|
__... . , _ _ . . _ -
<br /> - � . :.iC ., +5 , . . ; . ... � ,i: .. � .' . . ' - � , - . i�, �. 'b`. . __
<br /> _ .` ' V . . � ' . . � . .. . . . . � '. .. � . � , ' ' y � . ' � . . . � r - � .
<br />_ ' • � . . . . ` . . - _. . � ' `� , . . . � .. . ' � � ' ' � ` . -�
<br /> ' . • l' L . � � � •i�.�
<br /> 4 : . . ; . _ .. . .
<br /> 'T-=—� - --'-•c y�--4f.. �_. � .... . _ -. .—_-"_ _ _..—._ - - r- � - - - ' r. ` � ( ` ,.�`',.�.
<br />. . . � ' . ���..
<br /> ' • 00U�LAS COUNtY NEALTN DE9ARi/AEHt n J��'�'� �
<br /> T�E�A��T ����� VITAI 8TAT14itG9 SECTION-OMANA,HE0itA9KA N ' . , � �
<br /> � �t,o�u�eerr �"�o C����CAq'E OF DEATH '
<br /> SEE R�f�uT10!1 ' . . _ .
<br /> ,• 1 CEOEttt. A31E aL4 5 J ] !07 iH C�.n� �• �.'�-
<br /> � Place................. Luralie Anne Allen Female 1 � � � ' � � . �`
<br /> ` NSC.... s.�af i,ne�er� • e a� aan► c+zmr • _' . ;. "� :
<br /> , ........ ..... �a o u� mrw ��u�us .�omron no� uos� w. � � .
<br />��� wortc................. Prairie-de-sek, 4Jisconsin G9 � � � ' � `
<br /> , .�
<br />� `'- llC. �s ir e+uut¢� c� Oa C TM �+�. }t7►oev+ O Ew nuocsti O Oa � '. . ,. $'-`
<br /> —- ...................
<br /> -, .--.—.._--r.� —.._. .__._.
<br /> -, Raieci................ 395--16-18G8 � o�v�• ow+a�K. oaw�.,aan . . . ., --
<br /> •-xa� B�e.a�roeatPNUaf�nana�e�r/ ee atr. O+�mMtOG qr�OSOE�N Qa��m�i a r Gt� , -T�
<br /> . A�.
<br /> A....••••...........••• ,
<br /> � .' " Bisho Clarkson Has ital Qmaha � • •-�� =�.� • __
<br /> . . . .............r.......... I�EtN1DMHISE� P�"� OCaQt R�' .. ' '
<br /> e ri�f9DEMC!• �t tO ♦ R Pts,tav/MOAlOC�1�OH . ..
<br /> ..................... Nebraska Ilall Grand Isl d . _ . . ^` �
<br /> - • .....................••- �a�+�ce•a�wns.�e+.�ra�� �, u+�sima��u+.�. oca«av.aei � oxEV� N�wllpS�OUSEP.AMa�MSwvi -:,a.�°f`}L ��
<br /> ' '�� .. �t t Isc+dN r$rMf Kworrtn orv0�o("+A�dlf . .:,�-.".-._
<br /> ...................... • `--° —
<br />... � ' ,'��i$-�-—.
<br /> �• ,;' White A._+�erican ' � �.�
<br /> '�i . Y, .
<br /> . . ,n occw�ua+�.�+d.o�adva.�s� �•e�uroa wa�+e omus mr • , , p.e � • � " 5_��
<br />- - ���: �..........:.......... o+.ai+7uamn�nrM vsao�i+rtb?I � . . '��.,ti�K-"
<br />�
<br /> ' 1
<br /> '•� '`" Honsewife Domestic w - '
<br /> �.�l�i ........................ ,
<br /> �.�t�1 1 A IEN-NAIIE faR1 YiDDIE W f W .YIYCfJ1 IIISf {IOOIE '� - '� � _ _ • y
<br /> tj;�;',`�� .............�........ Adolph Litscher F�ances =>r`��� _
<br /> •,,a �' • � t N D NU9 DiORCE t . . O�A 6 .01Y011 B�A -• ;}��������
<br /> ... ........................ p�f.�ww�Al Afer.M.vati6w�diawcep tr• . .. ..
<br /> ` r ' �•
<br /> w� . .
<br /> . .f �;o Carl L'. Allen-1022 W. ' ` �`�
<br /> . .t� 'w,,.�`
<br /> C...................... :oa�wc. u.. o� ...?�.;a-r.:._�,.
<br /> xw etFGt.o�•meMa�nn �o�se toc CFJ�Ertaras�cifftutoa►-wute . �,.,,s....
<br /> "'• QfMen . . . _. -Sa'f�:
<br /> • ,
<br /> _ _ .................... Bur 1 � �sl� 6 1992 Grand Island C te -- �;�-�T, .�•�:��-�:�'-`
<br /> ...••••..•••......•..... r .gOH�1u�E• . nrur�wuHOUF. um�oastESS rnr�Era+n oxo.ar�rt�1 eTeavl � � c:i:,: -
<br /> ,-,r. _
<br /> : .r
<br /> ,.. '.�'`.� '..... •__:
<br /> � ••• " ,��� Apfel-Dul-ler-Geddes 1123 W. 2nd�Grand Island, NE �. �� ., y__'�-=' = `
<br /> ..................... . �;;,.
<br /> �. ... � '
<br /> . � ........................ .� JifE110MLtOKlGVSEtE�IIe�EiORW[L44"A�hO � tiu.r�xwa+morr � .:.:.�:.' .'rg:-.,
<br /> o.......:............ 7�cute Pancreatit3a � 3 Fteekss �^~` ��it::i�` _,....
