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~ NORTA pilKO!'~ STaTB Db'PARTK6N! O!' NEALTB ~ 2a~aS~Jr4 ..BRTIFI~D ~~Y - ~~'rvr~~Tg nF ~g r ~ JuN ~ NORTH DAKOTA fMAY CERTIPICATE Of' DEATH sT~ie nu w.... ~TAT! 06PARTMPaNT OR NBALTN ~ oa r~r ~ wi.ti..•. w MA1~Ni MIR _N~ ~Mp OATE OlA1M ~ ~ • N~. ~W ~ ,r~ ~ MAYMS PII~ILARAINBN ~ ,.Female Hay ?5, 19?2 MR1E•~w. ~M~o.••e.c.r .~rti wti!-u~ • ~ W?tE O~ i1l1M ~.o~~ 0011NtY Of OuIM wc +.ec+~ ~ ww~ .~a r?n rw~ w~ w'~ ~ ~ ~aus. .Jan.14 19~ 8olette C11Y CR ~~M~f d~ ~wi0 1 r w~ w MMn. OM iwen ww~t 1 ~wor? ws o~ No Rolla k Yes 8olla Communit Hosnital Of MtM wa w~ ~_u~.. w.~ Of wNAi OOIMIlr MA~. tlvB MA~EO. ~ r ww. ~w w~ww .wr ~ ~ ,.North Dakota'~~ U3A ~~irr~ed"~"~ Felia Pikkarainea . sc~ou.n ~ ron.r....~. w.o~.o~..r.w .~o. o. aHO af ws~ss oe r~ousmr .~e~.~. ~ ~ ~1-4~- ?4 $ome~aker . H°~ ~10[NG!-StAI! COIIM1f ~ItY O~ LOCATION ~ ~ trecr~ ws 0~ Mo N. N. D. Towner r~ourdale Twnsho No w. fA11rtl=NAME ~{t ~wie uY M011lt-MAIO~Eff HAME wu w~M~ u~ ~att garvonen Kristena Attatilo ~ uauRMANt-ru?~E w?aMi~i Aoo~ESS isw~ oa .r~..a. an. v.TM. nn ~falter Wuori a~. Hansboro North Dakota rnat outN wws Cwusco a= taare a~ar o~ cwu6E r[~ u~ ~ tii AL ~ kp .e~we.~ own w.r ws ~ w! t- h2~G 0 C ~e.~ . ' ~ lt...~1r1.. - ~.~a ~ ~~c+~ sa~ nse ~o (r) ~ ~ rYMhf~ 4~f! NI. MI! 10. p~1 A~LlOYtlK! OF- . qAtIMO tY 11M~~ tTN~ C1~11~! {/U~ ~ ~a MrI OT11~ SIGt11FK/WT OONDI1101~ eo~~oc~s oorwwr~o ~o wM wir ror ~wa~ a uwe o~ w?.n ~ ~u /NlfOKr ~ ~ES reat wNaNSS to~ ~ 1~0 p NOI ~NNN M OIRYNMWO t/MIf! . ~ Iw.~r A~BR. 5111C4E. MO~YCbE. ~ra~L r~~, •ue~ MOW ItiJURY OCNRRW ~ aw~ w~nwe w nurn ua r~et ~ o~ ru~ r. ~w. u~ O! 111~EfE~AA~IED ~s~ecrn ~ ~ ~r. AL ~II. MI~IR1f I?1 WO~[ /IACE OF ~UU~Y ~r w.t. ~uh. s+~ ~~oon. IOCAiION (STREET OR ~.f~. Na-. dTY O! QOIINTY. 3?ATE) ~ww~ +es a wo~ awce ~uo.,t~c. .sa+.~ 1M- ~ - GEtTIRGTION - MiYSK1AN Moi Ool/ Y~ot Ww6 Dep TNr 11r, CERTIFIGATION - CO~O!!E~ ~....d.a w+.ow~.a n~.~a0? 25. -197~~a_ o. ,h. es~i. ~f ,s. .,m.in~i.. ~f +b boar .ia~a tl~. ~ r. i~1 ~qy W~/Irr diw ~ 1(id, id wey ~iw 11~ ~wiw~ dM16 emKnd ~ w-- ea IM doN aed dw ts th~ wws fr~daM stsl~aboo~~aed~ tt kws~r ~~iw~tl» ~~~aNd. sfabd ~bev~. TI» d~o~d~~f w~a pra~ou~o~d d~ed ~ T~ n.. rN uw _ s~c;+~? ~ ^ n~. co~et _ s~c.~u?TU~ ~ , IJ , !7a MIYSKUW - NAME c YP~ ~ 27b. CORONER - HAME (T~ ~r hiM) • ~rcia2,d J. Ov+erlan H.D. sk. MwuNO uDaRESS n~,sic:o. o. ca.o~.. U-~y- ~ Bolla Clinic~ 8~olla, ~ Narth Dakota 58367 - ~ i ~ a~w~oH. ~.,on~u oe a~?~ae+?-wu~ n«+ a~. a..o.~. - Burial A ostolic Cemetery Rural 8olla North ~Jakota OAIE er0~w~.'w~, .w~ tW~EtAt MOME-+MME ANO AOOtFSS ~ si~en w Lr.e_ uo.. em, st.n, n~ ~ M-~ 30 19?2 s. Niewoehner Funcr3l .Home Rolla North D~kota K8 _ -srer~un,.e ...«u ~s.... ~ v This is to ~cert~fy'-that the foreqoinq is a true and correct copy of the oriqinal Certificate of Deatit,'fi~f,~k~pt and preserved in the office of the Division of Vital Statistics, State Depai~: ~V~1't~, Bis~aarck, North Dakota. This caapy is IPOT Y~lI.ID r+ithout the RAZSED I~R$SSIq![aS~'q~'. ~he State Department of Eealth. _ - . } , - x S~. 1 i _ : , . i ~ ~st1::~~i ~ r : . y. . : " . Da "i ~'~~,~j'i " . S Health fficer and State Registrar ~ - -~~„Z•,s ~ ~ 1 _ ' , ~ ~ . • ` . . v~ _ (R~l.ISBD I~RF.SSION SEAL) Di ion of Vital &tatistics ~ ~ ~ Return to: Chelsea Title & Guaranty Co. Fi~"-' -``-'"~~~D ~ ST tUC:~ .,~~.:!,'t f.A. ~e:,.-. ~ ~ P. 0. Box 11~2 ;~~a~ t Stuart, Florida 33494 ; ~ ; ~ °~r •~E ~T '`'j4i fr ~ p . ~ ,~u~ i IC 3s aM 3 ~ . ; - ;~55'75~"~ ~tG;'~. `r~~' 2417 ~ X`~~ - 3 ~ . z'~; ~ ~ - :ey~ . _ .