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<br />STATE Of HEIIlASKA- DEPARTMENT Df HULTH
<br />..=~R~~~.~!!!~L~~A~STlCS 84 -- '0"4.
<br />"'1;'''ir'~A'~ Uf' DEATH LU. 3~
<br />,.... Ot("fOfN1-NMlI 'lut MIOOll-----mr--[Te'x" - -~ ---'-OA!! Of tifi.rH (Mo~~
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<br />t. _ __.__"",c~_._ Ka~hryn Clara Wh~te LL~mal~_;30ctobcr 12, 1984
<br />~' *". Cf -f..t.. Will... 1f..CClt. ...... KOft oatGtN/Df.sClN1(~_g ,ttot,-, *"'i<<IfI'j "Gt -14W ....~".!tt'Q~. ... ,(f.R_:_~~.!...Ul '. O_~A"Y~J D....n Of 8t-". H fMo., 00'. 'ir.J
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<br />11)4;0.. .1C./ISpKit,J G~"Il. ~,J(5p*J#,J fr~,) ! MOS, ; OAY51 HOUIS :~MiN5l I
<br />. White American... 70 i~b to<' I. December 10, 1913
<br /><:tIT ANO ST;.Tt Of ',t," (If _, _a {I.S.A_. emIEN Of WHAT COUHTlY!M.4Uif.D, H!Vft MJ"na:D. I N.o\Mf Of IPOUSl {If ..if_, "i.-. _idiot\' _....J
<br />'. no_ C"........l"i I .IWIOOWfD. DIVOtU;fOtSpeClI", I
<br />. ;. Kearney, Nebraska ,0 U.S.A. ,'0. Married I" Wesley T. White
<br />SOC-fAl SKU.flY NUMtft USUAl QCcu,.r-tON (Gi". .,ilWJ ~/"'n ._ ~..,ri1tfl -eI f KINO Of eU51HUS QI- tHOUStRY ! -COUNty OF DU.tH
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<br />" 507-24-2233 :~",,_""'Ii'H;;-s'~1te i.'b Domestic I,,,, Hall
<br />em. rOWN OIlOC.ATlQH 01 DEATH 11 IN$fOf CITY WM'I'5 I MOSI'tTAt at O'fKElINsnTUTION.~ No..... 11.'.l'l(!ot i." _if". ..,. !. '" !-f05' -01 1m,. lnd'foq. .00., _
<br />fS~i!r rtH 01' No) 10"1". J.tt-eto"4 ....k1-J . I O'....~/i_ .., '''p--.!5,.M~~
<br />I '''b. Grand Island ll~ Yes I !~t!.(jrand Island Memor1.ul Hasp.. I'... inpatient
<br />~ ~!~9f~:;~Zr~ti ;'OONffu_"t 1 -- !Cirr.:~~H_O~.U~~:JON ~---pTltnT1A~~~~fI j _, ~ 1;~~D;..C::~U:~
<br />j.. l;. Nebraska I,,. H".U 1'" ,,'allil "Llana . . i". ~),) west: Jonn h,.'fes
<br />J 'ATHfI-NAMf Fu~r ",fOOl' - \.AST lMOYHU~NN-*<Mf~ MJOOU LAST
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<br />I~ Orville DeVern Brown i" , Elizabeth Laue
<br />(1:~~ :';.~~~::~J':.~f/~ ~-=.~ ~~~S! ! IHfOaMANl- HAMI.. I!flAflONSHIJ1 -A\A.lUNG AOOIUS (STlfff 0- ._f D NO. arr OJlOWH't:1tlldr
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<br />18. No ! :19 Wesl~y_ T. White l!YSbal}ll 1515 W.. John Grar~ Island,. Ne-.
<br />aURIAl, Cf.IlIlO'~, "tMWQl!~~tober 15. 1984<t..uf-tV 01 CRfMAtOIY -N~E ! lOCATION _ en., 01 tOWN $T.\lf
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<br />;0.. rial I""', __-1>'" W.'!~t lawn M':~.!.:.':~!:~~~_.._L>Od Gran~ Island, Nebraska
<br />f~ 4lGHA.in.'" f NO. 137 ! Jt,lN{Ul KOM! - N.tM1 AlNI) AOD'ESS ,u.nlOl u 0. NO_. on at 'fOWM. Jilint, IIp)
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<br />~/ ' ' i"Apfel-Butler-Geddes 1123 \-1. 2nd Grand Island,Ne.68801
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<br />I j~ i2~Q:Y __.,:'~ ___ ~I p-/? - ~/qE1_~ J~~~ _",~~~__ ..___________ 116&. , III
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<br />l',_ R~R. Koefoot !-LD. 727 North C~ster_ Grand I~lan~,' Nebraska 68801
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<br />."GAST'" O?)ll~ .. ~--~~;--_.---!OAlf~~G~_I/?'/9f'1I
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<br />RECORDERS MH.iO~-'~.Y:~ t: ~ -:~~ .~:.?A: ~~/ h ~i:Y '.,
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<br />WHEN '1'~ COPY CAlUl;;;;~E ~~.~~~ SEAi.-j;tTH/~iB~~"'~~if:
<br />D~PARTMEN'f' OF, JilBALTH, IT CERTIFIES THE ABOVE TO BE A TRUE COpy
<br />Oi"ANOIUGlNAL REC.ORD ON FILE WITH THE STATE DEPARTMENT OF HEALTH,
<br />B~ O~VITAL STATISTICS, WHICH IS THE LEGAL DEPOSITORY FOR
<br />VItAL RECOlU)r..
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<br />D~B1~~ITAL STl\TISTICS
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<br />Issued Oct. 23, 1984
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<br />LINCOLN, NEBRASKA
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