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- $5-- 005172 -
<br />MEN THIS COPY CARRIES -THE RAISED SEAL OF THE NEBRASKA STATE
<br />DEPARTMENTIOF HEALTH -IT CERTIFIES THE BELOW TO BE A TRUE COPY
<br />OF AN ORIGINAL RECORD.01�j FILE WITH THE STATE DEPARTMENT OF HEALTH
<br />BUREAU OF-VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE—:
<br />AUG 1-519% S. COOPER, DIRECTOR
<br />LINCOLN. NEBRASKA BUREAU OF VITAL STATISTICS
<br />STATE OF NEMASKA- DEPARTMENT OF HEALTH
<br />F)KAU OF VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />-NAME FIRST wow LAST rffF-- j" -'bAtl Ddit�l cw.. D.T. Y.) —
<br />I Bud F. ene Brown ! Male {, July 25, 1985
<br />RACE -1. f» WIN•• Meet A.IMI.M ORK.INlDESCENTtf R.. N.Ii.w, IA..i..w, AOE -I•. @� , UNDER I YEAR UNDER 1 DAY DATE Of SIREN (M _
<br />'DATE
<br />fI.JlSf.eilfl O «r,t.Tl(S/..:rT) (Y..l MOS .DAYS i MCIURST MIN$
<br />�M
<br />. e 10 62 ". ,4 IYAu ust 21 1922
<br />CITE "a ATE Of am" to ..t i. U -SJ.. CITIE /N Of WHAT COUM1RY � MARIED. N"tf MARNED,
<br />NAM! Of SIOUmIII_#.,
<br />II.fM... p WIDOWED. LMVOICED(S.«il,l
<br />Darline J. Watson
<br />• Na onee Nebraska • 11.S.A. ,D Married
<br />,1
<br />SOC14e CUOTT NL/M•IR YSWLOCCU►At10N(Gi.. t:M •A..rt Mw. d,riw•wrll
<br />RI ND Of SUNNI$$ Of INDUSTRY ICOUNTYOFDfATH
<br />.f.«+wRlr.. «r.�,
<br />507 14 5560 ,a T1 au_c c Driver
<br />Road
<br />n1, Construction L!, Hall
<br />CITY, TOWN OR LOCATION Of DEATH
<br />MSJDECITYLMUn
<br />"OSnTAL Of OTHIR INSTITUTION -N.w (Il w.r.•..M... ..0V ORwfT
<br />(Sr.Yiry 7 ««N.)
<br />f^•11n.I.w /wvrMr) '0, 1tw f.. Iyww.rf•. ti.
<br />,.. Grand Island
<br />,r. Yes
<br />14d VA Medical Center I. In anent
<br />1KStDENCI -STATE COUNTY
<br />CITY, TOWN Of LOCATION
<br />SIRIETANDNU"If INSIDI CITYLIAUTS
<br />is.. Nebraska ,Sr. Hall
<br />is..Grand Island
<br />(S►•Idp Y« «N.)
<br />sd Nebraska Veterans Homd,s. Yes
<br />A - IT
<br />1101"19 -MAID N NAA11 1111T Mi m WT �-
<br />(dec.) Austin E. Brown
<br />1 dec. Olga H. Fratzke
<br />WAS DRCIASIV III• IN U.S. AHED /O•CISI '
<br />,,.........,�I!}�tl�i
<br />INfO M1ANT- NAMI- RRATIONSMII- /MNING ADDI SS :$,Nt. CN f I D NO. CIn Of low., f'At
<br />68���
<br />ifWWI
<br />T• YzS _ _ -
<br />I•Darline J. Brown Wife 603 E. Lily, Wood R' N
<br />•LIRIAL Cwr.M.
<br />CIAItIEET W CRIMATORT -NAME LOCATION CITY OR TOWN STATE
<br />a. Burial duly 29, 1985
<br />2a Na nee Cemetery Zoe %aponee. Nebraska
<br />TwE EECeNSE
<br />IUNIZAA HOME - NAME AND ADDREIS 111411 D ■ 1 D Mo . C.IT Of 10— STATE, 211 68939
<br />I
<br />2, 17
<br />,2Jiutchins Ih neral FQme,1402 M.St. ,Franklin. Nebraska
<br />SIGNED IM• D.I. ,r I HOUR cW VIATH
<br />DAY! Of DEATH IYt. D", 7r.1 it
<br />= � �U.TE
<br />21. July 25 1985 _ — IIY
<br />( W• "Out .Of ',
<br />I:2
<br />•YrJ Alm =l PRONOUNCEDLNAD PfONOUNCtODEAD/N••r)
<br />Buff JuI 29 1985 D.,
<br />22.. 10:15 ._3A_ ��'ii;,+s 'tad M
<br />ww� `.wlyti...«w .. +» ....... ••d N.I• •.y.�. w .•. — j S S � o. +.. ►....1 • «....«....e ....
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<br />Iid (Lfr•.... 7.. Ifp.w.n •w v,wl;
<br />1
<br />AND ADS � NI IINI ! Co-11
<br />. ,- ___, __ _ dwel 1, Grand I sl and, NF 68801
<br />eticia M. Pinto �1.D. VA Medical Center 2201 "J. Brca
<br />GS f - DA7I RI 1jD R, etc S RAt (Me D.r Tr
<br />WN.ar r► /// - _�- -. -- - -•des. L'<<i 4 / � � jr�`S`
<br />I: aVE (8N2tll CMNt -6Nt CAUSE I!R uNt FOR r 16i. iNo! -il Lry,.a ....,.. a.., ,,, b•n
<br />Pneumonia JJJ 9 bays
<br />AN
<br />OW TO. a AS A COfifIOWNC! p,' - -�� —� I,r...l •..,.... •.w •...«
<br />N
<br />3- 26 -i6~
<br />X. Accident
<br />KKE Of a �>a
<br />Iwuft" iii uVn — u oii. MIS .i.wr.
<br />IEI« «• «�.•I fNM Y•.V..R M (11«.tr.
<br />,. No sM Street
<br />w•. .,1•rf T�I �fI Ix 11 rL.AI/ Af lnlfl - �.__.. ..__._ _ _. ___._ _ _ ...__ -_.
<br />/ft GwWMC, Ih Inl IASt AuTpISt 1 CAN Ell lfttp"t I.t DICAI
<br />Spina� ,•IO «Inf, ' rI•x h • —.. N. a MMNtE Dt cofDNtf
<br />LJUf OI I»IYfT WKflft r10.' W OCCUNTD
<br />Unk M !,aku:onoLile Accident 3-26-76
<br />VCitIOM S,Nt1 640 1 D w CIT W 1D.N lln1� -��
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