Loading...
HomeMy WebLinkAbout2572 . . ~ . 2'70569 ,._-..-~.--.~+~.........f.~.-..-... _ _ , .1_ i , ~ 004~~ CERTIFICATE OF DEATH ~ .~~~~71FIED C~~Y, ioc.i rM~ ~nww D~oa~M d P~llk FIpM aun nu .~wM~ i ~[C~AS[Q~qM1E ~~qt r~OG~ ~~ft SEX CATf Oi ~fATN ~ rOwtM, 0~~. i~u ) 1 Christine H. Davis : Female ~ October l3, 1973 ~ RACE .rwn. Mww, u~ncu. wouN. AGE-~.s~ wwt~ ~ nu u.o~~ ~ a.• Ow~E OF MRTN ~..o..n.. oar. COIMTY O? OEATM ~ !K- 1 Wdp 1 h~IwON f tl~~f 1 r0f O?~f NOYq rM. ~1~~ 1 ' ~ White 63 k ~ Feb. 9, ~1910 ~ Wayne ; 1, Vltl/tGE, OR TOVVN5111P Of DfAIH IM71~~ C11t lWm ?qSMtAI OR OMER NSTIlUT10N-NAME ~ u.~o~ w tmu~, em urt~ ..w .wwe~ ~ ~ ana~. .~s o~ ..o , w Allen Park Yes I~ter Cit Christian Manor Inc. S1ATf OF ~IRM ~ Y M01 1M Y.{ ~u.t Ufl2fN Of w?U?T COUNil~ MAltlEO. NEVER MARbED. SU~VrvNG SlOUSE ~ a wut, owt .Npw wu~~ ~ ~ eowm, w~DOwED. WvOKED ~ s?ecrs ~ ~ Kentuck + U.S.A. Married Sydney T. Davis •M+~ wc:.uo - ' ~,•eo r a~w~ SOdAI SECURIiY NUWER USUAI OCCU?ATION ~ur! er+o W.rou ow~f ow~N6 ~ost O~ K1ND Of WSMIESS OR 1lOUSTRY . 7 xc~ueo wn+w ~ne. ~.u. u nruu ~ ~ ; ;;}';;„~`a;t`~ 405-12-4329 „ Nousewife Own Nome ~,.~4'. ~ = .c«~:s~,+. [ESIpENCf-SfATE COUNT1f CITY, VILIAGE OR T01NN411P "11i°+t~*' ~Wm SIREfT ~ ~s?tui. .es w w • , ~r `V > ~ . ~ . i ~a Michi an ~,o wayne ,w Allen Park Yes ,w ..466D•~ -r; . . i~n~e-n.w~ nn~ wow ~.N MOiHER-MAbEH NAMf ~~.u . . $ E;•. r 7N~ ' ~ - ~ ~s William G. Harris Carol`ihe Pate-~-- ~ - t IMPOAAW~T-NM~E W~KM~G ~ODtESS ~s~ue~ o~ o. wo., un ~prj.. ~1!t.•r+~ ' • ,h S dne T. Davis ~n a600 Allen Rd. Allen Park~,=.Ntf, hig3r~. ~1~10~~ ~ rwltT L DE~n+ wps twusEO ~r. ~tNrtR orvtr or~F e~usE rER ~wE fae ~ol. (e). ~rro (c)i u f r~~' n er o su •Me otwm q ur~ro~.a c.uu ~r~T.:,~c. u a.~~N » c ' ~5~3 ta~ CEREBRAL THROMAOSIS • - MULTIPLE °'-Lt!1~5 % N = '7~ - ~ ' ~ ~ . . . ~ . COMNftOM/, CEREBRAL ARTERIOSCLEROSIS W~~~ , ~ ~w~tw a~rt ~~sa w (S) ~ ; 's ~.rleut~ e.us[ ~m. ~ ro. w•s • ea+seoue~+et o, ~ " ftATIN6 fMt yN0lf• ~ ~Y; 111M0 Ci1Y3! U~I F i~~GENERALIZED ARTERIOSCLEROSIS ~AlT 11. OTME! SIGNYK~WT CpvWT10NS ~a~+h~+ canNw~,,.o w o~.w~ wr ~o~ nu~to ~o t~uu ower. ~....