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Lr r <br />7C N O —f O <br />C A N °t"E <br />M O <br />O <br />c <br />CD <br />O N C) —n Ot� <br />m N <br />r- :z1 <br />Cr) n r n w <br />�. Ci <br />sJ , <br />WHEN THIS COPY CARRIES THE RAISED SEAL OF THE NEBRASKA HEALTH AND HUMAN SERVICES <br />SYSTEM, IT CERTIFIES THE BELOW TO BE A TRUE COPY OF THE ORIGINAL RECORD_QNF11X-WITIi_ j <br />THE NEBRASKA HEALTH AND HUMAN SERVICES SYSTEM, VITAL STATISTICS SECTION,- WHICEi1.6S _\ <br />THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br />r���(� ; .. 'j I <br />CJ <br />DATE OF ISSUANCE <br />�1 ��� 9 IHYLEy;. =C08PER <br />NOV 2 2 200Z 200213157 ASSISTANT STATERECISTRAR <br />LINCOLN, NEBRASKA HEALTH AND HUMAN,SERYICES SYSTEM.: _ <br />3TAT8OFWMASKA .DWARTMITOFIHALTMAlpM O MURVIMMAXIMA1D11pW.O _0OV <br />WTfAL fTAIMM <br />CRRTM(!ATR AF DEATH <br />1 DECEDW - NAME T <br />1 MME <br />N AUTOPSY <br />Yrs MP <br />7 SEX <br />S 0419 OF Ogm A 60M 1wl <br />Rita <br />lverniece Wilson <br />710. DESLREE HOW /LNRr <br />Female <br />February 2 2001 <br />• COYAWSTATEOPSAITH /IIAWw VSA.AWIPaW"/ <br />!• AM ' L"Sallor <br />1 <br />Wm <br />PON# <br />a amcFawn ~ HYT <br />Grand Island • Nebraska <br />1 <br />""' 67 <br />June 20. 1933 <br />W mOS <br />DAYS <br />x <br />7, SOCALUCURWRxia- <br />507 -32- 8093 <br />February 2,2001 <br />a. nACEaouTH <br />"— °n!u —L ❑ """' Orion ❑ "" mm. <br />770 DATE SOMW Nb 0ry Y,I <br />5,2001 <br />❑ EROWPOW � RIM. <br />a f -11" nTAawrlurlla►Irw <br />AV M/ <br />Home: 420 6th Ave. <br />> <br />"�9 <br />RD <br />,., a <br />fl0 TehhMAIAy MNPNPII AI/1el:tuq/A1 EM .AIII AAO •NOP 111MIOUPbM <br />CMMM 111NP. <br />❑ WA 0 OWWANW <br />k C1TV to" OR LOG O"T" <br />IVP AI1Pi <br />—71S <br />S0 LASTS <br />St cow W rw "AT" <br />St. Libory <br />USE COW HAS ORGAN 011 TISSUE OONATIOM IEH1 ODNpM11EM <br />Y. C w ® <br />Howard <br />ft WOOD" - SlAn <br />ft COW <br />71 NAME AND ACOWN OF CEMTWW IPHYMM1. COROAERS PHYSIDWIORCOUMTYATTQN /Er, !T,PPShwb <br />. C .TONN TIDN <br />><. <br />ST AACi� <br />w <br />Nebraska <br />Howard <br />IftSt. <br />! <br />Libory <br />420 6th Ave. 68872 <br />Tr ❑- Ir E9 <br />ro OAU - *%.Oft NkM An1/I rn n u fl. N <br />SSI�t OuPrn.Mq 17 99mo lO ❑ 1E WWOFWOM 000 0 ONOWASSIf <br />ml ft'm Whit* """" American Mr." <br />aroRCm Clair Wilson <br />tw LoSUALOIXUPATION 4M•1IE010OwaLlw0W)1n1Pr <br />Iw 1117OOFAWKISMOUSTNY <br />/f EONCgTOM <br />PTPwb1S•Mww 7" <br />Co- 041ner <br />l2�y owls omp RI /sti <br />Wilson