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002123
<br />2123
<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 WITHfHE STATE DEPARTMF='QF.HEALTH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY . FOR,
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />MAR 2 7 1985
<br />STANLEY S. COOPER,DIRECT'OR
<br />LINCOLN, NEBRASKA
<br />BUREAU OF Vilt
<br />4' -STATISTICS
<br />STATE Of NEBRASKA - DEPARTMENT OF HEALTH
<br />BUREAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />ICI
<br />O'DfN - WA --FIUST
<br />EX
<br />I Henry Ernest Jacob Noffke
<br />RACE -(wq :_QK#4'e.w td- —SC i P44 gw, j� 12
<br />. $lack, A
<br />I Speedy) N -- _�(2__ 13 March 17, 1985
<br />a- 'Can, j AG F - T_
<br />SPIK Ify) DATE OF GIRTH IMO 7&)a,, y, 1
<br />4 White W6i DAYS HOURS
<br />C
<br />MINS
<br />ity TR6 -STATE Is Amerioan
<br />6k
<br />.#US.A, 22, 1897
<br />�iAAAE Of SPOUSE
<br />I Haly)County, Nebraska 1, IDOWED. 01vq*C ED ( speoc.(')
<br />�1`44 ag%.Uwltv Nw"11 - -J_ U. S.A. S. A - 110 Married j,, Mvta D. Quandt
<br />USUAL OeeUp"WilbP4T61-o, �d - ----
<br />508-46-6664 1*1 *-On I loh,odl 119 -091 1 i KIND OF I USINESS ON
<br />13a armer
<br />CITY. TOWN 5i LOCATION OF 61 CITY 13b "-:nj I TI (I LIMITS 0_R0_TH_jRtNSTft1jUN � No" oSp Olt N%,
<br />(SP*clf; yes 0, No) 0--0 It'vot and vmbo,j Ind, DOA,
<br />14b Grand Island 1. "a
<br />I-- 'k des �i4d St. F,_-ajj,,j,,; �je
<br />RESIDENCE -STATE '_L1_ _,j ica I Center
<br />!COUNTY I11P,1 t ien t
<br />,,3. Nebraska r 1,,sb Hall IjSv. Grand IsIand _West (Spocdy cm adios
<br />Va. No)
<br />--------------- 15d 10 I It! Ye
<br />IS.
<br />Carl ---- Noffke LAST
<br />U t a
<br />- ----- All,
<br />As DECEASED EVER -1-N U 5 AR11416 F6RCES _7
<br />u.b) 1 III and dwip• or AME -�RELA710NSm,p Teichmeier
<br />Is No f4o Cl- 04 TOWN. STAtt .11►,
<br />110-- - — : 1g, Meta No f f ke f e- L
<br />BUIliL. C CEMETERY A_0A TORY NAME 11th -Grand Island, NE. 68801
<br />m. Burial March 20, 1985! Y Olt CIE 10CAT - I I ON
<br />Momorial
<br />EA46j- 14�44 S NA 1URE A JCfNS1 NO W( 20d (,rand Island, Nebz-aska
<br />At HOME NAME-"D A600f5S
<br />a TO _N ATI JIP�
<br />(ST11IT01610 No C'T '0 w I-
<br />1123 T,'. -Ind,
<br />A rand TsIand, NE .68801
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