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Home My WebLink About1541 • . - _ _ - - - - - - - - STATB OF NBBRA3KA-D6lARTYSM'OF H6AI.TN ~v~ 1A~ApA ~ ' ' ~uw~ Viul8taWeie~ V ' ~7vVO~r , CERTI FiCATE OR DEATH . ~ d ,,,,,,M ~ .wn ~ . ~w ~ ' • JO ~'rad Qo~ttsch~ ~ia1t , ltovembe~c 4 196 ~ ~ ua ~.M. •~.•o. .•r.~an ..ww I?oe-u~a ~ a MaM ~¦o~.h. w. talMrv of oeAw~ , ~ ~wcw~ ~1~tA• w~+•.l~ ~ noa. nn .wr 'ru~ . ~i .Jan. 25 19C4 8s11 . iOwM. . rw aw ww ~ r ca r~ ws ~wwr ~~.rw ~ t.a++ n~ a ¦o C~aad Ieland k Yee S~. Frarsois Ho ital A Of i~M 1 M~ M Y.s•~., wur WINi ~1MIR? MAR~O. lEYB MA~O . 1 r~rwl, Nrt r~MN ~wM ~ t+01M~~ ~ r'K/~ ~ Nebraska IISA ~i3o~ ~ sttui~l? MMA~Ee uwAt oodlMtql+ ~~:w w a.aa ~ar w~rw rar a pio a NISNESS oa laRlll? .~on.~ uw, nw. r K+r~ ~ u. 8 a.. Radio Re ~ ~s. Re r ` ~swe.~c~-su.~ cou~m cm. ~ow~+. oa iouna+ M••• : - ~ ~ ~.~c+. o. Mo ebraska Hsll Graad Island ~ Yee w. 121 West Charlea St. ' fwnH-wArMr .w. ..w. un Mofl[._MMOC++NAME .ra .rN1. w. ; n. - ~ John Coettsch Dors winclol kMORMA~IT-JiAME-~At10NfM~ ru?~NO AOD~Eit ~sMen ee ra. d. o. w..~. ww. a~~ ~k ?~irs. Je K - D ter 2 Pioneer Hlvd. ~ Grand Island ltebr. 68801 oEnu+ wns Guii[O ~r. ~ qar or+E Gu~sE ~pe twE ro~ bl~ A1 ~ kl) ~ ow~ ....w. ~ ' ~ .~.?l a ' eQ9 - - anmo~n ~r uw, - _ .¦~c¦ o~:~i Mw w IN - ~r+lM~t! t~Yf~ M4 MI! 10: ~f ~ - . 1f~11Ma 11N •M~M . tnr0 C~Iq! Yit _ - ~ . . . ~ .~ut ~ ot~ sw~nturt co~ws~+o ~o eutN ww nu?Tto .~a* a ~r ~ wnt tMet w /?YtOKr r rES .ea n.n~.as caw~ t0 CAilf! 61tl~M N fA~ M - ME~.MN~C~ N 1NE fAtT ! YOIAIMI ~ ws o~ no~ a~~ anw~w uw tes O MD O ~GGDEN~. SINCIDE. MOMICDE. ~ ra~n~. e?*, .w ~ eow a+~ar oeeuatEO ~ we..~.~w a m~~ar ~ w r h, ~r q~ OR unOEfEWlLO uncs~~ • fIL M. ~II. Iti~!!r A1 M~a~K MA~ ~ N~RY ~i rOir. uM. f+rlt. MOOn. lOCA110N ~ feaeR p U>. ~q., dn? O~ fOw~,. M~1f 1 . I YlC1R ~!i M MOI OUK! OO.. tK. NrK~R l . . . ~ C[tTi1CwT10a- .awr M~ nw .aiw w n.~ .~o uw s?n ~./.s w.e ow ~»/er rw rew w~e oenn~ Ottuueo a r w~a, w r . ~ ~y~:. rOIAI Y~ ffY W~7 Y1a M~M. IM011~~ ~M*~ ~M, ~O M ~!R .o: Oct. 19 19E3 Hov.4 19G9 ~.I1-4-G9 r+. ~ • ~ ~EtttfKwtql+-r~pGl E1~Aw+E! Ot - w we wa a ne .on~ a wr. ~ ~ luMM~nOM Or M~O~T Y~/O~ O! ~116~np~. N~s OIMOU~ 1~Y MOM Ot~M OCCMM~ OM M M~ MQ ~11! ~O ~M.CAt1~tW W#. . j I CEt1'~R- 7M! O~ MMU . ~ p ~~OMR M~,~WI ' D. P. Watson M. D. ,s. ` ~ ~u?It~+G ~owEU-~tts[! sr.eu o. ur. no. w tw ± , 10 Vleet Koerii St. Grand~sla.zd Nebrae~a j~ wau~. ce~w?noN, ~r,~ov~t a~w?TO~r-wurt ~ouna+ aTM o..o..~ aN. ~ 3 r.. Burial :w. Graad Islbnd Ci ~ Grand Island,Nebrasks , OA1E ~ro~. ~a. w~ ~ RJI~E~l1l HO~PAE-NAl1~ Al~ AOO~ESf ~ stnp ot ar.~. No_. an o~ to~r, p~M. i~ 1 Hov. 8 2 6 ~..I,ivfn ton-Sonderaann'•s 54 W.Koeni Grr~nd lsland,Nebr. 68801 ~ ItEGK~ut SK.r+ntuE ~[amn n wt•t ~aqn•t Ewawu~tr~s~c rueE a_ Hsr o. ' _ . . j ~ . . ~ " ~~~v/o~ - - - - - ~ - - - - - - ~ 1 - . , - - - ------5---- - _-r---,,,,.~,,,r;. ' r~ ''~s..~` t ~ir~ _ ,b F~_ ~ _ T'' Y;~.e~BOVE TO BE A TRUE _COPY OF AN ORIGINAL r II;E WITH THE STATE DEPARTMENT OF HEALTH, ~ , . ' j- pPt, STATISTICS. WHICH TS THE LEGAL DEPOSITORY r ~ f ~ W. ~ -l•'~ : ° • ' _ - _ ~ ;!-w~ ~s '.~r' - i ~ ~ l ~ - ~ at. t ~ - ; ;i-~ . - DIRECTOR OF VITAL STATISTICS AND ASSISTANT STATE REGISTRAR ~ " LINCOL.N. NEBRASKA . Issued January 15s 1970 • . _ . ~ ~ ° u~ ' r . ~ ~~m. ~c~ a icv ~ - nm ~v ~~n ~x ~ '~'mZ c, o ~ c o ~ ~,~jrncm . -1--~ ~ 7D Z n ~ O D ~ ~ ~ . C a.n0 ~ ° D v.