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CERTIFICATE OF DEATH . <br />85- 004202 <br />j fCIEtNl: w.rl -__... _.__.fHSI--. _. _.- :DDtE - -. -LAST- - :S„ L.._ •o.lt of Ol 1 «�r. <br />Erna Marie Brown 17I'cmale l7 July 2, 1984 _ <br />C / -1•y WA • 1t -\• w�U GINJDi SCINII•f.l 1 M.,•. AGl 1.••I•wy,r UNDEI I_TE.f' UNDIf I0A1 ICAn 0f Rllt«(r•, D•,, 1r, <br />J• h f5- •i„ 'G• MI /S• «•f,l �1: I/n_, NOS 0A1S «OVfl WNf <br />White - -L American M.— 72 � - - -- _ ,_Feb. _9, 1912 <br />If1 Af•p SI TE OE fIRiN 7X w•f •. U.S A • CI,NENOE W «A1 C0UN,1T •uf�110, NErtR M 181to I""I OE "C'USF fN -,f. ,..+•.r1r•. •w w•/ <br />wlppw! D. avofc! o rsp•rJ,/ <br />o mer, Nebraska I_U.S.A. I,D M:,rri_ed I„ CIE <br />Brown_ <br />QC—,A1—,j, NUWE \- USNAI OCCUEA1. (G:•. 1: 0.1. 6 M•• 1•rrwR w•,r :04D 0f SUSINl SS Of IN0UST11 COUNIf OS DEATH <br />.f...f:•vccT ••.•XrN:. <br />7 506 -09 -6140 ¢ Housewife ,x Domestic ,.� Hall <br />iR• IOwM 0[ t0CAEl0N 0f 0EA1M 0411#04 CITE WRITS IWSRIIA100 OTNF [INSTITUTION- N.— tH-f:. •.M•r, Ir wsr pl fwfT t•.< +«. r/o. <br />• (S NN 7N Elr I••, [:•. •N • ¢ 0.H...• «•, -,.• 1• «rya•» f{rw J,l <br />•Grand Island ,.,.'es „�ran� and Memorial Hosp. ,,,, Lnpatient _ <br />SSA1[ cou"" C /IY, IOwN Of I0 _A110N S,Rf fT ANO NU•S[111 TS#" city tumn, <br />,�Ndbrarka tsr..a, N., <br />,�. Hall ,k. Grand Island „� 3240 North Road 4,s, �% <br />_ I ,•looie 1^[f wW1NH- AA1DW NuAE�/es1`— -- - �iooai- -' - -- LAST <br />[ John -- Luebbe , Mary -- Hargins <br />rAS 0KIASSO M11 IN <br />[ , Y.S. MS11E D FORCES? I,NFOUeANT-NAW - R1/AT1pNSWO gAhING ootl i3 clP oR M_ .. P.11, awl <br />io .N •w. r+ •w •r »1 T.Irven Brown- Husband -3240 N. Road -Grand Isla AE <br />` <br />•a•.• C[ft "'O[C[EMAf.-- NA•fE - -- t0CAI;ON city Of 1OWN V^111 July S, 1984 <br />. Burial 701. Westlawn Memorial Park 7a Grand Island, Nebraska <br />SfGNAf,f[E t tKINSI NO. G•iL..;• FUNE[AS NORSE -14AMI AND ADDRESS Istntt 0111 DD .0. can 0. to... 51.1i. ia) -- <br />7,1pfel- Butler- Geddes 1123 W. 2nd, Grand Island, NE.68801 <br />�OAit p 0lAAI •f• f•.! � - A � DA1[ SIGNED (•a• D.,, rr., NOVR 01 DE•rN <br />� r <br />•>_ •Y 7e•. .7.y <br />tr <br />J ACA{• = C � (rq . O.r. r. ) <br />b 77y 3 � <br />.<.. Iwr u.4 w-•. •• •A ,tw. wN <,,. 4 <br />a••[ !� <br />G E¢ S AND •DMISS O¢ Ctialf i. p SICiAN01 CONr,p. . \••.+ •. •. a a I. •• ti r♦ •...a, .sW•.» 1 •.r. • • <br />... <•... w••«N w <br />G. L. Hrnicek M. 729 N. Custer, Grand Island, NE. 68801 <br />CJS1fA! /-7 _ GA7E fECE1vfD [T ¢f GtSllAf (•.e. L t 1 <br />f' <br />_._ .- - -- - r -- - -- -' - - -- <br />uwtUUlF UUlt ((NEtS GNL1 Gi:f USF •fl lfNl i0i f 1. r\l, ANO IUl ,/ •,.•..,I a. .. .,... «• e..+ <br />1 <br />.N <br />W! 10 _ OE 1 A - ONSI0UFNCE 01. •.�•I \.•_... .-... .. <A..r <br />N. <br />DW 1G. CI[ AS A COMStOUENCt Of: •^'•^• \•��•• •^» •• « »+ <br />a T _ <br />•1 OYffts SiG —KAN3 CONDiTrONf - C.w1•r•..• .•.:,.. n..y r• • «» I.• .er •.I••.• (r.IT •n Ir rE••..11 .•••f 1 «S.I • <br />w:1+0nr <br />w.f C.11 SerfntD to rtaw <br />1 <br />IIIGwrKr+N inl x.511 ••J t «Sr <br />;ffr•••fr •• .. •I <br />;IC.w ••tr CI CC[0wt1 <br />CrD1rA fuKtGE, rr0rrCr0l. UNgi. D•1/ Or MII,I Iw C r 1 1 1 <br />OU. (Y IruvA '— DI K.+II <br />OCC <br />. n»ar6 :«a¢tuq.Tr0N rsr...y/ I <br />I <br />N 100 <br />)0.- w )W <br />r. <br />un 1fAr . -Or ruff a u•m•. '+. ...• ... r.}:,r, <br />--TcxaDa: - - - -- - - -- <br />-- - - - - -- - -- <br />+•Jr rw r wl � Nf.•• \.•I<.., .•r fS...•yl <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA STATE <br />DEPARTMENT OF HEALTH, IT CERTIFIES THE ABOVE TO BE A TRUE COPY <br />OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH, <br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR <br />VITAL RECORDS. <br />Issued July 9, 1984 <br />DIRECTOR, BUREAU OF VITAL STATISTICS LINCOLN, NE'liFAShA <br />L_ ­ <br />L L� <br />