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HomeMy WebLinkAbout0466 . . _ . - r`' t ~ . 25846'7 ~ oc'~wT..cM~ o~ ~u~~~c ~sw~~.. waD wt~~wwi - AAISSOURI O~VISlON OF HEAITH st~T[ r~~c twJ~ER in..ra~t~~w ow cowo..ew~ CERTIFICATE OF DEATH Pnw~r R~ ~~ra~en O~u~:c~ He. R~~.~~rer's Ne. ' w'frtt R~ is~.N~o~ O~u.~cr 1l0. 7 9~ x s'u~ VS 300 a OwiE OtwtM ..o.~., OtCtwSlO-N~Y! ~~~s~ +.~~t~ ?~sr St ~-l R.~. tis° ~ Fd~-ar P.a .~nd FA:I~:'T ~.'•'alP , Jar.. I2th 19~~ ~ fA(Y ~A. M6q. u~MC~M r~uw. ~G~ -uf~ ~+M~ ~~fu w.e~~ ~ N~ ~A?f ~ M~T)1 ~.Ow+. M~. COUNTY Oi OCATN • I~ fK. ~W(~~/1 M~Mt1t~~~~~ ~Of Yt1 ~OV~f ~M MY~ - . '.tihit~ w. 7b Y M .<<3r.. 15Lh ~'Q2 ~t. Lo~~s S. CfA. IOwN, Of IOCAt~ON Or OfwIM rw~ c.n .rws MOShtAI OR OM!! NSIItUT10?r- ~r .o~ ~w t~r.~~, 6M fr~~~ ..~~ww~ ~ . y~(M~ t~\ W r0 ~;_:,.~.-,:z~ t-~~ r.~s Y~, „ ::~:y~s h~s~~t~Z - S/~iE W Mlm ..s .o~ r. ~ s..~.~~ Un2E?+ O~ wNwt tOw+nr ~W nl0. nEVI~ w~rt+l O. StKVn~ SpUSt ~ r.w. o.n .?rew n..~ ~ w,,.A. ~ w~oowEO. ono~ceo ~ rec+. ~ . . _zssoc~~ . . ti~~ ~•:arrieu „ i~:arE~.ret ?~.~i ~awcett .rM ~euw~ SO:~~t StCUen i+uW!! YSUaI OCCV~~i~p+ ~un u~a. eow ew•.c +w~ w awo Or ~us~rrtss O~ ~?+ousnr u N r M.~r O[<~rf~ r ~Or~.O ~W. t.tr r Mn~N ~ ._,.,.wb..~~. ~o_,t;_?':~~ „ f:~~~z-~,.pr Court ..rw..c~ ~ew~e rw~e e.n •~.~n SiREtt Ard Mlr~f .o..~~w+ tELOt~aCE-Ytw~! ~ fODUtr OTr. t0~. O! ~OUiWn ~wcr~ ~s o~ w , 'is5^::ri ~~uis ,.,:i:;,lP:;~~ 1~~ ~w?5%~ ~irclP ~r. 6, ~AIM~f-N~JNf `~~M~ rp1! MM MOiMER-MAIOfNNAME ~N1~ rOA~ 4M ~.rP~ ~a•~cPtt :~r~: :zhan ~wORMw?+T-~+u~E • ~+ulv+G wOOtE1S .uKn o~ ..o . e~e. w w~r.., s..n. tr~ i~~ii22"'82'Ptr F• `~~1Cetti (~A 2538 CirclP liT'• :07~~':~T^_•"~. ~`.~L.13 . • ~~t ocwrn w•s uuuo ~r. ~~Mree a+i• o~+c uusc n+ i.+e ~a t.~ ro?. ~!<N ~ we.r~e. pwf~t ~y N~ti E 0 I T 5 .rwn avu ~ • , ' ll~ ~ -Y`Ld'~.~ ~.~'-'i 1~, ~ ~ ~ • ~-~~C./~. • . ~ . _ . _ , CO~M~Ow~, N ~~n. ' ~~Kw O~r~ ~~tf q (?1 I ur~N~tt C~vu w~. MA q. M~i ~ co.t~OwK~ W {I~t~wG I~! Y~~~~- 1t~~0 ~~Yf~ l~l/ I I ~ 4 j wuTOK~ M rES ~~~~¦oa ca.- ~ i ~wrt • Oty~~ S~Gw~KwNT t S co.ano-.~ co.~ww .+o ro a~~IIrr MN rOt ~fM~N M 4Y1f GMA ~ ~ MI ~ \ ` J . ~Af O~ ~.ff~ ~ ~f.iM ~rt~r~w0 WrY ~ 1 ~ ~ Iw ~w e A(LIOE . U~C~OE. MOwC~OE. A E O/ lN--Jl~1 • ~ rO~Ir, M~, ~ MOIN NOW IM1U~r OCCI/ttEO ~ t.w~~ ~uMe W~ ry~~ .w rw~t ~ O.•/~~~ .