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<br />STATE OF NElRASIG-DE-ARTMENT OF HEALTH
<br />a BEAU OF VITAL STATISTICS ~-, i 1 ~ ? ry Fy
<br />CERTIFICATE Of DEATH -,; -; ,, ~~~"" °' ( /
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<br />OECR Ni-NAM ~~ - FAST M,(KKE u55 'vp.:[ur u[wrre :MV, vvY. .•)
<br />Leonard A STrtydra ~i `aleL August 3, 1982
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<br />RAC -(. q-. 'M Na[s. Arnarf[vn ORIGINiDESGRNTI..q., ualiaw,M«i[vw. AGE-wx R:w3dq UNDfR 1 TEAR ~ uNOE! 1 DAY , DeT TE OF {IRTN /MV.. Dv,. Er)
<br />Ewdlew, F pa[NY1 Gaxww .N.)!S «ily) (Tr3 7 OS DAYS I HOURS ~ MINS I
<br />~i~te American ~ 63 ! -Nov. 28, 1918
<br />al AND STA C OF U!M ( esF lw U S A . CIT,EEN OF WHAT COUNTRY FORMED, NEVER A[ARRIED. I NAME OF SpOUS£ (1E.J4, pi...wid.n names)
<br />WIDOWED. DIVORCED (Sp«./yl
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<br />{, Ashton, Nebraska p. U.S.A. ~,D Ptarried I„. Virginia Hatcher
<br />$OCSA/SECURIT NVM{fR IUSUAI OCCVIAi50N EGle. s.nd a/~vrE dew dur~wq d,,,5 RINOOf BUSINESS OlINDUSTRT 'COUNTY OF DEATH
<br />Idea ~w9l.l. a.ee :Er ..
<br />,p 507-12-9119 i,b property ~ ~GUipment Mgmt.'13b. C A A P Hall
<br />- CIT', TOWNOl FOCAfiON OF DEAMINSIDE CITY(WIT$ MOSryTAI OROfNflINSTITUTION-Ne.w}Nnef:n.:rhe..AVx N05F OE xfst :.e..s ooA.
<br />1(Sp«e Y«w Ne) 1 pi b«) ~ a• er:Eerr .:. o wr (Spwd,!
<br />,R . Grand Island i,4 ~es J,Ad Sit •~rancis Medical Center ,~, Inpatients
<br />RESIDENCE-STATE fCOUNN (CITY-TOWN OR IOCAIION STREET AHD NUM{ER INfSDE CIIT LIMITS
<br />S,, Nebraska ',M Hall ,k Grand Island sd 1209 N. Howard Is, es
<br />A -N MI uS1T--i M~-~OTNt~-MAIDEN NAME FIR i MIDDI FAST
<br />F Mitchell -- _Smydra ,T :`ary -- Bogus
<br />WAS DECEASED EVER IN UE. AlMFO fOlCFSI ;,NfOlMAMT-NAME-REIAfiONSN11-MAKING ADPRESS t3e[ffTw[fO Np., CiIY O[)LYyFirftMTF, tIt:
<br />rtn .. s..s5't 9..e .e, e•d aerr/...e.. e, OOOV1
<br />,gYes 1,~[.1xIi 7-8-42 2-16-44 ',g Virginia Smydra-Wife-1209 N. Howard-Grand Island, NE.
<br />«:H41 f»--wen R.--~: OA CEMETERY OR S:REMATOlY-NAME --f.OCATION ~ G:TY OR!CWN STAT£
<br />~ Aug. b, 1982
<br />u5.. Burial zob 'Ta WestlaTm Memorial Park ____:Dd Grand Island, NE.
<br />EM N SIGNAru a tKENS ~]~~IUNEIAt NOME - NLtE AMD ADWFSS :S.NfS O[ E. O NO <~n o. rowN. SuTF nr168801
<br />tI ~ J~' ,tA f~T ei_Butler-Geddes 1123 W. 2nd, Grand Is}and, NE
<br />t .Dar. -- DATE SIGNED {M. OxE_ r. , ~ HOUR W DEATH
<br />1 ~z A ust 3, 982 ,xK'o iz.a _-- :l.b ++
<br />2, ;DA ItS FD tAE, Do Y. Y'> ~NOVR OF DfATN ~ i1lONOUNCf06EA0 ;IRONOUNCEDDEAD(Naprl
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<br />;:~lTa P+usust 5, 1982. '~>< 9 5 a. M '- :k r T.d
<br />sT S. Mp WPM.[.+apN..aw+_. :NSe[!~-/~5~ .M^ mow. xw .~~«M.e~: ... rr:......1 "• •••r Her. z.....l nr
<br />.33E ~ ..rMU M. ..+ l..) ~ ~j.'LC.~ M 1 . ~ILLIj Fes-' o I:A. r 1.,-...,e ...:... ~ ... r:... ~ ..
<br />NAMf AND • f CE Tt/1 R IRNTSICIAF COIO~-RNTSICIwN OR COUNTY ATTpRNFY; tTrp. w E ~^+~
<br />Daniel Cronk D!.D", 908 M1. flowarde Grand Isiand~tiE, b8801
<br />REOFSigAf I / DAl! tFC[lVEO 1T REGISTRAR fM D Y 1
<br />r 3f. FMMEDIATF~~ ,/ !!Miff ONFY ONE CAUff IER UNf FOR ta.' f0 . AND l.: •..w: e.w.e ....r Dees awM
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<br />aV WT AT wQi ~ThJ'~F-DYMiMtt- b ber, fa.~, awr. ler.r,. ~:JCAIeOa ~ >tN!} W [ F O _w ...~._~_ Cltt D[ FOrN SeAFF
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<br />WHEN THIS CPPY GARRIF.S THE RAISED SEAL OF THE NEBRASkA
<br />STAQ$ DEPARTI'IENT OF HEALTH, IT CERTIFIES THE ABOVE TO BE
<br />A TRUE COPY'QF-AN ORIGINAL RECORD ON FILE WITH THE STATE
<br />DEPARTMENT OF;MEALTH, BfTREAt; OF VITAL STATISTICS, :.'HIGH
<br />IS THE LEGAL DEPOSITORY FOR VITAL RECgRO~`RDS.
<br />~_ ~~al~Rt_ ~fe'la4r4F!
<br />DILtE` bF Y~TAL STATISTICS AIY9 ASSISTANT STATE REGISTRAR
<br />LINCOfiFii,;NE$AdtS~SA Issued Au°u3C iti, i982
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