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_Corr~cted by Affida~iL CERTIFICATE OF DEATH r- ~''1,8'~j ~ ,oc., .~i[ Au..~962 AAkw.. o...»...~ d.ti.Nt f~.n Hal .nr.e. OfCfASED NywE r~~s~ ~ea~ ~~o g[f OATF Of DEATN ~ r0«~« s.., re~~ . i ~ ~ c tobe. 1 1 68 ~I~CE .w~n, ..et~c.. ,~a.~ wGE uwe! ~.tu ~wt~ ~ e.. O~TE p NtT++~O•A. M~. ~COIJNTr Oi Of~1N 1~C , Yltu~ ~ ! b~rwo~• ~l~~1~ +Of ay ~ w6A)T r~N ~!u ~ . ! ~ ~thite i+,_~_ ! ,k t 1 n C11r, IOWN. O~ IOCI~iION O~ DEA1M c~n ~r~n MpSM~I OR O~ 11MION-w .u w~ ~~.,,~e ~.~er .~+o ~~w~._i' ~ f?!(M~ ~!1 O~ ~O ~ Grand Rapids lt.___Yes St_ l~ary_'s_ Hospital Si~iE O~ W~ -.o• ~ s. C~tttEN Of w?ut (p~~1aTRr i w?AfefO. NEvfR MAlltlD. Stllv~vNG S~OUSE ,~.~w c~.~ ...~n•. ~w :a.~».. ~ w1DOWE0. WvOKED ~ srecr. ~ % ~ Oklaho~a U,S~A`_____~,~.I~S2rried Frank Tyr~eitl S~y1iy~~EJ~ =uSUwl OCCWATIOM ~a.e a~.o o~ ~wa oo..t aa~..c ws,-o. TtwD Of MlSwfS1 O~ n+DC/1TRr _ - zto[ ' •w....c ,~w e.e» r .~n.w ~ r • '~?~.~?~se f lfSIOENCf-SMfE ~OUN1Y (IiY, T~MIN, ~ IOCATION ~'O! Cm ~r~y~TS1fEfT MJp f~l?M~f! 4} 1~vtc~~. .ts w w'~ ~M !tp l4 tU~ ~IN ~ FA?HfR-NA1Mf •~K• Mp~ T~iK~Ci! u~~ IMOTI~R-h4K1EN NAA~E y ~~AI~~ VCP f~ u'' n ~ s r~ ~ ir~fORMANi-Nµ~E MARM~C, A00lESS ~srn~~ o~ ~.o wo. cn, o~•o,.ti. ~~.a ir~ 17~ ~ n IART f pEAM W.~S CAUSfD ENiEt pq1' Ollf tAU3f 1fR t1I~F fOR to). tb1 ~nQ •:I; •r M ` y46~aR :•~1f ~ __..~_~Iirt(w 0.~1l1 ~w0 D!•rw '1 Cl'. 6L7 c 3u~ a ~~«o,,,o. e .w. j ie, ___A~u~g_._Tll~lll~ 1~~~~,15._ 9~-K~ciil~y- - T i_m~ . .~o~.T'r ufe ~o . I o;.~ ~o o. . »vow..c~ a• . . _ ~\~t~MG M~ VNO!• ~ ~rr~IG f~Utt ~~1~ ~ {ci • 1 ' . -r--- -rr ~wRl h OiHER SIGN~?Karvt CONO~i~prvS cwa.~a.~ can~~~u.•..e ro w.~r wr tio~ ~euno ~o c.uu ,~.e.. ~~o~ ~AUTpSr ~ K ttS +~~rt •~»o.»es co~~ ws w.w ; s~ne~~a wn~.~.....c c.~u ' O~ D~~~w ..caoENT wK~a. ?~o~wc~oc ; Yes ; Yes 'b~~b~ w1U~ .u•.~.~e..-. • ~nOIJR NOw ~?+lU~r OCCI:~REO ~ e.Ir~~ .~.Twe a ~.,u~. OR U?~OETEIMUrED ~ srrc . o~ ..n e. . ~ tA ~ lk M; Mr IHJNRY AT WO~IC ~ ~?uCE OF wluRV .aw sr~. ~.no~.. i tOC~T10?+ , ~~een o~ r~ o~.o . cm o~ ~e... ~i.n ~ t S~tC~~s r!S O~ +O • pwKf YD•. !K ~ SIN~~~ ~ ~ . ~ 1~ ~ CERTIHC~T~O~M- .o..r,. o.• .eu +a.n. w. .t.~ .++o ua, s... MW,.e~ .ure w. aoiow w~ n~ oc~wr oteunto .uc~. o» ~r /M~SKUN: TO ! +7~M W~ rtY .~OOI ~nF~ OfaiM .rOV!' O~R. MO. ~O ~M! Mf' ~ ~Rt'qED fwt K p r~ [wp~ri~p~ p~ 71~ Olct•uo rpr V3/ 8 10 1 C)() II~ 10 Z~ ~i(~ 71~~~~ to t+! cwfl~s~ s4no CEtiRKA~10N-MEOKAI Ea~~~Et OR CORO~+E~ o~ r..r a.a~s a T.n wew o. oe.n. «e oectetM ~o~w~cw w.o tw~w~~o.~ w me ~oo• wo~w •wt w.ef+~c•.o+ ~ . w«+~o». ~o.+rw o•. .o ol+n. occ~~eeo o.. s.e o.+e .~.o nu ro nw t.us~,~, s~••~o 2b r? j tl? ~y CEfTiiif[-etM~f mre oa r~.«n - ~ SK,NAtUlE wuee o~ •.r.~ - 'DAiE SK',NED ..wn. .~.i ».John C. ~Pierce i~. John C_ Pierce. M D_ 1~/1~68 ~u?~ING ADD~SS-CElli~i[f sr~rn o~ ~ r o.w cm w sun e~r 7~1 W~1Al. C~Ewt11pN. ~EMOVAt En OR CEw?tORr- lOU un o~ ~o.n sr.re ~srecrv, ~«Removal & Buria OATE ~.o~w~. w., .EU. fUNE~l~I MO+rE-?~+ME ~ui0 ~DORESS ~ ~net~ o~ ~ r•..o . cm oe ?o.n.. ss.a, rv ~ ie~--h~a~ w n. ~ ~ 11~+WC -f+Gw? f - ~eerttw ~ ! ~ , ~ $0~203 ~~i6i7 ~ k. ~ ~ , _ ~ , - ° . _ ~ ~ _ ~ .