~t+ ~ g OR YNOEfElrwEO ~ vecr• ~ ? ~ . ' Ir Iw 7M M !M e ~ ualUn wi wO~K RACE Of ~Nlutr .we. srr~.. ~.ow.. ~OCwt10n ~~nm w u.~. .o.. t~fr 01 q~w, Y~R ~ ~\~!6/~ At O~ M0~ OAKt Y1G .~K I VK~n l ~7 ~ 4 ~ ~1 ~ ~ . . ~ uM W~ Yr ~Ww1~ Nar1 p1 ~ M/M ~O~ Ot~M OCGYtqO ~r e.1 RK1, aw M i (Ff1q1GT10N~ ~+r~ N~ qN ~Owfr Mt ~li~ - . ! : ~N~f~C~~w~. . TO '~s Mr nY ~ON un~y~~{w ~ww ~ ~d1. uA. rA M Mfr t~~eM~~ M . ~l W~s ar0~lOGf. M T~ Ntt.u=~ ~~o~ ~1-~ ~71~ II~ ~N ~iC IN M~o .r~ ewv,u sr..e~. ~ ~ ~ CE~TMKJ~Tq7~a-~+ED~UI luM~nff O~ CW E• O~. ~~,~~f.l O~ M wu~ o~ a.w. Ncea..~ •.o~~ou.u~ e~.~ x ~~uw.I~W~ W M q~~ ~u0lO~ rH w.~f~~l'.~r~0+. w~~ O~II~~G+. ~pw~11 Y~ tfu~ wOY~ ~ •~~'w OCCwt~o Ow M O~ti ~N sM q~M UYl~~1~ /t~n• ' : ~ 1!~ M ~ ~ ~Etf1{I NAMf ~~N O~ ~tr1~~ ' r A p r.A! A O ~•tr. O~~ •W~ f ; ~~.~_~~-~-~~c rr e,Y?~ ~l,c tl ~ -A G C s ~u? ~OOtt Cf~irr~E~ ~ a~a~r w t~n o~ , w.n ~ s ~ TL ~~.i.yMf:.. .qA ~ ~ ~U4Y. llfMA~~ON. KMOVAI GEMEiFR~ OR CREMA7pti-NAME IOCAi1QN - ~n ~ q~w luR ~ ~1~CM[/ ~ ry JU:'2a1. It~s ~11~2.^: ?;i^l: ~ Jt.• L'111~^ lrJ• ~-7• ~ I owTE ~.q..... ~..~.~.y~ ~unE~wl MOrE-wMF ~~~¢OtE~~ ~~sn~n a • .n.~un w ro~.. ~ure, nr. 1 : :.'!1'.'t vi: (~'.:Z V:__ 7. • ~ , .a~i~.:-r'-j L• n• ~•'r~ ~ TY ' - ~ rWE . DH 0~=;1G~+ fE~ ~t r~e .yR{~~ ~ `o.•t e,.eo ~i coeu C ^ ~ ~ ~ . r.,. • ~ ! tY ~ ~ ~ S7 ra r ~ ~ fILED ND R'_CORDEO _ _ _ _ _ _ _ St.lUC1E COUMTYYtA. . ` ~ RCCE~ POIT~AS T. LOUIS COUNTY liEr1LTH DEPARTMENT CIEFiK CIaGWT COURT ~ = G~ RE!'OF.D'~EN.F~ED: 801 So, Brentwood Boulevard v7 Clayton 3,.MissatE~ri P r1tUi'~"'R ~ ~ ,1~. 9 3 2s PN'73 ~ _ ~L~,~o~ ~ ~i+~~~%J John C. Mur h M.D. ~ ~ C, tlowe Eller, M.D. , Dr. , P.t~.;~~.`•`~~ _ is~ P Y' ~ • " ~9 Co.-nmissioner of liealth '~o~,~.,.~'' Assistant Commissioner s~ ~ ' : ~ , ~ ' I certif that this hoto ra when im rBsS~~ith the seal of the St, Louis ;.t~ Y P g P~?~s : P , . ~ , . ~ County tiealth Commissioner, ~~'i.'t,-,a true and~ eo~r•ee~ copy of a death record, the original of w1~ic1~ is on file~x~~ the Stet~~~utt~~u of Vital Statistics. r`' k'itness my hand as Registrar~i~~~-Vi,tF~l ~S~$~ia~~cs and the Seal of the St. Lor~is r~ Co~nty Health Commiss ner, t~i ~:,'d.afL`;bfi '~.~t ~ ~y,~~ ~1~/h, Jol~n C, t•Surpi~y, b1,D.•f,,;A~ i ~~Conunissioner of Ilealtt~ _ . Y.ebistrar o~''Vit~l Statistics ~ I~~~r~1fi ~_,~"E fi~~ 4s6 Per , ~ a . x . Y =s- x _ " ~ ~ _ ~ ~ _ _