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F LED ANO RECORDED ~
No 110 ST. LUCIE COUNTY. FLA.
. R~Cn~7 1rE~1~{ED ~
1. Place of Death: -LS~"~O ~
a~,~~ wAYNE '6T I~~ 14 PM I: 30 ~
b. City ROMULU3 TOWN8N 1 P ? .~~L~'..~~~_ ~
ARTNUR A. R i El~. ;
2. Naane of Deceaa~ :`~~`.c N:=o;T?:.S *
3. Date of Da~~+ FEBRUARY 28~ 1961 CLERK CIRCUIT COURT ~
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4. Se- M~'E Color WHI?E ~e 50_ B~F~~ OETROIT~ MICHI6AN
s. Married, Single, Etc. ~RR 1 EO Name of Spousp THERESA R f EHL
6. Occupatio*+ PROPR 1 ETOR ss# 264-05•3629 ~
MARGARET BLAMKE '
7. Fatber's Name ~?RT 1 N R 1 EML Mother's Name ;
~cao~r esv.~;r,~ '
StIK10E
8. ~~th MYOCA~zDiAL fAiLURE SY9TEMIC SkOCK MO~1C1DE
GASTRO 1 NTEST i NAL HEMOitRHAtiE 6ASTR 1 C tJLCER ~ YAR 1 CE8
9. Pla~ce of Buria~ ~ ~ CH I GAN MEMOR 1 AL PARK - FLAT ROCK - M I CH I 6AN
STATB OF MICHIQrAN t
COUI4TY AF WAYN$ S -
I, EDGAR lt. BRAI~fIGI~t. Cltrk of the Coun~p of Wayne and of the C~ircuit Court thereof. do i
hereby catiif~ tb~tt I~~ave compara ie forcgoing copy of Record c,f Death as fil~d in my office and ~
recorded fa I.iblr olr Fil**+ 3" and found the said copy a correct transcript thereof. ~
~ In testimony whereof, I bave bereunto set my haud i
($$pj,) and affued the seal of said coutt th~a ~
- ~ dey ef MARCH w_ D. 196i i
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- ' EDGA . BRANIGIN, Clerl~ ~
s~'' N° 403?-~~- ~ _ ~ ~
0 R DePuc~' un . cterk ~
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