Laserfiche WebLink
WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />r DEPARTKENT OF HEALTH, IT CERTIFIES THE BELOW TO BE A.TRUE COPY <br />I OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTliTF'HEALTH <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR ° „, <br />VITAL RECORDS. <br />DATE OF ISSUANCE <br />OCT 3 1 STANLEY S. COOKER. RAPTOR <br />LINCOLN, NEBRASKA BUREAU OF VITAL-i;ATLSTICS <br />rMS- rst wsa, 4.eT i RITZ OT NZML"KA <br />astrwTwilaiTr Or PUBLIC NZALTIL DRS Or mumm <br />m{/CATl01f AND 1Iln.rtus Omeme st VW sumolms <br />• 0 . <br />t ° <br />CEWMCNA -Z <br />OF DEATH STATZ rMX Ito ..___ _ � ......... <br />L Vi. IM” r/S/OUI Ir.. r.d6 OOr" •• 0rtl.�A/►T rAriuf�l <br />T .Yt M seem <br />A. AM7Y � J ■ <br />1!014- <br />s01 t �/ i7 <br />^b nrs% <br />IL CIYT. /1st". M ts"TMr <br />t. ICIiT" or STAY w m <br />t. CITY. TOt•". 00 LACATM <br />0 Weil 1 <br />2 d.a••c <br />Chwr.b�rz <br />& Ar"N r (N ow w hap". ON mom 00400001 <br />1. STAQT ASOMM <br />A♦SraTAL M <br />6 C Tnip me <br />•. a AtS.aru WSW WT U"ITS. 256 J• tAtar OLSIWCiT <br />7 tMM M nr,t MUAr LAW <br />A tan mmm A" raw <br />1 1~ l ^d ar oil' -tte <br />"ATM Feb. 2$ 1 <br />its <br />4 AIM M ttAtl <br />T Ium" ® ,l�q, I•AAt1A10 0►n or MST" <br />al[ I 0014040 <br />min t TrIS <br />40.40. aw rA. <br />..ale <br />�'hi t= <br />mnsim mTe•cn nt. 1^ inn! <br />S. <br />1% "rim occur~ terr "4140ori 44040 <br />m tMOr ft," SOS "O"T II <br />CO r rrAT Arrrrn <br />b•r^araZ:.rr. —v a. �+rrtn <br />.. <br />rat. :ara ..:Ina. cr <br />1u40 Gales Crofton, <br />1 SATWOI omm <br />IM lump'* rAy[r NAM <br />K *UK r "IINAM M MC <br />Clifford F Gillette <br />?oze^h_n_ .. Ch�_e <br />• <br />e1c•ricve ribsob Gillette <br />Aethus 0 Ir Y AMrlO own" <br />ACIr wwww" <br />r/M�MT <br />Ilw. a.r r.Mr.Y .trw 4040 4040 •rY•.1•w"A <br />�-34271 <br />{ Chatibcsrr, ITebrae'ta <br />Ccn,•r* •rc �_' lotto <br />.10 <br />7 -1 <br />r <br />M "UK 0I MASTI I&AW •401st Ar Ar.r PW er kIJ <br />111!unvL �' TM' <br />OMMMEVA <br />V"T •. MON W" CAM* M. <br />""mean com <br />'r r <br />�[M/Iwr.NM. <br />ttlR wAt v J �L•���... ti�.w -C� <br />":�:.%re of left soft palate and lower gingiva poste <br />or <br />Ai';:: <br />40" MW �li� M min <br />rAOT " so rM lru+w w T"I TSIr•ra SSA/ am • M M r•o II•i <br />AMA <br />Vno • <br />! <br />AOC.MrT Sm m "S"glSt <br />)i SISOMT star A•rAY OCLVilO t 0""40 Arw Mhl••!' 1• M / r M t 40004040 +Ll <br />❑ ❑ ❑ <br />TrN or . N.rr "..N . 0". Wir <br />mov <br />s <br />am mjWV OKYMICO <br />No RAC! r f -..IT M. • r = •*•rt Arr. <br />My.. «.1 <br />>y tlTT. TO"". M •prj7rM corm STAn <br />waT O A Emu ❑ <br />rsm. A�6 Meat <br />n 1 Nrrrbl t0A 1.40.0••! . N Z wdam#tN a�a&* —tM <br />-meat". ib AtAt•/ AA•.•: AA11 tlb 0404040 stow r.wAyr. Arr tr.• M+.r 0400tH_ <br />, is <br />law LIO& <br />2tt Ma.:11 1 !1 R <br />s Mn 4" <br />girl or s"CTC" M cma"ATIM" <br />no LmaTMr IAS. r Twin" aI1S11 <br />Orly <br />V <br />Is stn ra n Airs*w • rr"i <br />>< Ml)[ a IIMT0A0T .� Awls <br />r <br />7 <br />