Laserfiche WebLink
<br />I <br /> <br />WHEN TUIS COpy CARRIES THE RAISED SEAL OF THE. N~QRA~'.s:rATE <br />DEPARTMENT OF HEALTH, rr CERTIFIES THE BELOW<ro\~Ei,.,,:I1t9:E copY , <br />OF AN ORIGINAL RECORD ON FILE WITH 'I'HF S'l'A~~~~c,~.. 'I'M, <br />BUJU:AU OF VITAL STATISTICS, WHICH IS 'rHE ~~PEl!OSJ.~~< <br />VITAL ~ECORDS. . :~~;:^ . ....' W \>t <br />NWtNW't, Sec. 24 in 11:. ":()f <br />DATE OF ISSUANCE Township 11 North, ,(IffJ.,< ,~-~'C' <br />NOV 79M Range 9 West of STAHLE '-;Z' <br />the 6th P.M., HallBUREAU'O <br />LINCOLN, NEBRASKA Cuunty, Nebraska. ' <br /> <br /> <br />I rH$-'nt( VSI JU:V....,. <br />~~ or PUItUC HSALTII. <br />&.UVO,;ATJON AND Wa.FAU <br />IIIlmI MO.!. . <br />t. ......._ftl <br />.. ClDOMTT <br /> <br />S'l'AD 0(1' ~ABA <br />DD'A&'l1IDI1' ...IIEAL... <br />..... ., VIIaI' lee" ~ <br />CEaTlFlCATE OF DEATS <br />-'&r <br /> <br />DOUr;US <br /> <br />.. CITY. _ OIl UlCnlOll <br /> <br />-- 4J Dln <br />.. =:: OIl .11'" .. .....,..... --. <br />lIfIllYon_ YIftMIIS AJIIuu.aI'llUCIIIlOllI'fAL <br />,. IS fUCl lKA no em 'YII.. <br /> <br />J. __.. <br />- <br />,,., .. ,.,.." <br /> <br />"", <br />tAIDIIICE <br />7._ <br /> <br />E1IIlCB BIAn' <br /> <br />,. _eKl"'llI~.. us.__.. <br />..... -. -....... UI ... ... _....,..... <br />US -11 t. 2-1-1t 507 31 6467 VA 1lOSnTAI. ~Jl8 <br />" - - --..........--",,-,..w.CtI._4tl.1 <br />/-. '". 1IU~::::..c::-::.:'... JIIOCUDDJ. rAma <br />/,,:..// <br />~.' If_ J - yo" S_ICAL PIlIDCIIIGM <br />~~~~ <br />=,. .:.,.e ... YO It> <br />iAiiT. 00. ._c__.._..,,_.............__~__.__ <br />CUCIlt.,. UfaT U. (SlaLL cm,) <br />.' ~1lII.Y . SlIlClIII - _. euc___ecc_. c_-"..,.....,.",.,..,.",.Il.,_1tJ <br />ODD <br /> <br />_ ac.n-y... 17 _I <br /> <br />.. <br /> <br />.., . " . lo <br /> <br />I <br />;:: <br />~ <br />... <br />;:: <br />. <br />... <br />.. <br />~. l....t:I _ -,~.y_ <br />IIIINtn' .... <br />-- .. <br />I .. __Y,-. ..'LACl__c..:;.:____ <br />=al 0 :;=~ c ""..-..- -~..... <br /> <br />- <br />YO <br /> <br /> <br />-.. <br /> <br />-- <br /> <br />L <br /> <br />L <br /> <br />I <br />L. <br /> <br />I <br /> <br /> <br />~ <br /> <br />! <br />---l <br /> <br />