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7 <br />STATE OF 4 <br />NEBRASKA - DEPARTMENT <br />OF HEAITW <br />BUREAU OF VITAL STATISTICS <br />- .------- -._ - -- CERTIFICATE OF DEATH 85- 002397 <br />M <br />C <br />'DATE Of DCATk <br />harles Samuel <br />I- 2-, whift, Martin <br />9411, Mal <br />I a. December 24, 1984 <br />it <br />Ie k)(Sp- Vt <br />Wh UNDER I 6xv im.�. D, Y, <br />Amer MINS <br />S American Mo., - DAYS --wo- DAVE <br />j I <br />0$ own I -w e. U S,A., CITIZEN OF WMAT CO -7— _L__ 1 7 March 9, 1903 <br />Roseland Nebraska WIDOW eDDIT S It if., <br />U.S.A. 10 Married <br />USUAtOCCUPATION ki KIND I MaMie Palmer <br />0 -ki-v 1-4. .-. if fi d, BUSINESS OR Iwo—USTRY <br />506-05- 163 13., Watchmaker Self - Employed <br />C"V- TO" 01 LOCATION 01 OtATN INS1 I 3b. H�a.l 1, <br />at CITY t4xur "OSMIALONOT"Ift <br />I, Grand Island <br />fltswfwg� STATE COUNn, i4d.Grand IS and Memorial Hosp. <br />t"e raska CITY- TOWN OR L6E_ATf&m__— Inpatient <br />In_ Hall Grand Island 5d 622 ;wsi-oi —Cny warf <br />N, Carey s"IyeT " `4') <br />WAS QwCIAUMD Samuel MIDDLE Martin IASY <br />mt IN U S, Hulda --- RfIATJONSNII - MAILING ADDRESS — .�,j Johnson <br />a No W NAME <br />�IvMamie Martin-Wife <br />622 N. Carey -Grand 'T" <br />ec. 28, -�i <br />D ZE-ITFOY on cxi.,AIcw - -i, Island, NE.68801 <br />Burial Xb 1984 1 Memorial Par i : LOCA CITY 0'-TOWN <br />"AlUff A ENSE No - e t <br />_j�74 and Grand Island, Nr. <br />DA a., j2Aplej- Bqt ler -Geddes 1123 Yrt2n and. sland,NE. 68801 <br />0" <br />1AIN <br />-tt i&Wb- <br />�"OUR <br />- <br />6_0 <br />-I 4ft.. _Q Z 74, <br />'241 <br />N+Wi A <br />2.. <br />D. R. Cronk, M.D. ICIA <br />�__908 N. Howar <br />01-- Grand Island, N NE 68801 <br />_ <br />sr- I <br />MCI <br />NCO of <br />AT, <br />.ww;,;. 7 :ii., <br />C.-fl, 0* coocMdd M Al <br />-ove of r. <br />30* <br />