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HomeMy WebLinkAbout0228 ~ CERTIFICATE OF DEATH 232992 E \OC~~ ~H~ Vr~l~ Mkwy~w ~ O~ PII~~C ~"~MY~ ~I~tf Iyf r.Lr~f• DECEASEO-?'/AMf ~u1t ~~oO~t SE7I DA1E Of OEAM ~ rO~+tw, o~r, ~~u ~ ' ~ John 1;ac~Cenz~. 2•;ale , Januar~ 3 1970 ; ' RwCE .Nne. ••ww. ~.u~~c~w ~MOUM. ~GE-~.u ~~+ot~ ~ nu uwt~ ~ wr DATE Of NRTH ~..o.aw. w?. COUNtY Of OEwTM uc. ~ s?ecu. ~ w~nw•. ~.e•~~~ ..os. w•~ ¦ows •u~ ~ . +~hite 88 s~ • h'ov. 21 1881 Genesee CITY, VILIAGE. OR TOWNSHIP OF DFA7H wswt tm u+~n MOSr1iAl OR Oi11ER NSTIi1JilON-N~h~E ~u ao~ ~r u~wte, 4M ttqlt ~.p ..wye~ ~ s?ecu~ ns o~ ?.o n Flint Y McLr~ e G eral Hosni tr~). STATE Of N~M ~ w Mof ~M ~.f.~-. N.rt dTIiEN Of wMAT tOUNTRI! MI?RMEO, NEVER MARRIEO, SURVIVNCs SrOl1SE iy rn1, on~ r~o[~ wr~ ~ cowrn ~ W100M~E0. 01MORCEO ~ vK~ ~ -~:...~5~°~~~ ! ScotL~tn • U. S~ lfarried „~.va tfc~uell DeLisle ~.e o~~'oi m SOC~M SECunTV ?+WWE~ uSUwl OCGU~~T~Or+ ~a.e a..o a.~wa eo..e oua.a wu w KWO OF WSr~ESS O~l INOUSTR1f ~ w, - wKwa ure. nt.. r nnuo ~ 3 „3?1-2a32s~ u, Architect retired ~~t~.uc'f.enzie-Knutt:-Ki cin ~ ~t5 Uf~.:t ~l~O~( " .~..,~s~o.. RESbE?rtE-STATE GOUNT1f ~MSae cm urm S~~EEi w?~O NuM?ER ;s un, VIIIAGE OR TOWNSHIP s. ~ sree.n n s w No ~ i•:ichi nn !'.enesee Flint ~ Yes 10~.1 i•:elch ~2vd. ~ fATME~-NAME ~~y~ r~oelt ust MOTNER-lNAIDEN NAMf rNa~ ~owl us* ~ ' „ Duncan t:ackenzie,~ :`ary (Lr~:r.o;~:n) ~ INfORMANT-NAMf MARWG ADOtESS ~stne~ w~.~.o. ..o., C~r~ w~O.rw, fr•n. ir~ ~ A:rs Eva 2=acKenzie ,n 1011 ldelch Blvd. Flint, ~'~c'r.i~an :r ...-t..., ; ~~i pEAiN WAS CAUSED 6Y: ~fNifR ONIt ONE C~USf IfR tWE FOR (ol. (e1. i~l~ ~~en.re~.. o~ti+ o~.rw ~ I, rr~O~~lf C~VN ; Z ~ ~ y~ ~ / 3- ~Cv ~t ~ o C~4 2c1~1A-~, I~vFl~Rt ! ~o ~ ~ 6iliT3.~i ~ [ » ov~S~- { { ~ :,~M~~~~~: ~ ~ o ~e~ c` ~ M ~ w a iJ~ ~ n~ o ~u,~Q ti Fd ~o~- ~ ~ ~ ~...~o~.n uuse ro~, ~e ro. w•a • co..uwe..ce a: _ s~~u..a rMe u..ou- ~11N6 (AYU ~~f~ I . , . ; , Cn~ S r~~ ~o ~ ~`r~ ~ f., v~¢ f=-' S. !•1 ~ ~ £A ~.'S ; ?wRi Y. OTHER SIGNIf~CANt CONpT10N5: na+s eaw~nun..a ~o oE•n~ ~u~ uor uns w uvs~ e~« w rui ~ w~ ~~«Sr ~F YE .`+~.e r~»o~~ei eo»- ~.u q~o~ u~t~eo ~M Dlil~~~MtM(~ UYM w ot.rw ~ ~M I.O ~w ~ ACCfOENT, SUK10E. MO/~lCWE. DA E WJ ~..O.~tw, p.~, ~tu ~ HOUR MOW INIURIf OC~URRED ~~w*te .ur~~e or uuw~ u+ ?