|
�,.: �: ..: . ..
<br /> .:;.�:.:� _....,t..._
<br /> ��:
<br /> . _
<br /> ,;�
<br /> . . . _ . - -
<br /> -._
<br /> ----- — - - - ,- . . = �'
<br /> . . .. . �� ' - _ . � . . . r� c f, � , .
<br /> . __ �' _ ' .. '-r . . . _ -'� � . _ . . _ -.i:� _
<br /> t. '' ' �. . < . _ , � ,. .
<br /> �, .t. c-.. .
<br /> � i�.�__....._.,c - ��.�__.___.. . _. _1_ .. . .._. ....- .-. . . ._..`_ - . . .. . ....,..__ �,_s.__ .._._ _ . , _ - .(.--
<br /> r '< < •
<br /> . . ..: a. ._ ,_. . ._ ... .. . �. .... ..- � -
<br /> - . .. #'� , - . . .
<br /> . � � r .��. . , ' .
<br /> .. . � e' " .
<br /> . ... ..--� � � �-'— --
<br /> • , _ � . " � • . j . .
<br /> {
<br /> ` c. � "
<br /> . wtmu�ascovrc�a�s�rt¢�a�s�sEncoFrr�nr�eaasxasra�a�amr�uror�atrr� ' , . � -�
<br /> .. . �. � /l CEAl/FIES TXEBElOiNTO BEA YRUECOPY OiARI ORl0Q1lAL RECORO BJ1FRlE WlfK 7HESTA7E - .�•- -
<br /> B
<br /> O�Al�TI7dENY OFflEALT/4 8!/37EAU O�f VIP�dt STATRSJIIL'S,Wflt�NlS �'� g�°'������
<br /> _.. _- �- VJT�ILRE�ORD.�^. - �.___ -T� •
<br /> . . ' - _ � � � :�`".
<br /> • DATEOFISSUQNCE __ = �$� �600PSR , '. , -
<br /> ,. JUL 12 1996 - ` rF�a+es�m�arr .. _ `, _ -
<br /> - - L/NCOIN.NE6R/JSIfA fVEBRASifAQEP1iA�ilTOG.l�AITf! . — . -.•�;;< ,
<br /> : :;� - - STA7E Of P1�AASKA-O�ARTIlEHT OF NFAL7H-= _ '�. 'i
<br /> BIJREAU OF YliAI.STAT$TICS "' ,+�,
<br /> •�� CERTIFtCATE OF DEATH �
<br /> _ �;,c r . �,�,,, .
<br /> n �• ��
<br /> �nECeoar-w�er� m+sr �ecae u.T t sEx s w�oF�m rsa,nasrmr {� ,. �y ��`
<br /> ' „�.,,. -
<br />-_. • �'�1��- —
<br /> - ' .?'} �t7�µ03TA1EOPB�M p�MhOS.LiID�a.a�ll 33AGE-LL48Yd�ii Utm6i1�'FM tRlOER/0AY 60A�EOF�iIN Ot�Y� -. . ''_-`���� ..
<br /> m.�� s wos � ars se�ans: �s 9 1 0 < ' . —��
<br /> ' � �y es a�oceewTM . , -
<br /> . wsvrtw � .�a on� ❑ xuwqwr� ��-.":.
<br />-. . „��.�, ��..�,�.�..��., O �� � � �=•
<br /> ;`�:-�-
<br /> • ❑ �" ❑ �� y s '�"a`-=
<br /> - • - x arr �x�wu�uono�oD�rn ea wsaeomruiars m camraco�n� '..`- �
<br /> . ._ .�:�.-.
<br /> . . Yo �ao� . . ` .�'3`_�
<br /> ' ' � . +n�o .•r.... �e�rtvT�auuaa�m� m raFGT �p�iw w.�mym[!� o�w5n80fvWi8 _ :� ��'�'
<br /> � . ..�. _:;^'._
<br />., j YO HO� j�,y; �'.' �"4
<br />. � , .. �u�uCE�.pp,YVliaa �mr�tWeW� 71.AxCEBi�(�?�On� ae1 t Q�1YIiCED �M�07ffD tf W1Y80iSCW''.+6 PAih�a�eaFp , ,i�.°;1+„��F:..
<br /> AHCE �
<br /> �-- aL 15m�Y! NEVFA OiYO(CED . :`�'x=,����
<br /> '�"
<br />- • � � � t4U5t1KOCCUPATiON (6f1WdaMCbrQI�1iNSI tU OGBU�7ESSPIM1Sii1Y ISE�UCaTQ! - � "•`.�_.�...-
<br /> ' � ., a.oepr�ai»r+mm er�rrs�oS�camno�al tdbp�n�ae�f .. , ..'�T".,�
<br /> .. , �, �.��:{'f.
<br /> � �(
<br /> . 16LATif91•6bWE �iLS7 �YDGlB IAST /7Y0 f6157 {m01E N49ENWWIAIO r � 'yyi�•.��.
<br />.. , � , .1•.,��_;.
<br />.. . . .. ts WAS OECFJISED EYEfI tll LLS NWID i0HCE5� /Ps Q60RYtiVT•W WE . �-i.'•,1?;� -
<br />� . rcas.aowu mw+ow•varoasaamAeau _
<br /> � . � t�WFOfWAtR WILNOAOOf�u9 ISi1FEf0ARtDNO.C1TY0i1�OYM5i�7EDP1 • — ' —'��.
