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I <br />Lot Seven (7) , Block One (1) , Elm Place, An Addition 86-106689, <br />to the City of Grand Island, Hall County, Nebraska. <br />WH= THIS Copy CARRIES THE RAISED SE&L ur Inc ircbwnywn'STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE BELOfi.TO: d TRUE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE,`QF HEALTH w <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEC �I(�'AEIE' FOR <br />VITAL RECORDS. <br />y. <br />DATE OF ISSUANCE . x <br />181 von STANI;E gEl3Y, u ATRECTOR <br />wV ,,. <br />LINCOLN, NEBRASKA BUREAU D- a(�TA[. �.lfATISTICS <br />sum OF WFAL ST' a NE TM 86 05160 <br />rewin w eF DUTH , <br />F-mcnewl-MAW pm? <br />1 1 1 DAr OA Or NlTN (w . D.I• rr.i <br />_(..t., ww" M»L A— OMNI N[SI h.t.. Mlw.Mn�... ! -tr ■:..�.. <br />I.i.w..arJ tfl.�.(rr o».I....k IrfN•�rI `+1, ir...r tlOf. DAYS Noels: u1NS. <br />Wh <br />Or wNw C J �Nw.e a srouf! fM� r., r.... �......) t <br />OFT AMU w (M wN .w J.5 A. WIDOWW'DIVOtClD ( f .0I <br />rw •...rr11 11. <br />t 10 <br />r Married <br />ypCy" UfUY «CWwiWM(Gi.. a.w/ ✓..r1I.w. M«y w.I ArrloOr tyfN.lfs Ot lNDUf" COUNTY Ot plwTN <br />IN. <br />IMI CITTtwis NOSMtwIgOMttreti MNOY <br />t , IOWN Ot aOCAtION Of OEATN <br />rsr..�rT ».•I'1.1 t••.6n— •�w•�r••+ b a4t of LOUD Ccty <br />I.r I..Ori •his Pas INSIDecm aTwn <br />t t-- AND Numm <br />tlf10l - TAW COYNIT Gn, TOWN qtI «wTION <br />1 k_�,l2i:1'tsr BoX 192 _IIf.. Yes <br />'10T 0I <br />N -Mw <br />w- <br />T Tnhn NffiHI AuQllstYri + I7 r ■ .lo on tawN.•aw.t.:r <br />WAS DEC[Af[D !Vlt /NUS. wtMlO S.. � wA.. JNSMIr - MAILING A SS ��p � <br />«...I rrrw..F ».w w........ .. 471 Westoenl <br />• , $tjjj7�BrotfT °rlr'T•ar,A Taland, NE, <br />/ — t LOCATION —CITT a TOWN. fTAU <br />�� u...�.w. �,�,� icE■r[rm d cterAron -» r <br />Ind Loupe Nebraska <br />„'. !UNltM -NAME wND AOD[ESS pr■TEr O. ■.r o ..0. v a p.rN. Art. Trr1 L80 r <br />• ! «o QOOJ <br />420j= em o e u City. NE <br />OAt! (M■., . r..(� tw. .. L 1 !NOVt o[A 14 <br />1 jaZj1 <br />]N 08 -86 —T► 6:00 P <br />M <br />!MD D ►tONO DEAD rN.w) <br />"-6 <br />10:21 P <br />-:�>�. ii]t ,iV bMr Mr. M .rrww..wy«+�+.MM.'•N'ru'u'.�.I► <br />s w.t..Ir.r.rt•.•r...•Aw .....w.r A. +�......w tl�.w....ww i.. n.....I,W N...wya <br />i� <br />TN. rs;...... w <br />. iTfr.l.�• w rw.r rdwrr <br />Ifllt tM7 IAN. C ttf rNTfKIAN Ot pL,NTt ........... � <br />V' it J. Kaminski, Sherman Co. Sheriff b_ Deputy Coroner - Ashton, NE_ 68817 <br />Wr[ tt amo DT UQIfTl (me, D.r. T•.1 <br />]...I ► �].. APR 9198 <br />( ► ON[ CAU [ [rNE ipt r.). r ►1. ANO ft)1 IwNwwr b.r...• ww w •.I+ <br />PAR <br />' Cardiac Arrest -- - .w..l.......... w...w <br />w f[01! NCt <br />DI TO, M AS A CCOASMIJENCE Or <br />(rl - —' .n w �..erY1. w.s TMNF • wrpar - -- wwT y Glad ■NtME ro ri K ' <br />rAfr wtCON pnONa- CrM.... +....wI...1a,,..r- .i.w/,»WwKrlw twe rwat)uONnlar jra».....� «wr �taAr»Hr�■rr..O■CO.dR■ <br />:. No - -- 1211 �ieSwr <br />a[[rtlM. tYlClt■..rar[r■t. WWtr. Wrtp »rW.Ir... o.r. yboutpIwun ielaCMtr.0.'unOt.- <br />I 70. . ]DY. -- <br />nuu..'AT f ..ru»- ...........w. ...... I «+r_ :IacAtgw at.en d.•ow cmarow. s�Are <br />L_ I7M _-- __.__�_ ns <br />i <br />3 <br />I <br />