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<br />South 36 feet of Lot 39, North 28 feet of Lot 40, West Heights
<br />Second Addition to the City of Grand Island, Hall County, Nebraska
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<br />WHEN THIS copy CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND ~"SERVlCES
<br />SYSTEM, "CERTIFIES THE BELOW TO BE A TRUE COpy OF THE ORIGINAL REOORrrCW'SLE WITH
<br />THE NEBRASKA HEAL TH AND HUMAN SERVICES SYSTEM, VITAL STA TIS TICS ~olt~wjj;i:t!!$
<br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. --=- '-'.'. O~.~' e'~.:-, .=.::
<br />
<br />DATE OF ISSUA:OC05E 4Ufi!:n~~
<br />OCT 07 " ASSlsmNisTA-tE_~~ t}
<br />LINCOLN, NEBRASKA HEALTH AND H(J~~E~;~EMi .l'
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<br />200510123
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<br />STATt Of NElRASU-DEPlRlIItMT Of HEllTH
<br />IUREAU OF VITAL STAnsTICS
<br />CERTIFICATE OF DEATH c-
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<br />1''''Slot CITY llllll1S
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<br />KOENIG
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<br />ERNA
<br />IfIAJ/ONSHII' ~UNG ADDRESS
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<br />T. WICHMAN
<br />CIUIU O4IIU.O- NO. CITY <>Ii-low... s,,,'t. !~~
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<br />,}ONNIE D. DAVIS: HUSBAND: 1823 W. KOENIG: G.I. NB68801
<br />ClMllEI'f 01 C.EllU.lOI'f HA.M.I LOC:ATION CIN Of! rowl'l STATE
<br />20<. WEST LAWN CEMETERY 20<1. GRAND ISLAND, NEBRASKA
<br />fUI'IEIAl H(>>If "',",1 AHD .ADD.U$S (5"'lll 011 U.D. NO.. ClTT O4IlOWN. ""n. II" 68
<br />7~FEL-BUTLER-GEDDES 1123 w. 2nd ST. GRAND ISLAND~O~B
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<br />Omaha Ne. 66105
<br />tl,o,n .KEIVEO flY .EGIST..... ,Mo>.. Do" y,.,
<br />2M.. J:\ N 2 1 1987
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