Laserfiche WebLink
<br />STATE OF' NEBWA51Gl-DElARTMEifi @i MEALTN Q ~'j.,~ ~) ~ J U .7 P y <br />- BiiREAU:OFYITAL STATiSTiG2 L7G <br />CEttTfFtCA7E OF DEATH ; _ ~c,1 <br />s <br />{ rn..~ j ~vos, <br />;;lr ao .. <br /> <br />E, GCGL¢A YVCalEQbRQv. U.ti aA.. !to ?iQJZx,4L'XI Ilr. KaaQ~L ~. L2Va M~eR <br />SOCIAT. SFCUEfTF NUMIER USUAL OCCUPAYBONtG i:ad dw.h doa. dv,sAAg t kMffOF 6USlNESS OMTtiAUATRT COUNIYOF TTEAM <br />d.primpfih, e+aa :F ~Ord/ <br />,~,. SOi-32-6434 (Ak., rla~da Fat~f~~i :~' ~ISe- CPtut~rri~ 3h :+a. <br />~~' <br />AF <br />aNi~AE CATYliMlTSlk05P}Twl(.M OTkEt 1N$TITUi1S?N Nerve iAi „ar.a ~:AYla. Aro4F Om M1?:lM.w`DOw <br />CIR.TpMMA~R WCA1iQN pE AtATri <br /> <br />t(Spee•Cy Yef pr?Ip! ~9 anaara d caber! WApaNwr/E,r.. tr. <br />' ~~I <br />: lwwewv <br />,,,,. Gxarcd Ia.F <br />and ] ALC_ Yea ! AId. P J tQ w Lb~ .~ °,... -- - <br />'lF.516RNCE-STAtf ~CWNTT ,CITY. TOYVNORIOCAifQN STREET ANII NUpUE1T INStOE CRY l1MR5 ' <br /> <br />~T,,. Nebrcablta ~TSa. HA.GC !,Sr Gxand IdZrtnd .:A,. 111 W. I~it St. (Span Yaf or Naj <br />~,S~v <br />. <br />~ <br />- F!.iMER-INANE ~i~`P ~~~-~-~--'--~'-"V~..3T-r MbT~+IEIIMAME. FitST~ MFDtliE ,___ <br />l4 <br />ik~rca,{d L <br />Packmtd I <br />~4cvt4e -- R <br />Y <br />,, <br />, <br />,r <br />~ <br />' o <br />~ <br />' <br />EbE4 EMPR fN U:3. ARM[P iORiCE3T <br />,INFORMAFei-xAaaF-RElATYONSHAP--aAAAUNG ATYORt55 E~EeF yt~~~o K?. d <br />aYe....: ,wAStu A,,., Pr...e..e aer. N u..r.. t lA'f-QII¢ lYC. <br />t~. ~la <br />;v tax. ~?CJ L':!~ ~. Li'VClC4i@..:s-?F:,,:~Aald-7I?y ~~~.9.L $.t. .ZttT <br />6G.bil: 1 <br />-~11C7S.'l. <br />_ <br />yyµLL{, a:rreAiwr., hap~ay ~F.~.. 1t~ ~CE/12TEM OR C'lM4.TOiY -~NwE ;LOCATION CAPI011 T6WN STAiE 1 <br />:4GMA E ~ ~ _ ~~TJNt1Al Of..•')ME.-NM1E iNp.,V~WE45 Zf14ff O! A G w0.. CAR E)t Wvnly 5 afL <br />~tf fYl6Y'''Z ~C~._~11~4.eT_-?~ Y'fow 3 t93 Lf_ 9ssrf_ f;wrtn-f 7itPnn.l ~_,. <br />A+^Ar ++ F i..-~eaAra s+e+s w~.-.tN+4~ y° a.. ,. n. c. .~,.~,-.. .~ ~ «...+.p.,:., ~..a~ ~.....a .v <br />1 '.,"3 #~~~wl+k4A ice'" I ~-L L [/£ ~f~Y~ij~I''L" / q ':Tb S~r+ti!. ,sw,A PnAS ~' <br />iT - aAtLr St~G~L[YS.tw:, IIaY~p'y~.t ~"' A~tt 6E oEn~~ ~ s_ '"s+AT£"'#Iil t.