~~t ~ o~ rut n, irer u~ ~ ~YtUn~ 7A 7i? 2Y. M 701 IOCADON ~ snee~ a~.~.o. wo., C~n O~ tOrr~, st~q i - f 1 WU1lY AT WORK PUCE Of WRlRV .r ..ert, rur, Sntn, rKton, ~ f isrean ~esoe.qr p~K! MYG.,fK ~SMC~n1 z ~ 7Q~ 7W ~ : CERi1F1UilON- +o.n~ u• .e•~ ~ .a+*~ o~• •e•~ .~o w~ s~w Nw/Mp .~~n a. ~ o~o/o~o ..o~ ~~cW Me OEwiM OCCO~REO n.i •wi, er. o-e r~rs~tuN: Cwm o,• .a~ 'l m~ oe.... o.rt. ...e. +o n.e ~esr ~ ~ ~nt..oeo r~e 2t ~s ~ ~ N ~~7~ J~ N ~ ~ ~ V ~ ~ ~ 1=55 re ~w~..~xe, o~+[ 74 DFCl~SlD ~10~~ 7q 71~ tp \ }t• ro rwe t.~..u~i~ s'.*e~. . CER1~f~CJ?TiO?~-MEO~C l Ex~u:ER OR CORONER. e.. ~¦e us~s w rw ¦ow o~ oe•m twe otceoe~n r~s ?~p.ou..cto oi~o f~uw~IWw Or nN pp~ ~~D/O~ rW unlStK,~r~pri. ~w Y~ QIMlQM. Md1iN Wt fl~~ w0~~ . of~rw p(CUt~tO Ow w! O~ri u~O Out q M t~~it~i~ S~~~tD - M. th M~ " c , _N~ . ~ GZ s wE o.~. ~ : o~ie ~Gr:FO 6 ,.i g : : ~ tH C r~ ~ ~4 `Ks wOD C r~~ 0`1 N s, ~ ~ N S U "n o+~»~ t v~tt i~r ~ iUR~wl, UEMAi , REMOVAI CFw~f RV OR CREMI?TORIf-NwME l iION CtTY, V(ILAGE, Oit COUKTY s+.te ~ snun . r~. Burial r? S set Ii~. s Ce~ete Genesee Count- '.•:ich~~~n i - OwtE r~o..*~, w•, .eu~ FUNERAI MOME-NAME AHO ADOtESS ~ sneeT o~ ~.r.o. Mo., an o~ ro`+r.. s~.~e, a~+ ~ J.}s :N J~ rs. Groves ~~%o. j~er.?oria3 .C'nanel 60 G~zrlanc? St. :~ir.t `3cn'~2jC3 ~-Ga fl~iERAI D~IR[{T -SIfiNATIjRE. ~ REgIS1RAR SIGNAIIIRE. . ~µ.}~TE IFCtIVEO/ IOCAI ~FGIST4R 3~`~M 2~ ''~i ~1-, -.~1~ tk/v'~~ ~"i~i-~.~i-,~,~.r-/ :u ~(o i STATE OF MICHIGAN ~ " County of Genesee ~ I Y Evelyn ft. ~$yrsard~ Deputy Registrar of the City of Flint. . ~ i?aving the custody~ of the official records of births and deaths of said City, do hereby cedify that I have ~ compaced :he above copy of certified death cecciEicate of ~ John 2•acKenzie ~ _ w ~ fi31 of 1970 M - with the ~opy t~ow oa file and of record in this office, end that such is a true and correct traascript therefrocn ~ ~ ;~`~uc ~ co~~Y and of tbe whole tbereof. '~Ea ro ~i ~ IN TESTI410NY WHEREOF, I have hereunto set cay hand ~ CIEAK CIRCU{T QOtl~'f~(?~ QECORCYERIFIED~.J.~ a~fixed the seal oE said City, this,___~~______..__ ~ ,~r~~~~.~ ~ I _',`O ~ , ( MD.,,~.y~ ~ ~N~.11 2 ttPM ~~Z d~S+'~C t'.---rt.s~~r.cr,~:.-~~-tr~,}~-`9~~-~-- Vp n7~1 r~J/~~ ~r ~ _ - ~ , r ' ~ DYU117~r~ `N{IC -v'_ . 232992 ~ Deputy a.o;.~~a? ~ , ; , ~ ~ ~ _ . ' .f~.. - . ~..~-,~.~r,_~~K _ .