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Home My WebLink About0835 r A . 1`~`~`~'O ~ 1~ ~ r- CERTIFICATE OF DEATH ' ~ 3fo . ~ ~ rw. w..~. IrYew.• o...A..d d r+~t H..M u...... ww. _n~wt ~w. . w?Tt tN ~ .....w -~~`r ~lale ~ t?ta~ 4, /~8 1t/~CE .rw. wew. .wac.M wwr, AGE-uw wea ~ ~se~ ~ • W?TE iltM ~~a~,. M~. COU1~t11 O~ OE/?M eK. 1 Wdn 1 r~j~ MlMO~~ 1~4ul1 ~Q{. Mri MOIMf rN. 1Y/~~1 -1 L~e k ~.l'RL/ /L M ~~QC~,W . T~J. ~ ~ MYM CR {WR Q~ Ili M0~ M OM~ ~ M1~M ~ ; YlCM? ti~ O~ MO 1 ,?t~.. r'~~ne~r.~ k y~s S#. Hvo t ~ STATE Of ill1M ~ r wot r ~.t.~.. ~urt Of W/MT C01R~ MA~IEO. t~IEVEt MAwEp SI'OYSE ~~+w. irw r~rM ~art 1 C~'~v,~a~:,~ U.SA ~OMR°• l3e~ra6ria - SOG~I SECwmr wwEf uwAl OCCU?wnON ~ aw w o..aa ~oMe w~rr .oa a Rt1D Of ~tISl1ESS CR ~+DIR1tr j,~p r0~ IN• !MM M~III~A 1 S~ / m~~ It ~YV"C)~ I~I. 1~. RE5IDENCE-STAtE C01M1Y CIIY, TOMM. OR lOGT10N M~e tw tw~~ ~ Ytdti ~ O~ Mo i :?:i.ci. ~:acvmb .l~t~r~n lu~n. ~K ~v N. ira#~vaE ~iv~e ~ fATMEt-NAME sNU r~owe Wt MG1l~R-MA~EM NAME ~p arM~ Wt i , ic-Ce,ci.~ S#irv'he.v~. %auli~ru Scitm.id.t ~ : ~ ~N?O~tMA~tT-N~ME w~tt~G w00~ESS ~srn w u.~. w.. an a+o+rr. u.w. tr~ ~ ? ~3~u.-~uc S#irv~hein (UIFf Same u,~ Abvv+e ?ett ~ o~?m wws twsEO ~r: ~emrt w+tr a+t uusE ~ tert rdt p~, Al. ~ KA ~ o~ae+ .e~w w. - , . . ~D / ~ . . . ~ coMNr~oys. ~r ~ ~wKw 6~r! us! q' ~rr~M~f~ C~Yf! IW. i ; t' fi~flNO iM! YN~~ ~ ~ p: \~u~0 C~Yf~ {~3t ' 1 ~wRT 11. OiMEt S~GNwC~wT CONO~T10r+t= cu.e~.ws cawe~rn..s .c. N.iw w~ w~ ruiw w cw~e owa.....n ~ Me wYfOK1l f rEi nae M.«¦os co~ ~ Y. ~ _ _ ie~ ~MO~ a ~ Merrw.s sww~ ~ ! . v tx-. ~ ~ ~ ~ wadOENT. SuK~DE. MOwC1DE. ~ rw~w. r~r, nu ~ MOW wJlltf OCCURREO ~ uwe~ wMr a w~wer r~ ?~a i o~ ~ N. ~e. u ~ • OR ~s~ecr+~ ~ ~ l~- !r. i- M. IY. IN7UItY AT WOlK Of NlU!'~1 wore. ~u.. l~er, rwOaa. tOG111pi ~ fweR oe a.r.~, wo.. an o~ w~e ~ ~ ~t?ed~ ~Q O~ wo~ owK! ~uo_,etC. ~f/Kr?~ , iA. 7M. ~ ~ ! CERTwC~T~ON- .~w~w w ~w .orr Ms ~w w us~ snrr r~/¦a wM oM ~ M/o~ wa w~s sie oEwn~ OOWrlo ~r wt ~uu. ow ~ ?NrsKUN: 1O ro~.~ ~n ~w ww u+s wwi. ~•ow~ a rr a~ow~Oiao~oe i i 21a seu s~eo No. tl? tk_ tN- tM. U~ ro w e~a[n+ swr. i• ! CERT~f1GT~ON-rEDiC~t Ex~wER OR • a. an wa a~e .o~ os wa~ ~ s~n ~w .rws nowow~s ~e.~ ~ ~ ewwno~ a M ww .w/w ~e .wanwnow, r o~w, o.,,~, a.......~ ..t ~ I SS.~C cERTiREt ~ar.. w .u~n w ..i. ~.o.a~ .......n ' ; u~ ~ j . t~. ~ . • ; ~ t]c ; : MNtNG ADOlESS-CEt1tF oa u.~. wo. p • ! t~i. 7 ~ ~i f. W~fAL. CJEMA ~MQ'VAi OR G~A1AiOrf~MA~ llOf~ U1Y 0~ lO~w~ W~e ~ f ~ vK~n ~ . - ' : f l3wLiuC e~emai~~e~. : emp~~ ~ fleafito ' hk f a?,~ ~ . , « ~ ~ #.'~'i.c~# /~efirv ' lj1.i_rlurian.. ~ ! tY. ronm. UIL~ I11~' ~iZC~ } f - , ~ ~ ~ MtO ~t IOGY qi~A! ~ : ~ : I~ 14` ' i ~ . . . ~ . • •a~-h... . . . ~ ~ ~ - ------tla-~'" ~'i~ti"~i . -..i. , _ _ . ~ _ . . 1 . ~ I hereby certify,that the abbve~~s:a true and co~rect-copy of a i Cert i f i cate of peath,~ as~ reco~detl~ at : the off i ce of the Ci ty Gierk - ( ~ and R istrar of=N~a_ Ci;ty.•<o~:~!{Sunf;,Cle~aens Michi an. ~ • ~ , ~ • 9 ~ ~ . ~ }~4~~~~,~~~:_ _ Y , ~ - • ~ John . Hahn, City Clerk-~end"Registcar. Dated ~A~. ~9~ j • 1 k • ~ ~ ~ ~ ~ ~ . i GRiFFfTN R MOORt ~,,TO~Hrn ~T w oosT otnes W7[ 7M 8:.c~ [Alt OCiAN AYtlN~ . ~ sDYMYO)1 itACM. ILAA10~ 5~~~ ~yyr ~ flK~/L tf~ ~ ~ ~ - - - - - - r: ~ .~w~:.-.=.., . r K , .