| 
								      .      . 7   9'.'      -f�hp�Y:   t  '�m�s�i   ...��;  	k�t   �-a:���+x�^��ixvu-1.����r���.a�,;�-r�..   �r-t4� t_ ..._.      ,�r. yA. _. .. `_" ��--�...�-..'-'ts.�'�C�	r   _-_."_
<br />       						9�:3�.a���P'Y��     4  					`�       r `���      	..o�'•.,	tl 	�L   		—
<br />  				�i 																�-r„_
<br />     																			�.�.�.......
<br />    	;/     �ra.'•'  �/				_ 	. .  .A�j, e:,,o•i"�       									..-  ''....,���.
<br />       	!"   	q      																			.
<br />    .       						.   .,    .•yn......r.art . .													.
<br />			�'     				......_..�....a.'�...  .  													`.�.�-,. _..� --` -
<br />      																								.�:..:r.
<br />									•  												_   —'     �  .. .... . .    "
<br /> 					.	c�!   '      		'       		v"    J i :'.�-/Hwlk��. ....   			__- _ "_ -    		.
<br />      					'k  ��.Ty.		�    		.     ..  				.     •.. . h_.:,�i7   					.  . . —
<br /> 								..    -...e..,a�. �..µ:�.. ,: .�:.d�•n=ti•�a.o'fS�+C'�c.+s"�c!7�Rc'..o'....
<br />      •     							YrY:�.:a.�� i'�   --•'Si,i�.:r.   	.....�...aa.:.'�s�s,.LY.'.�"I��„j�   �.�_«.-aL       _   .     	-�.ms��.__-�.a-_
<br />   		'	�  .		s=_1�aL��le�14��       			- '   				---       —
<br />      	�     	:1,.    																-
<br />       			' '"																		-
<br />       	,.   ••  	.�     																	--
<br />     ,.   '   �: •    `     .r•;,s�„A
<br />     	+E., .� . -.,�:�    	-  	WHSN THIS COPY CARRIES THE RAISED SPAL OI� THE NEBRAST�A STATB   				--_-----
<br />     	�'��'^��  �       		DEPARTMENT OF HEALTtI. IT CERTIFIES THE HBLOW TO BE A RTRU� COPY
<br />     	ti     ,   '     �  �'  �  '   	OF AN ORIGINAL RECORD ON FILE WITH THE STATE DEPARTMENT O� HEALTH    			_
<br />	'     ^�   				BUREAU OF VITAL STATISTICS. WHICH IS THS LP.(iAl. DEPOSITOAY FOR   				�,�,,,,,,�..  ___
<br />      .       a �ti�r�iF�.r.,;;xt�»       	ViTAL BECORDB.       							9�� �a�t�/?r�     	��   , �.••^
<br />    	;   •	�►.:_....�..�.   _  �    										r      					-_. 			T
<br />    	' :,,   `     		.   								,�I 	�../�� 				�- -      �.,..,,�-_r__
<br />      	, '  	..   ... 		DATE OP ISSUANCB				�����II�     �     			�       	--
<br />  -     �   	.  				.lili  1l; i99� 				STANLEY� s  coor.�R► ni�c�ro�    			_
<br />	,-�     , 		.    																	—
<br />    -'-.    	'�  	"� 		LINGOLN, NEBxASKA		r    	BURPAU  F VITAL 5TATISTICS
<br /> = �=��     .. �    �'  .   "'��      .     �   �       i    � ��G �f=!'� ��/ �  �'       o.r�s.��.sx.�ew,r     �. �-
<br />_�;��:   	..   .      ;..  ,   		s�      	�„�/o�r �� /r�tid�o,��,�'R•-s
<br /> =  -  			a      	��.P���;�:vr��      										�_  -
<br /> :'��y.      .,  _'   	/;p�.
<br />,�r{     									fTATt Oi NElIIASIG-OEIARTIIENT OP NLALiN
<br />   f.�`     		� '!�  							OUREAU 01 YfTAI iTATISTICB  			�8    p 3 3 6 7 	�
<br /> �      			. 							CERTIFICATE OF DEATH�,��  					�
<br />�--!•'.'�	� �  	'      					T		M11  E   				DA t   0lAT (AN..Oq.►r.)     		r.w.�u--
<br /> _       	"   			OK! NT-      															,_-
<br />.�.;.•			��G.	.'     																�	.
<br />       	�   .	� 									p�,,,�
<br />    	,.d..  . _..    . _      																			_.._	._.�_-__._.
<br />      			..      . ..     RAC!-�.�..WIiIN.•   AwMl�r Otl61N10liClNi1�.�.,IN1N�./M�ftM. A6!-�  �   U     	UND     t  (Mi   �IUMIAM..M�.h./	�      - ..
<br />  			,  		�„��,,.����y    	oa.....K.1(:r«rh� 	. r  1rn.�   	Mos. �   rs  �wu�s. wNS.      					.