<br /> . . , _ , . ;`.�- -
<br />. .. .. ^��:..`
<br /> - _ E 7Q r� 4taYET1OD0i015V09TbN Yt4 WIiE Ita CEYETFJiY0fif7iEYATOHY•NAIfE ..�` � .._.;i:.:;�-
<br /> , "- V� �i�+..�
<br /> �� ��L . i' .-
<br /> ��:. -
<br />� ?ii f .ry11LE 2�0 GIELATOHYLOGnON ORTOVRI ST4TE . •(� ' ""'-! .
<br /> , �d�amGn QOvtLm ,� .. � .
<br /> . . .. •• �,�r� -
<br />,�{ • ?7D i IIONE S 1 HEET RDD ORTOtM.ST�TEL7) . _
<br /> ..� � , ' . ;. .
<br /> . . • II ao�OUTECAUSE 1 a IO�HOftll � OWnaC�fnpW1a�001D� ' :�u' -'f;-'.
<br /> • v'a H lemfc shock from bleedfn ' 1 day . . -
<br /> . rn,Eraa+ � a � � as.aom.a.am�wamm �
<br /> ,. � ,
<br /> ;� • � m, Pieural Pibrosis 1 s than 1 year . � •��
<br /> rO.oHti9wC0u5EOVErt OF i trtnvyo��mara�ai7000� . ..
<br /> �
<br /> �►�l Coron arte disease gr�ater than 2 years . �
<br /> .1. � • VAR►O711FA& IGWi 9.Ctl�7ucuLt�SnObA�pWhQ�CInhAtl VAATOffiEAWBYlASi�f1811 2a NlfODBY P!WIl4GlSEflEF:AAEDTO1fE0(Gl . .
<br /> p 7HEONANCY0171@O�15T71pNilfS1 x OfAA@IERORCONPIEA7 ' .
<br />.. . �( (Apo�tPStl YH !b YO HO X YA rb .
<br /> .� - YE� tW0AT80GNM1V pll0.0ry�t%! ��CURMWNRY 1d16ESGeBEHOYlWNRYOCq1HNE0 , . - , - .. . .
<br />. ❑ AccOn Q Wtlem"""10 N . "
<br /> ' ❑ s�� Q �w 7ELNN�YATMNNf zuo�c�s°"�„i�l'r.�,►.Ra�vr xa►ouno�, srn�,a+aoa.rro cmoaravr� 9T�T8 . .
<br /> :�j � � ( o � �, Y�0�0 .. ... .
<br /> � na o�re ov xwrn aa uix 7+ ua a�tesiur+eo �w.an n� s�ru�ov oFwrn
<br /> • + z� X June 27, 1996 B „ • •
<br /> ,
<br /> i � f7E OATESpNF11 qb Cq'rl 27e 7NBGPOPJ►TM ��a !EC Oa0N01WCE00E�0 !W L�µYi/ 4ES oAfkIWNCEDDFJID OWl
<br /> �� � June 1 96 12:Ol P „ � �� „
<br /> ne*oaraoa�nr a acu� eieem�.ac��rown�roanaro � !D�P+HOqUOIaY�wmnNGdM�p�fiM1nnyp{pp�d�awA00
<br /> CAt60(Lfti!!1 D tibN.4yiltl[4C�NOOU�LOMfAUSR/1iIt01 '
<br /> ' . . �oqTi9 a4T�ce -
<br /> - . t9 O:OtOBACtOU5BC0' ]Oa wt90R�AlIOATt55UE00NAtqHBEfHCONSiDERED'+ ]00 WR400NSEMOWWtEO'� � .
<br /> ' '� �9 � NO UM(HOWN �.�ti9� �NO � vE9 � NO � .
<br /> - - ]i wwEU+DA00aESSOVCfATa�F.pIi11Y51CwtCOtpNEw9vHrS1GAl+0aC0urmAnOarvEn Rra�o�rnn ' . '
<br /> Bob J. Bleicher M.D. i500�So. 48 5t. �e 6�5. Lincolnf Nebraska 68506 �� .
<br /> . 07a HeOiSiM�i �7p OAiE�M1EDBYpEG6tRM lAfiOqYq .
<br /> �.> . d,� JUL 0 21996
<br /> � Lot Eight(8),Block Fifty-Ttvee(53),Chazles Wastner's 5econd Addition,and Addition to the City �
<br /> ,.
<br /> of Grand Island.Hall County.Nebraska. �.
<br /> I i
<br /> ` f
<br /> • �t
<br /> �.
<br /> - . - . � ' 'Sa:t:+ti. . . � .j+ ,
<br /> . ,
<br /> � �. . -
<br /> ,.� . . • . � . '... .._. • :, 'y' - .i„ ,' y.
<br /> . •• •l � •.-:..- ...
<br /> . .1
<br /> . y .. . ..,� .. . . . , _ ___._� -. . `.. _ .. �. " ' ._.� .__...._. _ ._.____ ___..___- _ . _ -_.. ___.- __"__ �... . _ ___.
<br />
|