Loading...
HomeMy WebLinkAbout1489 ~ -16~35:~ N°i 96439 CERTIF7ID OOPY OF DEATH R,EGLSTER State af South Dakota County Number: ~ - --1~18~-------------------- Name: ___9~i'b..T..~Tnt~----------------- Plaoe of D~th (7ounty: _~~~-~W~i4A------------------- GYty or Post OiBce: _~P~d_C3tx--------------- nate o~ neatb: ---~Q~tr_34~~526~------------- ~ -----'-°~l!-------------------------------------- Cola~ or Rac~ _~8L1ft.----------------------------- Ae''e= Birthplace: ---~wtthDakoLt---------------------- vsual Occupation B~~dijl_M~,t~_dt_~t~el_4~. Name of Spouse: _5~:~3LIrj~A~ll~--------- Fathei's Name: __~tilB~~A ~~,[~,D~lE,t~.------------ i Mother'a Maiden Name: ----~A~iQA--------------- , Veteran ot What War: k Soc.~lal Security Number: f ~ Name oi Informan~ __ji~1'~di~,Icugeil~~II------ ~ ~ Cauee of Death: ~ ~ ~r4~4~!?'X_~4~y+l~9a--------------------- ~ _____~Ss~,to~t'3t_Sssl~rna~t--------------------- ~ ---------__w_~---------------------------------- ~ xame oi Attenaant ~...~t~~2------------- ; ~ate xecoraea: -11~9119b1------------------------ ~ ~ ~ Yerd~? Rioh Clerx ~ ot Courta oi CountY, certlt~? ST~`~UC R~CORDEp' ~ t2?at the above ia a true and corr~ct copy of entriea • r:•--• ~UN7Y. F ~ appearing ia the transcripta ot Deatba. .~,L~(~~'~~~ ; Seal of Said Cottrt AiSaed at : , ~ , ; ~s,t~c_------------ 8 FEB t y A~1 I i: I 2 : ' . - . -Svuth Dskota, thfe ---~tb _ • $ Ot TiL--------~ 1~Y~4--- " U i f i• - . ~•iJ•~~ , ~ . • . . 3 ' ~ ' - - , . ' • f~•) - :~t~ ~E~~---- ~LERK ClRCU1~' COURT • _ . . : - Clerl~. ~ . . . . . ` • ' gy ~tfr~4sc1_~_a!!!-rwc_ { . Depafy. SD'V8~ ~ ~ ~ ~ ~ ` ~ ~ ~ _ - - ~ ~ x t-~ -