<br />       	'	°     		�		te   				e•  		�       °`     �    				--=   	-
<br /> 						�ra  �nasun�� .ni.u.�.�.,     emsu+aw�u►ieouNTa ��oowioonro�EOtsw:ap►wuuo�uouserN.� .on...ia��...►
<br />     				„       MM i�MM�I																�
<br />    			'		,.    				.    		� .     		��.    					�..,..V-,'.._�:
<br />    			�  �,�:      -    iOtWiECUq1YMYMM�    YfUMOCCU�AiIONfOI.�i(./d..ri�/wipwwr  It1MDW�UfINtifO�INW�T�  COUN1tq0lATN      		� �.ii�,�.`_--_ __
<br /> 		.,	. ..					d wrUwp NA.w��H eNMdl		j�    									`  �^�,-
<br />   � 					17.	�    	1 .       				I�b.      		I�a. 				�---_. _•.--�
<br />       			' 				pp�/�p�  	INNOlCIIYtIMITi MOS/ITA101OMl�INf11TYT10N-PMrfM�M1��MMb  MMOtI.WIM�f.WkM�f�		+',-a.:w..
<br />  �    		. 			�				fIM��PrHwl�hl yMtMMu/MwMrl   			OM►MM+1Mw.�a.MwN�wff�w+b1  		.;'rM�-'-  _
<br />  										I�k.    	N.       											+,
<br />     					�!lIDINCf-iTAi1     CGUNI►     	Cflr.TOWNORIOCA 		fTlIiTANGNUW[Il     		IHSIOlCITtW�1ri   			'
<br />			.  																(tr«tl�Y«�rNd	,,ly-�,�e•     		�
<br />       	..     			1l�.		1   		If�.      			1!/. 				1M.			���'
<br />   						'  			AY 												��`�Si�,�871l��
<br />      	—       -..-- ---_ 														+�,rtlli'S�ti    	_` � �°:�!,;,-.:  •:�c�
<br />   		,.   			WAS OEClAf[DlYE�IN U.f.A�MED fqCEff   IN�O�MI�NT-NAMt-�tUf10NfH1/-MAHIN6 AOWEf3     1�TYIf O�LI.D�Iq.CT0�10wN,f�Iil.11q					��
<br />   .. 			"       	pw.u.«.Aw.wl IM�w���w.r��Mn M w..k�l  									oOa�Jl     �  		`:k-c
<br /> 		.     		.      																�`f....C..    �..   ~.��
<br />     																					T
<br />     																					I
<br />      					1�.   				19.      											. ^",�, �.1. �•     av.r.=9
<br />       	`x�.       .  	.	�U�AI.C/tMAT10N.RlMOYAI OAT!  	C   E 	T   -     		l   T  	Ir   OW	iT E     	'�  	,  	�       ^
<br /> 		..   	�      	p,. BurJ.al  	„�.3/7/?8  �.Weetlawn Memorial Park      ,,,.      Grar�d Ieland       1�     			"    	*
<br />     						�-S16NA �t a 11[[Nf!N0. 	fUMERAI NOMf-NAM[AND AO Etf      Ift�!!f M LI D IID-.CIII W iGMN,ilAlt,a� 	�   		.		^.
<br />  		.�  								,Livingaton-8ondexa�nn's�505 W.Koenig� (iraud Is1and�Ne./  				. ,
<br />       		.      		:�,.�	�      �       									� 			l 	, . .. .. ,  	' �
<br />  �      					t�M�Yq d q���/�.    �a     �M ww.	•�.r In���M   	O��M►w��1�p�W tlr�M/r I�wnk�N�"•���!N�N.M�M Mnw��1 	F
<br />  �  		,    			tM�UI M� 							N�xr.MM����Ir����M M a�WJ MMM 			!      	, . ..   	�
<br />  �  . 		.� 	, 		40e.lti    �wd NMN�      	�O►DEAiM   	�� r �  9/e.f fy.MVn�./hMH�,       								7
<br />  I' 					�   A     fO fAM..Oq.Yi.) 	H      			<w 									-    .  --_      --
<br />       		.�   				r� 						y�t
<br />  `� 		�    			S7b.   3�!��       	Zk.11{�5 a�10•       M   ��; 71b.      		11s.    		M     			_  ��.
<br />    �     			-   	��  �OIWYNClODlADfAM�.Oq.Yr.)    ��ONOUNC[ODlAOfM�nl 	j    /�OMOUNCEDDEAO  	��ONWNCI00lAO(M�n)      			..
<br />    													d    nw..w�.r�.�      								,`�..�..:
<br /> /  					�    � .  3-5-7$       	�� 11�55 a.m.    	�'       										,  _-
<br /> I 						AND ADMlfL OF C!llfl�PNYfIC1A ,CO�OiI!►f�NtfIC1AN OR COUNT1f ARO�NEq f i�p��r InM)       					�  _    		�
<br /> 1  																									.
<br />   			', ,		�gichard F. DeMqy, M. D.�  ,21 Weat 7th 8t•� Grar�d Ieland, Ne•				, �  �
<br />    		� ••       		�EafTw									DATE�fCE1Vl0�Y�[613iG (��j.1'a)
<br />      					sa�.�tu.a�.�.�► 						�'    	�sb ��/`Q��  ��- -�.-r-/-!  �"     			•  -- -- —
<br />       					7. IfIM[01ATE CAUSR       ftN � N   H!CAU! f  N iOR ab!6),ANO fsl)     			' �'   �M"�r wr����       f       	�     -°-`-=°
<br />
								 |