Laserfiche WebLink
WHEN THIS COPY CARHII:S T}iE RAISEU 51'.At. OF THE NtORASKA SPATE DEPARTMENT <br />OF RE.4 LTN, IT C'FR'iIPILS THE BELOW TO BP A TRUE ('CWY OF AN ORIGINAL RECORD <br />ON FILE WITH THE STATE [)EPARTAIEM OF HEALTH, RUREAU OF VITAL STATISTICS. <br />WN1CH iS TH6 LEGAL CEPOSiTORY FOR V1T:\ f RYCOPfIti <br />t1ATF OF LS.SitaNCF ~O ~ <br />lone !9, i98n ~ i; ,>.R~ ~2~tL <br />t_IVCOLY, NEBRASKA BUREAU OF VITA! STATISTICS <br />_ _ , <br /> ~~ ~~~ <br />~~ll~,.-... _ <br />~ ~ _- llr s~>~i1 <br /> _ _ _ A{ftiC <br /> i. rt•IrI ra <br />. R ~ - .., <br /> 3 <br />+ Grarr<2Islsa4 <br /> r~rrr~r.Mrrwrw awrr.wr <br />_ 1421. i:. btlt '.lE <br /> rr <br />a+r J~fa1e ~.. <br />$iw ~ <br />~ J~ •' <br />1~ <br /> ~ ~ <br />p~ ~tib ~.r rte. <br />Felr. I7, lEgO <br /> <br />' <br /> _ <br />~~' • .M~r <br />heYff kM{.'izy€ ~ <br />Eig SFI"Sn5~1 SCsbt. LI'J~ <br /> <br />Sillis~a .. ~.'.~Mt ~~ <br />~# ~'` BSO~ <br /> ~~~p~ c~ ~ <br />~rir ~r~~~Iair .J~~~s~l~is <br />.JVa <br />^""J ?a ~Lf t~l'~ 1~ .rr^~Fa... <br /> ~~~' <br />~r w~~~ <br /> <br />,~; ~~~~ <br />~!! Y <br /> <br />_ <br /> ~~ AA« .~.... <br />~~. Y # V _. <br /> w. s~rOi.arr~w+t ~~~~ <br /> ~t e~w~e~~ rlrerrw.fr~!r nr • <br /> 4 Q ~ <br /> rw <br />is <br /> ~~ <br />=A ~ ~ ~ ww.+.r. r.ra~. <br />Ir1-}~4~~~M~. a1 .aw.~sa~ <br /> <br /> Arr~Ir •r•arr~r~liwr Ir1~at- <br /> 1 fr~~ <br /> irf <br /> 5- -&i ~ F <br /> 1 rl~l~{~ ~ Sri <br />l ~T t"' ~. Mr~'~ <br />3.Ptll <br />Please record attached death <br />certificate o1 Jennie .;. Ric. , <br />Lndexing same ara?nst: <br />The Vorth 50 fee*_ oz Lot Five IS) <br />n dock Eleven Ili) ~n Rollins' <br />Addition to the C; c~~ of Grand <br />Island, Hail County, _deLraska, <br /> <br />J <br /> <br />