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Re: Lct. Six (e.,), in Block One (1), of Koehler Place, <br />an Addition to the City of Grand Island, Hall County, 81-106772 <br />2 <br />Nebraska <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A- TRUE.COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMUtT 01;"�EALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITUY-FOR, -. <br />VITAL RECORDS. <br />DATE OF ISSUANCE <br />NOV 19 10 STANLEY S. COOPBI $C'TOR <br />LINCOLN, NEBRASKA -BUREAU OF'Vi�`lgS��TfSTSCS <br />STATE OF NEBRASKA - DEPARTMENT OF HEALTH <br />saiman of VIW sbtwk. r— 7 5 04692 <br />—� <br />CERTIFICATE OF DEATH f _"t-A <br />Im, .,sau tu, X <br />TE OE MA <br />T. , ILf <br />IL-6-75 <br />spa ..»s. wNao..•1aw.N »NM ». Ace <br />—uN <br />�»«. <br />.., D� O► SHIN 1.. , o.t, <br />COU+n OE DEATH <br />roa s.n <br />R. , ,PK_ I s-1 <br />I.ws, <br />..s„as <br />�. S. <br />r,7 <br />11;;5P-17 <br />Ia Hall <br />tOYPP1, 00 LOCATION OF OA <br />1• <br />wen. IS Ot NO <br />e15 —N ,» <br />TRR <br />yes <br />N St. Francis Fospital <br />a EIETII ,» por ». • .. —1 CITIZEN <br />OF wNAT COUMflV <br />MAERRED, NEYRR MARRIED. <br />SUMVSIG SPOUSE <br />cn,•,w.. <br />USA <br />WIDOWED, DNOEQD I— , <br />N Married <br />11 Eunice m "Cillre <br />SMTSItIT W Wt11 0344 <br />OCQ1IATgN ,aM awn .or so»I w,»o aoa o. <br />cr+D Or eUSeeSS Ot INDUSnr <br />1212 01 7A19 <br />„ <br />I1♦ Construction <br />—STATE <br />COUNTY <br />COV. TOWN, OS LOCATION <br />«I.s1 aw .rrN <br />n. a po, <br />Sheet AND NUMM <br />2 So. Flu[n <br />1r, <br />Iw. <br />1k <br />la s <br />Iw <br />—rsAME I,M, .NN1 uN A*C"P"— MAIDEN NAME .w., w•M1 W, <br />Frank Dillon I Is. Ellen McNertne <br />DlClAM EM NE U.S. AMIED EOlCEST TIMOYAANT — NAME— RRTATIONSNI►— AtALe1G ASIMSS ,1w1« oa al.a. _ . cm n _. N..' W. <br />e~� «..w..l a.............w. +.- 1TaAlrs Leo Dillon 239 So. F 1um Grand Island Nebr.68801 <br />No <br />PAN i- DEATH WAS CAUSlD M: IIMM OMt ONE CAUSE PEE If* POE (el, 111). AND (.II <br />.rn.11N aMN1 .». autw <br />ot <br />a <br />1.1 <br />.17 /fAndo <br />eMw.New, » •w, <br />,salve e.a NM m f 1 ►1 <br />aaana a o. s lI <br />w ro. eau . <ow.ew»a n <br />MIIN CAYN uH <br />kl <br />1sRR L 01111011011eICANT CCPMTX* k CONWIGN6 COMMUTING TO ePATN WA ,.W ®AiW <br />PAST N. • PLLAIL wA$ ""IN A <br />A4TOE =1 <br />N VES .en •.ps, »ss eer <br />MnawpaN) 1ARs <br />SD CANE of"" M PAST eN <br />PSSn1MICT IN TIN PAST S AIDNT»sT <br />aa.Nwl�e <br />MS ❑ Mo 17 <br />1 V <br />M►. <br />ACCIIII&N. SKIM. NONICIM ,.o»w, r1, n.a. <br />NOw /N)wV OCCURRED ,1pNa ...1e11 a ,.Iwa. w rur , n ru, ,,, m.. ,s I <br />a UNMIEW ED „wc»1, <br />1. :• <br />)k M. <br />1r <br />INAME At WON[ <br />RACE ...o +. •..p. PNN, I.pe,P. <br />LOCATION , INN, n a11. e0., an ea Tew ». U.w I <br />111S Rs"»e. <br />Ow <br />, .we».. <br />RAJ}' <br />wq/ Y� .W <br />. M <br />a,. <br />SEAM oc 1 M NKI, b, M <br />7 `� <br />PMEMO �.,.•s'"e 1 ro <br />p-mmem. <br />, 7 <br />aw.w No. !q <br />m <br />wwi <br />ttRrICATIOM— AND1CAt ! : oN M w.1 a M wqN o. a4w <br />M ascaaen eu raoeou..ns sus <br />ssAe•u,e•. ar M Ams. wiw M .,Pes»a.•e.. •... o.«.w. <br />.a,1w r• n.s <br />ssue ea„sma ow M s.w ..+ w >D M [A»118I MMa <br />ftm- <br />'77.- "Van 1 <br />Wie Pi D n ri. <br />.1N11 a a..a. Isla G <br />a d Nebr.. _ T8E01 <br />OIRR1At10N, t*MCIYAC <br />TOeY —NAME LOCATION <br />an n 1o.p , aww ' <br />IM'Mw`. <br />1L nuri aLl <br />zw <br />ance Nebr. <br />6911— , .0.1 ». Yt. wY, <br />""IAL NOME —NAME AIIO W , f,aN1 at <br />on Gram Island Nebr.68801 <br />"a _ <br />,,, _ <br />s <br />U <br />