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� �1 C� <br /> �� � r^ cn • t�n <br /> r""'I 2 � '�� 7^C = CI� s� � .-�+ <br /> rn ��., :i � � CO C� -aet � cv <br /> n " � � � �' O n <br /> � � rn r-- -�i � Cl� p� <br /> � � <br /> 1--� Cl� <br /> r '°T+�' , �° � � ►-+ c�n <br /> !ll c�, �`,,., � rn r•- <br /> (� `'' �``� -° � � ° Z <br /> :'�' -a <br /> !:i � r xi cD <br /> O '✓� W (� N ��-r <br /> �,; � � � � � <br /> C.J 4lj -�7 ' <br /> Cf� <br /> Lot 4 , Block 4, Valley View Subdivision, City of Grand Island, <br /> Hall County, Nebraska. � <br /> � <br /> WHEN TH/S COPY CJIRR/ES THE RA/SED SEAL Of THE NEBRASKA ST�K£DEPA�7TMpNT OF NE,4LTM <br /> /T FERT/F/ES THE BELOW TO BE A TRUE COPY OF AN OR/G/NAL RfCORO O!l�F�L£i�Y�TH£-STAT�-_ <br /> DEPARTM�NT OF HEALTH,BUREAU OF V/TAL STAT/ST/CS, WH/CH/S THE�Ai DEPOSITQB-L��F01ff�(] �0 7 2 6 7 <br /> V/TAL RECORDS. ,� ; a�a7' <br /> . i .. -�_ � �_ ,(/ Pl7f7� ._ <br /> oAr��Q � 5c� F,1- vY`' - _ <br /> srani�v�-coc�a aa�c�o� <br /> uacouv, aESrias�r.a � euRE.au o��r�,�t-srar�s <br /> STATE OF NEBRASKA-DEPARTMENT OF MEALTH � <br /> BUREAU OF VITAL STATISTICS <br /> CERTIFICATE OF DEATH� <br /> 1 DECEDENT�NAME FIRSt MiDDIE � IAST 2 SEX � � 3.DATE OF DEATH /MOmh Day.Vav� <br /> Helen Lucille Spahr Female Februa 5, 1994 <br /> 4.CITV AND STATE OF BIRTH /Mna/n U SA..nsmeCpnlry/ 58.AGE-Legt 8iM0ay UNDER 1 VEAR UNDER 1 DAV 6.DATE OF BIRTH (Mpipy.Day.Ye�� <br /> ' New Philadelphia, Ohio 3� �j'� � ""°S ; °"�S x�,RS MINS <br /> Janua 1, 1916 <br /> 7.SOC�ML SECURTIY NUMBER 8a.PLACE OF DEATH <br /> 5�/-64-8771 MOSPITAL � InpeWrM OTHER � Nws�nq Home <br /> 8p.FApUTV-Name /d np m,sMepn.yn.e SIrcM arW nunMer/ ' � ER Oumapent � q��nce <br /> St. Francis Medical Center � �o„ � �,,�,ti, <br /> 8c CITV.TOWN QR IpCATpN OF DEATH 8tl.INSIDE CIN LIMITS Be CWNTY pf DEATH <br /> Grand Island, Nebraska <br /> �� � � ❑ Hall <br /> 9a.RESIDENCE-STATE 90 COUNN . 9c.CITV.TOWN OR LOCATION 9E STREEf AND NUMBER /Inckdrglp Co�e/ 9e INSIDE CRV LMMTS <br /> Nebraska Hall Grand Island 04 South Cherry 68801 �.�� ,�� <br /> 10.RACE-le.g.VYIMe.Black.Amenean hdbn. 11.MICESTRV le.g-kakan.Me■Kan,Ge�rn�r�ekl 12.�MARPoED ❑WIDpWED 13 NAME OF SppU$E /p wnp.yny�yep�nyr»/ <br /> "`.��s°°""� White ��`"� <br /> American o f, N�R DIVORCED Gerold R. Spahr <br /> 1�a.USUAL OCCUPATION /Gmp kindd wwk abnediing mpsl 1rp.KMD OF BUSINE$$MlpUSTqV 15.EDUCATpN ISOe�M arNY�q�8819�aAe carplMd� <br /> d rpk srsn 12MW ,1 <br /> "�t"'ousewi�e �1�-j �st1C q�t ��j���Y 10-12) CWbge 1�-A a 5•I <br /> �• 1. <br /> 16.FATMEH-NAME Fq$T MIDOLE UST 17.MpTF1Ep FIRST MIDDLE MAiDEN SURNAAAE <br /> Alva Edison Russell Carrie Eva Robb <br /> 18.WAS DECEASED EVER IN U.S.Afi�AED FORCES? tgg.qrFpqMIV�lT-NAAA� <br /> j`(ps rq.a Wc) �N yes.