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
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<br />CERTIFICATE OF DEATH f _"t-A
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<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
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