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'ATE Of NEBRRSKA-DEPARTMENT Of HEALJN
<br />BUREAU Of VITAL STATISTICS
<br />CERTIFICATE DF DEATH 82 --11 CJ ti ~ .~
<br />_.-_._._____.. -'•+IDDtf _..._. __... L~Sr -$E>! -_. _._TDAt[~O F'D'E ATNE 6aY...'., r, ... _.._...__.... _.r_
<br />Imo-DECEDENT-NA1i[ ~--~----i-RS1- -
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<br />_ Robert _ Lemuel Aldridge (z male ;; ~'ovember 10, 1480
<br />RA ( {ap wk'.,e Blo<1, 4.•n.~-en'CXIGINiDf SC[NT7a9 Hol pn M. ca 'AGE- o.•R~n i UNDEk1YEAR~ UNDER I-DAY iDAfF O1 BERfN/Mp.Dpr. Ye)
<br />Ind•on, •N)/`.Pa<•f,! C < 115 f J !Y 1 OS DAIS I HOURS MIN$'
<br />white , unl.nol`n Ib 63 ~,b ~,~ j,December 11, 1916_
<br />CETY AND STATE Oi BIRTH (H •or U 5 CI 1£F Of WHAT COUN IRT MARRIED, NEVI! MAggIED TNAME OF SPOUSE (ll / pi.a ~npidtn npma)
<br />nn) 1 IWIOOwE601VORC ED fSp l,)'
<br />newa eeo [
<br />e GraceY , Kentu_eky ~c~ U.S A. ~,Q~married ~„ Gladys L. ~lchtullen
<br />SOCIAL SECVRIT NUMeER~~VSUA:OCCUPATION/G•..4•ndaF~e.k den.d..•ngn.ed~~KIHDOf BUSINESS OR iNOV51RY COUNTY OE DEATN
<br />jol ro.L•ng I~ft, fr n N.efi.edl j
<br />lz 505-18-6165 I,ta Salesman. ,Jb Retail ,,.p. Hall
<br />CITY, TOWN Oq LOCATIpN Of DEATH ~~~ 1INSIDE CITY ttMITS HOSPITAE OR OTNFR INSTITV TION-NVnt fil nal in M1ar, ~ If HCS. OI INSf IndNa•rr WA.
<br />f5pe<ily Y., o. NoE p..a H.tnr and nfmb.•) D.roe•~...r}f.er tn.tnpexfnl (yPttiiyl
<br />i Lb. C,rand Island fAr 1 es~i,.d b:A Hos it.al LA. in atiemt
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<br />RESIDENCE-STATE iCOUN(Y iC4tt. tOWN OR LOCATION ~STAEEi AND NUMBER INSIDE CfT1'IIMRS
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<br />,sa. Nebraska ~tw f?a__li ~~~„< Grand Is7_and !„d 516 l5'est 4th St. !,,, Ryes
<br />iA H R-NAME fiRiT ~~ MIDDtE LAST- niOTNER-MAIDEN NAME iIRST MID lE --'U$f~--'-
<br />lB (dec.) Robert ___Ea_r__l _A_ld_r_i_d_gel1„ (dec.l Hattie Elizabeth i4illiams
<br />WAS DECEASED EVER iN U $ ARMEC fORC EST IrMFORMANT- NAMf - RFEAfIONSHIP - MAILING 4DDRE $$ ISIYEfI OR f 1 D NO. CIM1 OR TOwM, ytAi[. Ilrl
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<br />Y / / / i5 }r.s Giad 1 dyad e wife 51
<br />' __ ~~__ _ y__ __ - Q --„ __ 6 t4.4th,Grand Island, NE 68801
<br />Tti vP -..:.. < T P ~ ~
<br />, es t~II 11-3-42 q q CEMETERY OR CRfMAT RT NAME
<br />BURIAL C I n 4 w,o- ~ t LOCATION CITY Oq TOwN STATE
<br />e:n nl' oa v. 12, 19cC7~- rand )stand _(;erE_terv --- --- --~-
<br />ma. Bk,lial _ Izod ~•rarcl Island, `.:ebraska _
<br />EMBALM $lCNAlyfRf ¢, LICENSE NO „} ~!~ i fUNERAI HOME -~ NAME AND ADDRESS ISttltt OY Y f p HO Cii• Of IOwN SL f Ilr.
