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<br />- DICIDIN! _ HAMf <br /> <br />flU' <br /> <br />SlATE or HIIRASKA-DEPARTMIHT OF HEALTH <br />BUREAU or VITAL STATISTICS <br />CERTIFICATE OF DEATH"", <br />""10011 Uo <br /> <br />88-106807 <br /> <br /> <br />. M.. Oar. r. <br /> <br />10d Grand Island, Nebraska <br />,Ulllt 01 ., D "". CI1'l' 01 tOWN. ST...n. 1"1 <br /> <br />,Apfel-Butler-Geddes 1123 II. 2nd, Grand Island, NE. 68801 <br />....... .i.... d... .~.. .1... .~.. dw." .h. . Dot.... .......1 .............. .~..,., ................;~ _, .,.I~;.~ ......h _........ <br />. ~~i ~k:a":,.~:::~~:~:l;':~.~;'~"" 1~.I...w{11 ".led <br />-ih.. ... 'Mo or. <br />l...tl <br />v~:z 2.'" <br />li~& rJONOUHCIDD!.O <br />nd ;1-13- 8" (..) '!e~ ':.., O.r,T,, <br />NAMI .-NO '-OOIES5o 0' CUll'lU lPHWSICI"N. coaOHlrs !'HTSICIAN 01 COUNTY ",nOlNUI f',po.. '..n" <br /> <br />" <br /> <br />"" <br />PlONOUNC!O O!.D1H......' <br /> <br />Howard <br /> <br />Grand Island NE. 68801 <br />o..n '.tCflVIO ., .CGI5o'.....IlI~".. a..,. Tr.' <br />l?a?7Z.{.<f'-:' ~.;? /7fiJ <br />i I.~~:;~M"~ <br />. 1tt~_I"_"'''''''.'''''''''' <br /> <br />. <br />. 1..._1.__........... <br /> <br />"I <br />DUe: '0. 01 AS lit CONSEQUENCI 0': <br /> <br />'" <br />'''''11 "I iIGNIIIC""'" COHDlTlONI- C.....lj;... ..~..,It...,.. .. .....h Itw...I ........ <br />" <br /> <br /> <br />.....c.e.511IHIItDlO..,DrColl <br />UA,MINU 01 CcaONU <br />1110"'"h... H., <br />" <br /> <br />"'" <br />I",un...,WOb <br />Is,-il, ,. .. N., <br /> <br />.... <br /> <br />IIHEN THIS COpy CARRIES THE RAISED SEAL OF THE NEBRASKA <br />STATE DEPARTMENT OF HEALTH, IT CERTIFIES THE ABOVE TO BE <br />A TRUE COPY OF AN ORIGINAL RECORD ON FILE IIITH THE STATE <br />DEPARTMENT OF HEALTH, BUREAU OF VITAL STATISTI~S, WHICH <br />IS THE LEGAL DEPOSITORY FOR VITAL RECORDS. <br /> <br />~A~..J-A ~"~'.JIII~ <br />DIRECTOR OF VITAL STATISTICS AND ASSISTANT STATE REGISTRAR <br />LINCOLN, NEBRASKA '_.. Issued December 24. 1980" <br /> <br />~.~,,*,u ~<~~!i:k~ <br />