|
<br /> ~ n ~
<br /> QI ~ '''.. ,,')-
<br /> :J: 1I.;;"::;;l a (f") m
<br /> f:',::::::>
<br /> j c: m en ......" I <:J'"> 0 ~, C> I
<br />N n Z n :J: ~.""<,.... ~jJ c.: :r...
<br />G :J: ~ 0 ~ ~\ Z -i N
<br /> ~ r-r-l -1 m
<br />CSl m W r"" ~. " -0 -< a
<br />0'1 n en <1.-, I' '''"" c~
<br />CSl ~ :c \'1:'.. "-"'It: N 0 .....,~' I C) a:-
<br />(0 c5' \ 0")
<br /> ., ..,.., :;~.:
<br />01 ~ U1
<br /> 0 ..i;"~ ; ...,.. I'"
<br />N ,. 3'
<br /> rrl " -u ;!c'" " C)
<br />""-J "'
<br /> P"1 , ::3 r~' :):) g
<br /> <r:;'l ( r :t.'.... co
<br /> r.n >, (/')
<br /> ,\ ~ U1
<br /> t-- :;><: ~
<br /> P r'0
<br /> ~ - '-"'
<br /> ~ (f) -..] ,..
<br /> (j') Z
<br /> .....
<br /> ..
<br />
<br />
<br />
<br />Lot Thirteen (13), Coach PI
<br />Hall County, Nebraska ace Subdivision, City of Grand Island,
<br />
<br />Edward
<br />
<br />WHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA HEAL TH AND HUMAN SERVICES
<br />sYSTEM, "CERTIFIES THE BELOW TO BE A TRUE COpy OF THE ORIGINAL RECORQCNFJL.E WITH
<br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATlSTlc;.~tl~/il;;'~ IS
<br />
<br />:::;':::=ORYFORWTALRE~ 1I!l!~
<br />
<br />SEP 2 1 2005 2 0 0 5 0 9 5 '1 7 AssiStA~T tt-A~jilJi/~TijufRJ
<br />LINCOLN, NEBRASKA ~ HEALTH AND ~U~~'t('.CES'~j
<br />.\. '>: ;~'!~~f.{~;;/".:~l
<br />&T.lTEOFNEBRASKA-DEPAATfAEHTOFHEAL1H " c. --.",?, "c.' ....
<br />BUREAU OF VfTAL STAT1S1ICS-c: ~~~c::"".c~,: \'~::'c'
<br />CERTIFICATE OF DEATH ,.-___:-.-c,-'/ 3...0948 1
<br />12_ SEX -\3 DATE OF llUfI.< -. 0Ir. y~
<br />Male Au ~st 8, 1993
<br />DAVS lIC_l'IO\,IIIISl NIHS, $, t>ATll ~ IlATk ,..",.,., e.r. r~
<br />I
<br />r
<br />
<br />'lR!lT
<br />J.
<br />~
<br />
<br />l.IlOOlE
<br />
<br />LAST
<br />
<br />., CITY AtIO STATE- ~ IIIATH rr oIlIt If! V,SA.. - ~I
<br />
<br />
<br />Dubas
<br />
<br />11. OECEOENT. NAItt
<br />
<br />501, AGE. LHI BOrNlI\I
<br />IV".I
<br />
<br />86
<br />
<br />
<br />Julv 20, 1901
<br />
<br />
<br />..I:QII'J.I&< 0 I~ 0 "A/~ a DOA
<br />..Q!J:lI8; I. NInIfIll _ 0 ..... u QlMt {Sp<<if'(!
<br />llc:_ CITY, TOWN OfIlocATIClN Of ou.Tti Jill' INSIDE CITY LMTI
<br />(SpedIy r..<< NoI
<br />St. Paul Yes
<br />lIe_ CITY. TOWN OR ~OC"'TION ill. STREET NlO Nl.MlEA /1tICI/JdtIQ ~
<br />
<br />
<br />507-44-0858
<br />lib, F~~'
<br />
<br />Heritage Living Center
<br />k RlIlOENCE. STATE lIb- COIJIIIlV
<br />
<br />Hovard
<br />.. .... a;~
<br />, ~Y"or"'"
<br />Nebraska Hall Grand Island 1525 Stagecoach Rd. I Yes
<br />10, RACE . 1-,0., \\'NIl, IIKk. ~ __ II. ANCESTRY IU"IIIlIM. u.xiCa/l. a.._..r- 12,~AAAAlED,NEVEA IoIAAfIlED. 13. N.WE CIF lIl"OOIE {If"".'" - ,...
<br />_,IJ~J /SpHlyI I WiClO.NeO. OI\ICACE!! /~I
<br />wnite American 0.., I Ma~ied _ Helen Setlik.
<br />I. (l(;QWAnoN (G/I1f _ tJI_ .... """'lO 11IOII la, KlHO OF IUl!lNESS INOUSTRY
<br />tJI..... __ _".... rot? \
<br />Farmer IRancher \\ ,? riculture 0\
<br />1I.'4.NAME FlNT IiIIOOI.E '-~MT 11,~' ..1l~'.'
<br />
<br />c....., t'... . Jol
<br />
<br />UlDOi.E
<br />
<br />l.A8T
<br />
<br />Frank
<br />,'- WAS ~ ev8IlN U.I, .....0 FOflCEtl?
<br />IV" no......) p1_", -"... d...-I
<br />No
<br />:lOa. ~ ~.___. aoll. DATE
<br />IlI;NIIon
<br />urial
<br />
<br />(BTl&T OR RF.o. NO" CITY OR TQWlIt, STAft, tlPJ
<br />68801
<br />
<br />Westlawn Memorial Park
<br />a F\INIIW.. HOME .1iMii""~ AlXIMII
<br />
<br />Grand Island N
<br />ISTIUf 0Il1lF_0, 110" em Ofl TOWN. STAtl. 21'! 68801
<br />
<br />505 w. Koeni , Grand Island He.
<br />--............ ......
<br />
<br />:yfi:.s ~
<br />i ~... 11I...- -.......
<br />: < I ~. .
<br />
<br />-----....
<br />
<br />
<br />~ .
<br />,.,.,OTHEA ~ CONDmON$. ~ ~ ",.,....Il\lt noI....,..a
<br />.
<br />
<br />PNfr . .l"IMM-!. WIll THIM ,.
<br />~. TMf:'AST 31i101fYMr
<br />v_ DIMe +- No
<br />.. ~I4OWJ1WIW""f:ifX".-
<br />
<br />ITIlftT 0C1 .., D 1<10_
<br />
<br />cnv 011 r..-.
<br />
<br />aT....
<br />
<br />... lH.IUIl'I' AT 'IrIOfIK
<br />tfrJ<<i/f ".. t1I NoI
<br />
<br />... OATE ~ .__"","-1
<br />
<br />-
<br />
<br />M or"'1M
<br />
<br />..
<br />
<br />>r-
<br />"".~
<br />
|