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<br />DATE OF ISSUANCE
<br />Akokj
<br />OCT 19 W
<br />STANLEY S. COOPER, DIRECTOR
<br />LINCOLN, NEBRASKA
<br />BUREAU OF VITAL STATISTICS
<br />STATE OF NEN ASWI- MAOMENT OF HEALTH
<br />WMAU Of VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />-N IRS D
<br />DATE 00 DEATH (AM., I) F, Y•) I
<br />Elmer G. Conley M
<br />Male O
<br />October 8, 1987
<br />.9., WA:O-. L. Aw,•,kaw fClNTle.f••N•li.w, M..i.". - I-finw/s, R 1 YEAR UND R 1 DAY DATE OI RIRIM IMIT., Dy,Ir.lt l$
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<br />White American 6
<br />-owe roewO•f) WIDOW /D, OfvORCED(fr -d'I
<br />Cody, Nebraska 9. U.S.A. If, Married I, Lillian Hancock
<br />IM S! UR11T NiMNER USUAL OCCUPATtON(Gi•e Siwd.f r -1 dens dmi-g ~t
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<br />CIIT, TOWN OR LOCATION Of DEATH INHD! CITY LIMITS MOS ►ITAI OR OTHER INSTITUTION- Non. (It -I iw • IM,, N TWSI q HOST IMi.w -r DOA.
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<br />,,..Nebraska „b. Hall If,. Grand Island Iss. 1014 W. 9th
<br />ATIRICK-FITAXIS IIAST MIDDLE `A N -MAO NAM 1 Impute �
<br />John - -- Conley Lena - -- Owens
<br />WAS DECIASID EVER IN U.S. ARMED FORCES? INFORMANT- NAME - RELATIONM11I- MAKING ADDRESS 1312911 09 9.1 D NO. CIR 01 TOWN, STATE, III)
<br />18.f- -.., `w,17- .... -.- -N1 -45.1. ,Lillian Conley-Wife-1014 W. 9th -Grand Island, NE.68801
<br />,!. Yes � 1 -17 -42 8 -1 -45 ?' -_
<br />RUIR+14 Ge -when
<br />R.—VISIt, CEMETERY OR CREMATORY -NAME lOCA110N CITY OR TOWN STATE
<br />Oct. 12, 1987 Westlawn Memorial Park god. Grand Island, NE.
<br />".,Burial O
<br />vpfel- Butler - Geddes 1123 W. 2nd, Grand Island, NE.6B801
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<br />G. Hrnicek M.D. 729 N. Custer, Grand Island, NE. 68803
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<br />OCT 14 1987
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