Sanitation 1 <br />14 FATIER• RAW PWAT MOOLE 1 <br />LAST <br />t7 YOTTEII <br />FNW MORE <br />Alex <br />Skibinski <br />I <br />Susie Davis <br />it WAS ONCEAW EvEft M US AMM FOKW <br />wFOwiNpT -NAME <br />11Na ro o, w k1 Ik TK PA PI M110EIM 01TSr1NSq <br />No <br />Clair Wilson <br />•— ...v.... ww.w.sw rar,.W. u...vu ..u. wr. un r�nrn arw.c an <br />420 6th Ave. Str Libory, NE 68872 <br />- Butler - Geddes <br />so" 1:1 Ift'Immi <br />11, ❑ D W~ <br />1123 West Second. Grand Island- NE. 68801 <br />. 7, 2001 1 Grand Island City Cemetery <br />MEMINORCREMATORYLOCATION COTORTaw SIR <br />Grand Island. NE. <br />n JMMMTE CAWS MWEROMLYOIECASEPERLIEFORIM IDI.ANOkk FILn/SiLrrwwwrUwl� <br />PMT <br />a / <br />l rat .CJ�O/il�. cs� /r� ��I�Fj Go/ri :�a� Y n <br />DUE TO. OR AS A CONlEOU9k=OF WP11 <br />(01 <br />DUE TO. ON AS A COWFOLIME OF kgrwk�Lb�k�rlP <br />KI <br />PA OTHER S1fYiCANT COIIOITIONS - b M aM larl nlIN1A11P PART <br />k • 1 C= 1 • PIIEONAWY <br />� <br />V OF FEMALE WAS TIE1E A <br />IM THE PAST 3 MONTHS' <br />IA1u 90 54) rAS NP <br />N AUTOPSY <br />Yrs MP <br />>f I11IS CASE Ilow�1p <br />QAI /MAI OIIC � <br />pa A <br />2" <br />71b DATE OF MA1RY /MO. Ary Tc/ <br />71c HOLM OF IN.k1Mr <br />710. DESLREE HOW /LNRr <br />❑ AccWPk ❑ UMIWrrVNO <br />❑ S.,ft ❑ POW., <br />Y <br />71P rLA111r AT Wolkt <br />PLAL'EOFO Y�MIbeM W.r Wm NLtlry <br />2" LOCATION STIESTORRFO NO O✓!TYOIITOIMT SIAM <br />❑ 11Pr1IOM Vve""W <br />YM 11 W ❑ <br />120 <br />OFri �p�/MM�ISS SowYP�cTM <br />27A DATE OF OEATIM /•b Oar Yrl <br />we WE am" Ab Oft VIP <br />S user tE•l" <br />A, <br />February 2,2001 <br />s <br />770 DATE SOMW Nb 0ry Y,I <br />5,2001 <br />VC TM40F DEATH <br />10:00 m Y <br />7Sc PIIONOLINCEO OEAD At Lb. Y./ <br />7N P1101101AI6Ep EfAO FNrF <br />HFebruar <br />> <br />"�9 <br />RD <br />,., a <br />fl0 TehhMAIAy MNPNPII AI/1el:tuq/A1 EM .AIII AAO •NOP 111MIOUPbM <br />CMMM 111NP. <br />no O" NNW /AIPI11I &V IwINr�/L wA>/+Ilp r/IAIPPIS/a <br />NIri1PAWn/1NPP AA/AINNIIPIAWI�E <br />IVP AI1Pi <br />—71S <br />T <br />>! DIO TOSAI= <br />USE COW HAS ORGAN 011 TISSUE OONATIOM IEH1 ODNpM11EM <br />11111YAf OOMStS1TSMM1lOT <br />❑ 'ES NO ❑ uMIwoWM... ❑ YES ND <br />❑ r!S MO <br />71 NAME AND ACOWN OF CEMTWW IPHYMM1. COROAERS PHYSIDWIORCOUMTYATTQN /Er, !T,PPShwb <br />Jane A. McDonald M.D. Alpha, Grand Island. NE. 68803 <br />><. <br />>.. DA FEB 18 2001 <br />v - <br />Lot Four (4), in Block Seven (7), Windolph's Addition to the <br />C2ty of Grand island, Hall County, Nebraska. <br />