~w"9.,r. f'~°" `"-` <br />'7SF. ~ 'Peh _ Y+.. +A <br />_~_. .. e._.______... _ <br />I~ L4SR l7W ORY1M (AOe,. LVF. Y.Y_jr_ q ~O ,!KN'IOVFaCEC 4EA8 '~FROPIWNC.EO pEAG INrA.ar! <br />*iAUYT~-AN~`~'biFdrtT'F,% i.>~rY~N+^sn. {tt'i~'~-Y5T[AAN of Covan rTCTaNn ~. P:.:..""._.~.~.~~..__..Z*_t,~~.._ M ~. <br />a~,j~~ ~..~5......KO~~/~..p.._..-.--.~5__hf t'AT,.* .c~_ _.__{'3~ttt~ T~ Alb dd,~41_.__ <br />~fEQ1sTy`ttfA "~ .,,..,,, I •1E e'CEWEBYRSGUiiEAR AIa.. ,, Yr.) <br />20Y . SwMAi ~ ~~ ~ . ~ ~ 'f A'._. ~Y'c^..~"4~ 2~"d""t.~ ,/ __ _...~.~...._._..:~ .. _ _~ :. ~ ~/ ~i .~ /J / <br />~is~rfAM+L'~~~{~'."'~•~_-_~ """~ FR LSe+A C ti`E JXf ~~3iNY sGt f ~,. n ..s ~ - ~~~"-'- „ <br />YYT J -' a^'~~Awrsaw.,wrrM owfe <br />tw <br />~~'-:~TAe:t.N ~..~... .....,. .....,.__.__~.. ._....__~.___..._._~ rnw.vel bar..w. MM a+MrMarle <br />r <br />s__,O, ~W +47u C4NSe¢pF1A+A.e v _. ., ..,...~ - 1, -r...._ ._ __._..__. .._.._ ,......_.._. _.__._.._. _.... .... _.._a----~.E.` <br />sss ..W, .w,..A +,.ia.aAk I <br />P#R4 ~3~iiN~-N~'~~i~T'drAi{~~,:y.r+wnrw~ax+M ._ -. A WFMf. sI.6a3E pFlNfY'tW itEOK~ <br />5wr .xA erg r SAIMAaMII Ci CC)RCMNt,,,rrr~~~ <br />. _ _~... ___ .._~.. E. , ......_ _._ ..._ _zv _..~.... <br />.,. .... ~n J+N :#w+AA -At rnA rvr+wiUfr 4K4AlFMG. <br />ACC~FaM, pYKEOl. wVYAA4RM. kiwpili {uPl W wpRk Arw 6n <br />i SNI:~RnIMFr6 M,1NYa[laYfOM s1sM~r, <br />Y Wq: 1CN T4. M ~: 7fTd. <br />.. .,+r .._ ..._~_~~_~....._.._ <br />A~5A14'"~~nt... -»-•,•-•••••• .ha IY i...~.A'r err ~ +s d,w+. .. LK rtiw ... f tlt p i 4 M. tAR Gi TOwN 3TATF <br />?Yea.i4r Fs .~.~..-s ArA <br />i <br />'.1NF~.A Tii:5 COFY CARRIES TP€E RAY.SED SEAL OF TI3E T,dEBHASKA <br />sTd+iF .^~EFART.I4ENT 4F $EALTH, IT CERTIFIES T33E ABOVE TO B.E <br />-!i T:ii~E CGEY t)F AN ORFGIPAL F£CORZ! O2S FILE WITia THE STATE <br />~$PAAT:1~:Pi°Z:',;'47F HrALfiHp 3UR£AL' 7F VITAL SfiATISTICSe 43F4ICH <br />'f..7 :HI:. y$~Ai: 4EFO5ZTaZRY FOR VITAL AEGOROS. <br />e i/ .. .: <br />DZ8E4"'.,'OR OIL VITAL STA'L'ZSTIC5 Al'7ZD A~SYS.Z. STtsTE REGISTRAR <br />LINCOLY, *tEB~ASxA Iss~i:ed ~JRB fig, 1979 <br /> <br /> <br />