<br />I
<br />
<br />I
<br />
<br />STAn llf 1IIIUIIlA-_~ Of HUll1l
<br />MUUfV1TAl.nAT1STICS ~4 --006313
<br />~ ............__... CERTIfICATE Of ~TH I:Ll.:d=..,':..=-__________
<br />Mi8lNIIlI L.A$T i ~U I vAle Of' vcAfH (Me" Ooy. f'",
<br />Clarence Casey McConnell i Male i~ November 16. 1984
<br />~~, .. (;-.,~~~~..;Ii;w;:_r:..~!itlf.!,,~ I =~~OA'IOf.tt1'"f...., o..~. Y,.,
<br />. _.....11_1 _l~1 ~'Ynl ~s, CIA I '-'I
<br />. Whtte Ailierican _. " ~. 69 . __;_~: ,September 11. 1915
<br />....~ WftAt( " l=io~ID(~~,JlHAMf,OIP'()uUMwit...'",~~J
<br />~'. ...C~lar.1ts-.... . Nebraska . U.S.A.. ,Married i,.,Edith B.. Andersen
<br />jllCI.UK_~"""" 1Ib__..... __......_ _onU$lN(SSOlU..OII6'.. COlI..f'tOfOliA'..
<br />"-...',,",_jf~ V.I.. Hospital Hall'
<br />I 1I:le<:tr ......ian 1:110 ....,
<br />OTtO." NOIm...oeotMl~tON-""'I""fi.4H,"I. "~~MJ~_~
<br />::",'~s"'-I:)E7"'~an~16 Medic!,-l Center. I :-tri;an;;u:-".....'
<br />!CIl'Y.fOWNOIIlOC.._ 1""....-- .. . .' .l.......c.......-s
<br />l.sPran~ Isl~~.~04 f,:~rth llowartJ;-=..J;~l;~-
<br />
<br />McConnell~ Georgia Martin
<br />i 1~_HAMf._Hl.rIoH$HtI'._MN\IN(; "'D!>>USi1,,.mQl.f. 'r4Q. (mL~-
<br />!,~rs. Edith B. McConnell Wife 1904 N. Howard GrPliClililJ,<I'.
<br />I c.eMf1ll1' Of: ctfM'itOt'l' - ...~---~~.~ ; tOCATJON crn-(Mt 1'OWN .- $l<<tf
<br />
<br />i2llo,West l&wn Mem'!.!.!~!'_~.!.!t____l~ G~_a.nd_ Is land. Nebuslts
<br />, ftlfllltAl ttQMI- HAMi .NO "'OMES$ ~5rtf"et: ..',0 NCL CJTY GMt ~.ll...lf, 1m, " - _ '. ': .
<br />
<br />in Apfel-Butlt!r-Geddes 1123 w. 2n.d Grand IIIIla.tvl.Neoc6f$IQl
<br />"." --M-_----rj . 'IOATI SKiNfOtMoDo,. fr.' - - jttOUt:Ofou.1H
<br />z. I
<br />
<br />"rl MoNo::be rl"9~6'19849841' ..,,, 4 10 -'-1iUf~~";;~OfAO---- i;~Jl>.AOf~-.L-
<br />
<br />.. ".. V ~r. .1 : p... !!... ;?1L-.. '1!Ji.. ...
<br />S. )t.......................... - 'Z. ~a--~ -"...--~lJ~5 ;o..~__. ;;;~;;;;;;.-;;~;;;;,~--:.., ..- -."-. .....
<br />l- {........... ,.!~v ~~"-_.......,p'-"~....flI,.......~~ .'
<br />L~...........,~.... ,~ ~ ; ._':-:JO:;._...._~_._L~~..E~~-~:~~~~~~~-_.__.
<br />tIW.IId ~ 8tH., lAH. "_ tAH uti (nuN" _"OlNEY) lfuI.'" r,,"tJ _ _
<br />
<br />
<br />
<br />-,
<br />
<br />~"f"
<br />
<br />...
<br />---oul-fO.-0IA6.~~--~-------------'4.' .-----~~_.--~~"~.~-:;;-;;..~
<br />
<br />p~-....,~.,~_~~~-~,,-;;;-~.~;...,-;;.it~t:-w..1Miii;,;--.-~1~----~~~-
<br />" ;~'f...ftitI.AitjallQfllt"" !f....."T.....,...J ;"",-QlCOICMIIl
<br />j ,....-: ,.. :>>-_ ; 2S /...1 :...' ~:~ T.. ~t'\...
<br />AC~. ... NOMf(1M UMOI'l. ! Qlfltt Of ""~ (_-h;,W;-i~-"-i~-g;.-;uu.;--~-'~<MiC_n.;o;.-~Uft o<cwliio-~..--l.!!..-.-
<br />..,..,..... "",,"'iG.1ll11OM i.......' I ; ;
<br />, =- l:S.. ~____~_----.~l"
<br />[ . ilI...,~ I fYU Of . -......._~,..... .....,. ttOC........
<br />t t..............,,,,,' I.............,.. 1~; ,
<br />l....u..._ _~ i.....
<br />
<br />'.,..;.,
<br />...
<br />
<br />-1'fIHf 0. .........
<br />
<br />CIt.......
<br />
<br />'" ~~".,..,,,":l-~_.
<br />
<br />"f~"'r~fJ/..\~;". -~"'~~:'r ~-iU6il.1!.f~:x_"
<br />
<br />,,~, Uf ".t,t'!.. >'. ihu,-ta" . ~d a.. ~'. I' . '-,....' .1if~'
<br />(J'\'''~':''~'< .~ ~
<br />r-~:.~.-... '~f~~
<br />/WH!;ltr-ta.18 cOI'{r-'~MUU:ES THE RAISED SEAL OF THE NEBRASKA STAn
<br />. ., '1'H, IT CERTIF XES THE ABOVE TO BE A TRUE COPY
<br />DOiU",MOORD ON FILE WITH THE STATE DEPARTMENT OF HSALTII,
<br />,~Qt'!;STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOa
<br />
<br />~'"...".",
<br />
<br />2!!!ff:!IE~:rAL Sr"""Sr,CS
<br />
<br />I ssued ~ov '__~Z'.. 1984
<br />LINCOLH, NEBRASKA
<br />
<br />L
<br />
<br />L
<br />
<br />L
<br />
<br />-,1
<br />
<br />I
<br />
<br />
<br />~
<br />
<br />..J
<br />
<br />I............
<br />~
<br />
<br />..J
<br />
|