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86— f 0497,E
<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 DEPARTMENT OF HEALTH j
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGBL'D'BPASTORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE - of-
<br />MAY 1 v 1986 STANLE i . s. COOPbt, :DIRECTGR
<br />LINC �,� EBRASKA .,r BUREAUiO VtTAD STATISTICS
<br />�,cS��G z-
<br />�� iin.A.7'�� �'s.✓`��'rS`
<br />STATE OF NEBRASKA- OErARTMENT OF *FAUN
<br />iUREAU W WTAL STAMTN)S IIi J 131. '+V 6
<br />CERTIFICATE OF DEATHS
<br />OKtDEN -NAMt IRS LAST I SfX DA E OF DEATH tAM . Q"_ TI; -
<br />Max Edgard Barry Male November & 1985
<br />wSIM. RMtS. A.•.Y.w OND tMTI•s.. 1!.Ti.w, M— AGE -v S -..A.. UNOtt 1 YEAR -1 DAY DATE OE RtRTN lSI..Oo /.7s.1
<br />•ia• rs..d,J D«r;.N >rs.«gJ tr.a Mo :- . DAn Moults. "I 26 1924
<br />te American 0G � 56
<br />A CITY AND STATE OF RIM tM •., i. u -S.A -. ""19. p wNAT tOYNM . HIVU Ak"WO. NAME Of S`ouM _4`_ R... r•.L.
<br />c •.•n
<br />s rr rS.TTJ T, Geraldine A Bisek Nebraska U.S.A. Mo o/ t�-
<br />SOCW ftCUMM1 NUWt1 USUM OCCU►AnONtCi.. S:•t •E w. �w dW:•R •rr RIND Ot W51MESi DO INDUSTRY COUNTY Of MATH
<br />_
<br />T 508 -32 -0399 �tsedarealert,t; a Marl. Auto Incbar . ,b Hall
<br />CITY. TOWN OR LOCATION of OEAM IN�S.ID[CTTYtWITS NOf.T1K�ORtOM�ED.M.�lSi1TUf10N.. N..• fff -m-A-, i- o"MINu
<br />IM Grand Island ;� ,Yes ° wMbL.� C=dl1C1S Medical Cen „ , "Inpatient
<br />nSIDENCt -STATE COUNTY - JCITY. TOWN Ce tOCATTOM STtEET AND NUMSER TNSTOE CRY UNITS -
<br />,:,Nebraska ,a Hall _ �,� Grand Island /5 #19 Chantilly a YC
<br />AN -LAW - jMOTNEt -MA MAME - -
<br />Eddie A. Barry t, Dolly - -- Madigan .
<br />"It;A3 DECEASED Mt IN U 5 AWED IOKEST jINE011MANY- N.wF- nEUT/ONSNIr- raaING ADDRESS tS'AincN :•o w.crt. O. rrT
<br />I.— ,.,ll «,......... «.,. ,�Geraitiiae Barry- Wife - #14 Chantilly -Grand 3slam
<br />u
<br />BURIAL. C.•r•ti•w. 4•�wsl CEMETERY OR CREAti1TORT -NAM[ ]LOCATION CUT OR To—, - STATE ,
<br />Nov. 13 1985;
<br />m,. Cremation , Lincoln Memorial, Lincoln, Nebraska
<br />- sIOAIAELIE[ a UCtMSt n0 t o EUNEM NOME -MANE AMD ADDOM (SIN" M f to .0. C. *I` tO.N.. VAM m - -
<br />s � ,,Apfel- Butler -- Geddes- 1123.W. 2nd, Grand Island, NE.68801
<br />DA t Y..T
<br />DAM WNW IM. a.T. r = -r 1MCXX OF DEATH -
<br />= 8 November -1985. `,..1A. N
<br />100112 CIF DEATH _ ►�iO.IOtNIClD OIAD MOtbONCEDDEADrN�rl
<br />:s. 21 November 1985 2.45 P M t= zk l2Ae- ,.
<br />Pry +• r.�..yLL......���...;��.,,,A -a- •.w• � .J•I•W ..ar»...: �2 � d.. r.. r.........,.. a ..�+�..�..�w..�+.•a.s..a...a.:
<br />n..W.V. 1 -'S _w.rr, ..+••.A •I..•.•r wra.....w A...A
<br />COUNTY ♦ - flq. v 7 - - - - -
<br />W. J. Lawton M.D. 2444 Faidley, Grand Island, NE. 68801
<br />DA TRARtr._ D=T: Y. -J
<br />„3 I► _ 12W NOV 14 WS
<br />NT@ ONLY - t 1.. AND W) . Inrr.w,.•.. rr�1 �A .
<br />t� Metastatic carcincima of the Colon' - TO, ON AS DIM A CONSIGURNICI OV, - +.....I..........rw ar - -
<br />- DYE t0. OR AS A CONSEOYtNCt OT- � I.ri+I •••.,•. a.r •Jar
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