<br /> ' � ....r....a...o�r . ".`^�� . .
<br /> • OUC 0.M1 CONS O�: . t � -.T- l,k � ,:.�
<br /> .. ...................... � WM�rM1• �S'�,�n��i�W"
<br /> .. . ...................... 011ltRq111�11NN5E0YEHCi � ' �' �;}�c •.j..�•
<br /> .��.��' .....................•• $y`�� �
<br />- .. �.�� � V E��E +y ttL-'aC L �1Ui t 1!.W +PlG� �',;7��r�1��t.��: .
<br />. . ,� .• Oi:R1�4bMI 7 s�74.QfO��+�9bp�TOV�O ' 14EONAHCrHTNE0�57S�"� : lsMCylYIO►b) � . i `�r�.:l'
<br /> ' ( E...................... �� Yes ��� , ,.,;.. , ,.,,..
<br /> { � Chrommic t��nal Failure ` Diahetss r..c w a 4 t��= � �
<br /> ' .,'���J ........................ i. o tEO�WURr Cfo.a�znJ tQe110VaaNMtv xem /ONt JArOCaK+�E9 •'�.�•., :�.�• -^� .ar__.
<br /> 7ia aCGOEf�s. 'RSycID�c � ..
<br /> �.
<br /> - � Cno�le+dOat�:°...a'r.'�t f'�'dH 't, -
<br /> . ` .
<br /> ,R�..
<br /> ,.... �
<br /> �_,�Yt ........................ �..mci�ma.e� a�ru�►.�ors�ae t�.ro.aa.e f� nn+ sia¢c�onas . emosi ,� :,,_
<br />. �i:. ',4 ........................ (9�di 'f%i��.
<br /> - • �AnE96M[D Qqcn GrG ""'`�`.�����`.
<br /> �., ' PaH li t»Wt[vi •w3 pr.�»J ;�i,�- .__ __
<br /> . • ...................... o v ic D r�a.�.�%! �� j��► n o[�o ��'+J pM �cto� Mrw �,;�5'�,.{';�. ..._..7._,
<br /> , ...................... ��j 7-6-9Z -� _�.eaef�:w��-�-
<br /> .� �,� •• 10:50 11.M � . '
<br /> � ,;,.-f.
<br /> . j ,.. . .
<br /> ., . •••••••••••••••••••••••• a tt� .erwda�r�eM.a�as�n.erMVM.ur.re��wa.an a,• t�7 OnN MbM�MObeiMYy��MqlM��A�M�wGAA■ � �°. '--
<br />� .• ���e n��n►��/k�MMtif�cMM41WK .�,.,..}�,' +'�-+
<br />� ...................... ..e ✓s/Thomas Knight, H.O. �...�e ► - .:. . _,..
<br /> � '.. . ....................... � .
<br /> ara aofae�coosYCao�neronrcoeanr+ �oo rwarowontaweaauna+occa�m zs Muea+s�naw+ieo+ �-�,�.
<br />;; •... ........................ o.A oNo ----- .., .-
<br /> o rce �+o o uxn+owx o.cs '�I+� w'�. ., . a�.
<br /> � '' TFAV.............. -�-;
<br /> .... t aoo�es� te��s V+�*s�u es eouNtr ncamc�a rr.sw.o ..
<br /> :, � Cena,�;'TteetNo. ��es IGai ht, * �242 Paz��n St. Omeha E 68 ----- _ -_`..
<br /> M.D. 650 N. Toaer Ds�. eldn � �,�
<br /> � ra af� naca¢? �-
<br /> ........................ n. ia� .l-.ct�.1' � .iT� � �'.�.��. ��� G : ��' - - _._
<br /> a.a a • �` /
<br /> �,_....�.�:'',�
<br /> � . _.-s. ;• ,
<br /> ' . _ �d,<'��:s;.,r
<br /> _ . . e.. -:;��{� �
<br /> � •• Th!• ee�Q�3fiea lhis document to be a tsue copy o� an oriylnr�l recor� on file ' :� ��.:. �,_��.
<br /> � � � • . ' with the Vitel Statiatice Sectian of the Dougba� County Healtih Department. ,•:.:�'�`'.'„'::�
<br /> � �enaha, Nebsaeka. Certified copies must have a raise� seal in the area to �he °x'"'�•.i.'-`:.:
<br /> left. Reproductiona of thia green certificate a�o not legal copies. �`��l,�' ��`--
<br /> ,,�...���i��:.t,�
<br />_ � • ��� �'� ..y�►t�•-�c'i'j
<br /> . � ' • b�te is�s�: .�UL a � ��Q� � ♦ �e�•�• ?�i{�;,� . • '_ .�
<br /> � (Recpistarar) � , -
<br /> '.�-
<br /> ,s . .. ..
<br /> . P_ � ..a� , . -.�..ia�+7�p"'�-�-------� .. .
<br /> _--- ___._-�-r,�...._ . . .< � . • . -
<br /> ' , • ' ' , . • . . . . : � . . � � .
<br /> . . . ' .. • . . . . � . ' . �. .� , �
<br /> . •,• � .' • � • ' . . .: :' � ' . . ,• � . , � � �
<br />� . � � . , � ... .�_
<br /> �; . � .. � . , _...
<br /> .
<br /> . •
<br /> , -= -�-- -- . _ _ .: __ _.._..--- -=--'=---,.._. .. ...- -.—..------ •--� -- -
<br />
|