|
<br />3yir~r-.1 } ~C
<br />a '~ -
<br />' ~w1 A + Rte- •N r• Ur. U
<br />•r.w•ri
<br />~~~ wrri ~w rtr ~Nwfa~a~f:., rr~~yw-r,~wpwnr Saar uika
<br />,,~i~ErrTr 1T7nesigli
<br />1~TIEAi~~k7~ f~F !,~kN
<br />_..-....~ ,. _ .._ lt^Ii-.._... __..,... _.._ --wMI OT-#<f«rw.0er. rTi __-.____._
<br />;:ale
<br />J :~ar3E:t ' i~ovsF:usr 18, 19UL
<br />~ ~
<br />N f, sw.. M••iasn. f AO} _l.r E.•aY•, ~ UND!f t FEAR UNOg / Doi 1 DwiE Or //RTN (Me.. DeY, r•./
<br />~6a1'i ~ rr., i 72 - Mos v.n + •+ouBS wNS i Jtuie I 194y
<br />~
<br />'M jfi 4 ~) r
<br />ZEE. OI WMAT C r', D. •IEVERAM{eFD. -~+NAMF Of SROUSf (II arifi, yw• nreld•n news)
<br />wt W ve[D
<br />OfYORC ED {SVw::[l)
<br />TM
<br />Tsc• ,.~- 'n.i .. !-in]arl T.4uorc ffarnnt
<br />ppM T,AMN@ ^US11Al OCCWAl1pN1Gi.•knad •f.erk dar••dw:.f wwe '[IND Of {USINESSd1NDUSTRi COVNTi Of DEAiM -
<br />y
<br />l
<br />Ii
<br />a 1
<br />i
<br />t
<br />l
<br />'
<br />.
<br />09 il
<br />lb.
<br />a
<br />t7b :
<br />,113tOd19Ii
<br />F2 ~}-2! 1 17w ~
<br />Clil', TOEYN OBLOCATION Of pEATN :tNSME CiTf lMYTS NOSEAAI OR OTMH INSTRVTION-,la•.•(If wa:n •n1••, f1103l g1NST IWwsu OD•
<br />O•~.w+..l[r..... t...«~wr (Sa«Arl
<br />(SMa'fi rn w Ne) y:.• Nr•N end nv«6r1
<br />t .Grand Island i«. es l.d. Lutheran iiemori:al iios;:ital la. Inpatient
<br />{ESIDEfKf-SiME COVNTY t1iY, TOWN OR tOC•TION STREET AND NUlMER INSIDE CIIYlwN1
<br />l
<br />i
<br />"
<br />ea
<br />:l. oth St. Is.
<br />Island Ise. 10
<br />ts.Nebraslca lse. :Tall Ik.Grand
<br />A i MIDDLE UST MOTNf -MAIDFN NAME FIRST MIDD/ U T
<br />J?1ce Ilamot Vanda Lukasiewicz
<br />I!IYOEM•NT-NI.Mf-RflAf1ON5NIf-MAIIWG ADDRESS eslnEt of .ID NO.OTr OE TOwN.Sma Uf1
<br />WAS UECFASED EVER iN U.S. ARMED FOKES7
<br />I
<br />IT«, w. «...,I I N ,.., r,w .•. we eoaa or .•...n1 , ,
<br />ludo li Ilrs Fie 1' of-~ 'f - I^1
<br />BURIAL, C••wmten, R•worol OAT CEMETEEY OE CREMATORY-NAME LOCATION CITY OR LOWN STATF
<br />aa.- ~Iiovi 2 lDa. ~ ' ~~ lod. ,~ Ise f~n(iF Ne_
<br />EM{A/MER- IGIZATURf t ll ENSF j
<br />' fUNERAt NOME -NM1E AND ADDRESS ISTNfI OE . f D no_. CST' OR IOW,+. ST IE. Zlfl
<br />~ ~~~
<br />// I
<br />m~~ClG/ c~a-L
<br />j
<br />-B' sla.nu.Ne.
<br />33 i ~^sto - 's U5 ~~1 i.oe~. Grand
<br /> DATE OE DEATN (Ad., DYr• Yr.) DA F SIGNED (M•. Dur• Yr.l HO R Of DFATN
<br /> 2>•
<br /> 3~ Tb. 3.6. M
<br />Y
<br />F
<br />' l HOUR Oi DEATN
<br />DAT SIGNf (AN
<br />De
<br />Yr ism rWNOUNCED DlAD iRONOUNC[DDEAD(N•wl
<br />~
<br />~E
<br />~r .,
<br />r,
<br />.
<br />- ~ lk. I M
<br />776
<br />i€
<br />3As.
<br />Nd.
<br />jt .
<br />n.
<br />T
<br />Ya
<br />M
<br />N
<br />d
<br />d
<br />br N
<br />~ M• w aM ,
<br />s 0.d. bra N •.rr•br •MM .wwwR• ~1r ••:N« Ya•A «a..M M
<br />t~
<br />~ •
<br />•
<br />.
<br />..
<br />r
<br />q
<br />Rw
<br />e•wN.I rwrd. y
<br />,~, ~ ~ X~• ei.•, aMw «J •ha• .«I M• w ab• awW J aMK
<br />t /
<br />I.(rL(~
<br />fSif.win• •M T:Y•1 ~
<br />2t•. f5~•n•rrr• •nY 1, WI
<br />NAM .
<br />E MID ADD{FSS OF CERTINER (fNi KLAN, [OWNER'S iNYSICIAti O{ COUNTT A TIORNF r1 tTfV• •. f+:nN
<br />M T...~._.._.". _ -
<br />DUE TO. OR AS A CONSlOUENC! W; r"~^'1 *'~"" a""r"'d
<br />_.. __
<br />.was. _ _ m -s ,--. , _~_..
<br />1 • t fIACi NUYRY- u a~w•, 7..~ w.µ 1«wR, T1DfA1gM Sttlit Ol t! p sb a* i}i ~S4H ~ ~"
<br />(SSasXY rw w W~ b.+Hry. w efsud,:
<br />.3,_a=
<br />tft}uTNI$ C¢~f OARRIES THE RAISED SEAL OF TNR 1;kBRASRA _.
<br />S ~$,~lT~~~' 0~ NEAI.fi:i, ffi GERTI~`I$~a THE ~RO:E z°: ~g
<br />$- £U~T ~~ -A~# OP~IOIl3AL RECORD €}N BILE kfTt~ THE SiA: E
<br />A 1t'~M~~T ~F~,`~~LTNE BUREAU OF VITAL STATISTIGSE f~NICN
<br />I,3`~F. B~.,L$ ~p'"]~EFOSITORY FOR VITAL RECORDS.
<br />DIREC1i'77R OF' VITAL STATISTICS ~',~ SAp~T STAT
<br />LINCOLN, NEBRASKA Issued December" 8, 146I
<br />J
<br />
<br />
|