¢ve wv aM dMec d NrvicMl <br /> n� Gerold R. Spahr <br /> ����F��T ���E� (STREET OR R.FA.NO.,CfTV OR TOWN.STATE 21P� <br /> 8 South Cherry Grand Island, Nebraska 68801 <br /> 20.EM�ALh�R-SIGNA7UNE 8 LICENSE NO. ��j ?O 21a METFIOD OFpI$ppSITpN 27b.DATE 21c.CEMETERV OR CREMATORV�NAME <br /> � 7 J <br /> � � � �� ❑�� eb. 9, 1994 Westlawn Memorial Park <br /> 22a.FUNE YqME-N 21tl.CEMETERY pR CREMATORV LOCATqN qTV OR TOWN STATE <br /> Apfel-Butler-Geddes ❑�°^ ❑�«�^ Grand Island, Nebraska <br /> 22D.FUNERAI lqME ADDRE$$ (STREEf Oq RF.D.NO..CfTV Oii TOWN.STATE,DP� <br /> 1123 West Second Street Grand Island, Nebraska 68801 <br /> 23� iMMEDiATE CAUSE �ENTER ONLY ONE CAUSE PER UNE FOR Ia�.�b�,AND�cp i ksxvai henrsan ar�any o�am <br /> PART [ ' <br /> � lal �.Y I�//� � /j/ i <br /> DUETO.OR AS A COHSEOUENCE OF� � t IMerval be�wMn dlsel antl Oealh' . <br /> roi /�f e�AI f.v� �l_/�A.,�O.t!/l�[Y r/lirt/�Q L( � _.�%�� <br /> + WE 70.OR AS A CONSEWENCE OF �.!i Imerval be�wsxi a�se�ara aeam <br /> i <br /> kl � <br /> i <br /> PART OTMER SICrNFICANT CONDITIONS-Ca�Uib�s ' - b ne AeaM bul rq1 rel�etl PAFlT Iq IF FEMAtE.WAS THERE A 24 AUTOPSV 25.WAS CASE REFERRED TO MEqGLL <br /> „ . . PREGNANCV IN TNE PAST 3 MONTHS� EXAMINER OR CORpNER'+ <br /> IApea 10-5r1 Ves No Va No Ves No <br /> �. 26b.DATE OF INJUHY (Ab..Oay.Yi/ 26c.HpUR OF MJURY 2Bd OESCqIBE Mpyy INJURV OCCUHRED <br /> o ���. ❑ ��� <br /> M <br /> ❑ SuicMe � PeMrg 26e.INJURV AT WORK 26f PLACE oF I�µJ«pV;At�,�,ixm.sbeel fspory 26g.LOCATqN STREET OR R.F.D.NO. CI7Y OR TOWN S7ATE <br /> afce buiMM <br /> ❑ �� ��� Vss� No� <br /> 27a.DATE OF DEATM /A1o.Day.Yr./ 28a DATE$IGNED /Ab..Day n 1 2Bb.TIME OF DEATH <br /> �? -�� ��� M <br /> �� 276 DATE SIGNED pb.Dsy.Yr.l 27c.TIME OF pEATM k 2Bc.PqONpUNCED DEAD /Mo..Diy.Yr i 28d.PRONOUNCED DEAD /lburl <br /> �� �� 7- � / 6:13 �a`� <br /> E� P ►� � <br /> 27C To Me Estl d my krqwbOge.de urre0 at Ilie Eme, an0 ace �p yy 8�° 29e.p�yb pays d eRaminatqn anO a nvesDgatqn,in my oqnqn AeaM occurted M M <br /> eauaelsl staW. �� a ne eme.aale ana pace ana aue a ne auselsl su�ea. <br /> � ana ree � <br /> a�M Title <br /> 29.DID 70BACC0 USE CONTRIBUTE TO OEAT1tt �O.a HAS OFGAN OR TSSUE DONATION BEEN CONSIDEHED7 30 0 WAS CONSENT GRANTED� <br /> � vE5.. . � NO � �NKNOWp � VES NO � � VES NO <br /> 31.NAt�1E ANO ADONESS CENfIFl61 IPM'SICIAN.COIiONER'S VM'SICNN OR COUNTY A7TORNEYI /�M►a' . <br /> Dr. ' <br /> m �c�s�ww <br /> _ � . 32b.DATE FIED BY REGI6TRAR mb.1]w vr� <br />