN <br />►0'p/OUNC[09tADINSw/ <br />{ <br />lkao <br />MwI1W Al,w /+ • Awr <br />O M 1wr a w.w..rw. MM IwwM/wkww. w w N+Nww AwM w««n1 M <br />8 ,,,, w.. IwN W Nw .w M r M....,a .rrr <br />a <br />5"^ <br />DN _ <br />.....___ _....____..,_.� - .W_r M _.._...__,__....... <br />1.4nw1 M'wM wN Hwlw <br />01 <br />m <br />