~r ~ w~ ~~r 1F YES rl~~ /IMO~M6S COM- 1~t1 W MO~ YO~l~O /M O!1!lM/MW6 (JUS! O~ OlnIM ' ~ Ifi x~ N~ ACCIDEM, SUICIOE, MOMiCqE. Dw W R11 ~ rp..rw, o~~, ~eu ~ MpUR HOw IN/UR~ OCCURRED wwa o~ ~M~u~~ ~M r~~i ~ p rur u, rt[r i~ ~ - e VKUr ~ • . u. Q~ L ~w ~ M~a 1lWRY Ai WpRX ?LACE Of 1N1utY ~.o..e, ~.u., sraer, r.eron, ~p~wT10N ~ snar oe ~ r o. wo., e~n w~o.+,+, s~.n ~ ~uec.n ns w ra~ OAKf YDC .fK ~SIlC~/n l IO~. 711 CERT1fKAiqN- .a.*~ w. .E+~ ~ .a+nf o.r re.e .•ro us~ v~w ~wi~e~ .uvt o.. ~ pp/pq Np~ v~Err tp p~ATM OCNRlED n.e ?uce. o.. n~ ~M~S1C~wN: T~ .oi+rw wr rlu wor ~?4e oe~m. ~wov~~ o~n, u.o. ro we ~esi _ ~ o; 5 - -73 10 - 13 - 73 10 - 13 - 73 DID t,.5:45P , . M /0 rA[ C~VSt~fl Sf~Tfp. CfRT1FKJ?110N-~KAI ExA~?WER OR ~OROnER o.. r~e us~s a~ •~,a o. a.m rMe oeceoe..i ..~s ?~wow.eeo o~•o fW~M~ip~ a n~! WO~ u+0/Ot tnt w.vlftw.~~o... ~ti w Ww~o.+. rO~rM Oa~ re~~ ~WV~ oeww~ oc.ew~eo a+ Mt wn u~o ou~ a ew[ c.ust,s~ s~.ne n' r» CERi1f1ER-NAME mn oe rtwn S DA SI('~lED i+a~m. w~. ~tu~ n. H.K. KOSCHNITZKE M.D. n. rn ZO - 15 -73 ; ~~`~u~~~'FIELD ROAD "~`T«`~ A EN PARK MIG~HIGAN 48~.U~ {U~1Al, C[EMAil01i, REMOVAI EMETfRY OR CeEMA/01lV-N.~,~tF IOCwT1ON [~TY, VILLAGE, TVYP. OR CWNiY s~wrc ~ VKUr ~ Cremation Evergreen Crerr:atory City of Detroit, Michigan ~ DATE ~ro~, o~i, .w~ fUNERAI NOME-NAME ANp 4pptfSS ~ sneu o~ ~ r.o. No., em o~ rorM, s~~?t, tu ~ 8~ ,N Ott. 16, 1973 ` ~Yilki~e Funera Home 11583 W. Outer Dr. Qetroit, Michigan a-68 fUi ?URE . RE - owiE vEO r tEG~stua j 3ooM ~ ~f - d/ - ,w isi % 3 ' ? -.~-..~+~?"M_"...~-_M'_ : "r _ . ? _ ~ _ " ...RG-. . / wR . • • '_w _u~ • a ~ ~ ~ ? 2'~pss9 F~IEp A.4~ RECORDED ST. ~~CI£ C~UkTI' F~~. ROCi '0! i R~IS pc~~~ RK ~~:~%li1T COURt n F+EJ D~c I i6 PH' 13 ~ ~ ~~4~ i,1.7,~~,s ~r~~~ ~I~~ cti~ ~c( . . ~ eQ ii'f ~ l 3 2!~'i ~J7~ 8D1;K LcN ~t /''f ~ ,