<br />zl jd / ~ ~ r~y~_ ~,z S~fe_l. i utloc -rcdccs I1 ~, 2_nd, Crar.d IslandeneaE~Yv5801
<br />I Nr~e~ a er.n. d ' n « ~,e e~, _
<br />a _ I (So.IS.Rn.r.,. e.d re.r - ~ ~ p ~i.~~ . mot, .i i -_ s , .••...^ P .....~ . • :•.e »'..;er:e .P.,. ..e .
<br />i'~ - i DATE SIGNED (Mp - Ooy, Tr } OUR OF_ DEATN _ ~~ ':~bA'E~11~,..NE )T-iMOt Do, x. 1-11ZS(j(~T~L•T1TR
<br />=°a jT56 tioyember_10, 1980y2,< 9:35 a M =i °.T,b T.<
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<br />'`DATE Oi DEAYN lMp.. Do,, Y.) Apo ~PRONOULACED DEAU VRONOULACED DEADlNoe.)
<br />~ =Q a ,flue Do y, r, t
<br />. z,d November 10, 1980 _ „d _ !~,< M
<br />PfAM9 AND ADDgE$1 OF CERTiNER tPNYSi.`IAN CORONER'S PNYSI.IAN OR COUNty ALTORNEY, ;;,pa o• P••.rl
<br />z~nri ueta >•:. Bellosillo,`LD.,VA liespital,2'G1 ti. 8roadwell, Grand Island, NE 68801
<br />Rf[:15!4! ~ ~-'DATE 4EC EivED BY REGIS ItU.R Liao . Do. Yr I
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<br />tBa ts.<.x...r-r"~t~ G-C _~- -~ l.: ~, fG~f!/`-!`-t/--~- ~, .Sbl~-~~•'~. i• .Cr 1,, ~ y ~'
<br />3) IMMEDIATE CAUSE (LNLLEE-R ONLY ONE CAUSE PFR LINE FOR tnl. (b}. ANO (<!!
<br />PART I/ •~....I h....» w..r ..e e.o.a
<br />~ ;,, Carcinoma of the lung :t~ith metastases to spinal cord mons
<br />DVE TO, OR AS A CONSEOVENCE Cf - ~-- ------- -- ------'--- -- ----- ,~.•..I b......, «..r a+tl awrn
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<br />DUE IO. OR AS A CONSEQUENCE Of ,.e,rol a.•.e« «w• ene ew•I•
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<br />t AR _ .- __.......,.,..v~v~••vwS-Cs,enw...«n.W...p N d.orE e.•... ..lo _ tt.H • tEMwE„ wA5 iH[t[ •Tlot6r.••' e. Hey wa3 CASE t[eleeRD 10 M[DICAt
<br />11 T AHCT iN 1 f yAST ] nONtH1> .. • '. Fr.vnrH(f Of COYONft
<br />_ _ F:o no
<br />ACCIDRNt, SUIC14E. HO4uCIDf, uHOft, pA ft ~ IH UPr IM• Oar ~•-- ~.OUt of iwun --TR, ~'~Dl SCnff ~.Ow ir+l air OCC Utefp --- - ---
<br />OR rlNpNO INrt StrGAtpN lSPrr.ryr .
<br />]Oa. :306. lDc M - :Od __ _
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<br />M1U11 At w0l¢ P~EACf O[ 1 IURf a :..., In.~, n.w . o<r«y .OCAtION Sttfft Ot f f D Ne CHl' OP tOwN STAI!
<br />ISP.seIY tw v Nt) (afl•<e b.~If..R. er. ! Se.-~.rr
<br />54.___--__.___ '~Of ]0
<br />:id,ti,L'N 'THIS CuPY CARRIES THE RAISED SEAL OF THE NEBRASKA
<br />5'TATE DEPARTMENT OF HEALTH, IT CERTIFIES THE ABOVE TO BE
<br />A TRUE COPY OF AN ORIGINAL RECORD ON FILE WITH THE STATE
<br />'DE,PARTMF~NT.6F HEALTH, BUREAU OF VITAL STATISTICS, WHICH
<br />T•& '~FiiE,'LEtiAL DEPOSITORY r^OR VITAL RECORDS.
<br />~ ~~ P
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<br />DIRECTOR OF VITAL STATISTICS A.*ID ASSISTAP~IT STATE RF,GISTRAR
<br />LINCOLN, NEBRASK.S Issued P;ovember 17, 1980
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