|
85--- 00579"s"
<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 WITH THE STATE'. DEPARTMENT OF HEAI:rH
<br />BUREAU OF VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY -FOR
<br />VITAL RECORDS.
<br />DATE OF ISSUANCE
<br />NOV 1 g L I STANLEY S. COOPER, DIRECTOR
<br />LINCOLN ,. NEBRASKA !! BUREAU OF VITAL " ST AT j,!iTICS
<br />STATE OF NEBRASKA- DEPARTMENT Of HEALTH
<br />BUREAU Of VITAL STATISTICS
<br />CERTIFICATE OF DEATH
<br />�DFCFDf rtT -NU•[ — - -- EEfsl - - -- _� -- MIDOEf
<br />U$t - sE% _ - DATE Of DEAIN iM D,,,. •'
<br />Veronica Swartz iT Femalgs November U), i98>
<br />Anc Ala --
<br />I M•.
<br />r a +. uan.�CE l..r a ^Ir r UNDIt i rE�► UHDfII , DAti I DMF Of pIPN (Me .DoE. rr I
<br />F�
<br />RACE h 9 wS'r• RAE. Aw «.wn�OfIGEN /OF3[fwil. p . p I rr 1 66 MOS 6" "out'. MIH5
<br />«us-00 �I1ri1 24, 1919
<br />White. American ��1 yeo _ _1eb 1n� ) --- _ - -__ -_.
<br />S __-- NAME 01 SrOUSF fll.l•, pn• ...... 1
<br />CITY AND STATE Of pIRTN EM ner ,w USA . ICITI ZfN Of wNAT COUNIRT�MARRIfD. NEVER MAlRIFD —
<br />en.<.•n «,1 WIDOWED DIvORCEDrte•rd, William L. Swartz
<br />` USA �,D Married _ _
<br />R Q 1 �__ --- - -
<br />SOCIALS[ URITM HUNKER USUALOCCU►A110N (G..•Lrnd of .•.F den. dlr.�nq .err RIND OE 6U51NE55 OII ,NDUSifr GOVNn OI pl ATH
<br />f..bnprh.•.• fr.e..d/ Hall
<br />315 -09 -2815 rsa housewife _ �,jE Home
<br />17 _ - A os o , »sr w
<br />}
<br />CITY OR LOCATION rDr Of A1N rINSIDI CITY LIMIT S HOSrII A Of OTNfR tN5T1 /UTION N•rq frl ^^ f.•
<br />I($p•.'It I•, o•NOl I9i.•,rr••r en n•.b•1
<br />Grand Island s" Zts I,...... � Isljnd Ime_morial HuSp , Imf r Rm
<br />-------"-"'----T CITY IOWNORLCKA110N ISr BEET AHO HUNKER ISS of
<br />RISIDINCI - STATE �COVNIY I t p• CITY- _- -
<br />,e Nebraska ;Ise Hall _ I's, 11da llsd Box 226 -Venus Mt.Lf 5. ye u3E
<br />[ NITS
<br />r r rwN
<br />VP_S
<br />- � "� - - lASi - 'MOl «E� MAiDEM VAA—f fIRST
<br />E - ulazlc
<br />rA
<br />Franc - S1Ldr 17 ..._ -. - _�Lt'S1 _. - -. ;D No <T. oe ro » 5i•u to
<br />- - - -- —- - IN {O RMANT -NAM( Rn pNSHI• MAll1NG ADM SS OSrtV) pp
<br />wA5 DECEASED EYER IN U S ARMED tORCtS+ B . µ b�
<br />�.•, .n ,. ..rl�lr. Venue SL. Alda,_. Ne- -68810
<br />11r NO _ Ie W111 tam I Swartz tz (: {utib'lnd) - - T
<br />-- ._ IUCA)ION CITY OR TOWN STATE
<br />— - -- -- � - -'C FMI /fRr OR Ctt MA lOtr - NA,ef
<br />► ->1VO1 Al. Cr•wr.w.. R•Iwp.pl�Dtlf - -
<br />rop val _JOe tiov 15, _94UL2,,,_._ Chestertc+n_.Cemeter }'
<br />pod C;;e cf rton Ind. 64304
<br />f MRA/Mt IC.NATURF F ll (N• NO �I..� -. rUNlRAI NOME N•Mf AND •DOPE SS )JRt TT O• t O e O. rer.« 1 ri ttr. _ - --
<br />/Y.S I1�3 I \re tit �Il CI SC.
<br />nApfel- Butler C:cddes f:rand ICI ind- ,_N�uto of.lN - "-
<br />J 68801
<br />►T!�. .- -
<br />-- __. .. rD� /F SI 'g) (MO Dn r• , No
<br />OA�t A IM•Od . t,•�
<br />• I
<br />,s„ S
<br />- o / �� . p y,... „ DEAD .rONOLNC I D DEADr no,
<br />.: O�TE 51ft1fDlw.OoE. T.1
<br />CfOD '
<br />a r i rIH e•r.e i �- ".
<br />1 J7d 13.y N fie•I► rc� � .._. _. .- L .__ 1_- - -. _ .Ir,nrl _- -- _
<br />. NAME Aw0 AppRfSS 61 C[R71NlR I/FIsIC IAN CORONF R'$ rNV�CIAH OR COUHTI AEIORHI111EEP• ^•
<br />2116 Faidlev,
<br />T3 ur D,F._ilak tA_ I U1._- G, Lai1c1 17.1= QdllemvLi31 livsR o:iietiYtoie:l2iiISf4.WI. L.68801 ---
<br />�IGISTRAR
<br />No Y. 15 1985
<br />71 IASMlT)Ir[E CADS! _ (CHEER Y UNI CAU$( rFR I,N( FOR Ipl. (b). AND (,)1
<br />1 G
<br />rNDUf 1 . � AS w CONS Outi+C'E�OI
<br />L.S -rte %�_
<br />.. . - ..__ ..r..
<br />p�� tU d• AS A CO »SfOVlNC! of
<br />,rl - - .- .. - ..
<br />- - - 6. -
<br />•rRi 7rr.Il WirMKMr+CONMtrti«S C«dn.«r. «nA r»
<br />... • ::Rr m Ir rrMAu-..•) r »eYI •
<br />e..,•al .r •.ie«e
<br />•N,i «ArrCrl «rHl •A)r l+Or,r«)•
<br />• .urD•s.
<br />,i•...r, ... .. .,,,
<br />' a uu nnoeo ID .e mc•1 ..
<br />e.A.r «rR .n <uRO«f•
<br />• •«
<br />.. - -- - __ _ _-- . _. Iwun t+: D.r
<br />.L[ITAwi )UKr01. ,rp,NtlW.Iti,p r' ,DAII -Pr
<br />Yin I
<br />' - _ - - • -_ ....?4!
<br />•• , `•ro1rR O� �wOU - ?uncnRl «o.+ iiuu..._CUr.fu
<br />.
<br />L )Q M )O d
<br />_
<br />a . r o «.
<br />. n. o• ro..« wrf
<br />10R
<br />
|