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HomeMy WebLinkAbout2503 . : _ 1~~~~~~7~ , 214564 a , ~vzr ~~?tr~r oF xFru.zs ~ : ~ ri'rllL STItTTSTICB DIYZSIO~N 4 . _ } t • CERTIFICATE OF DEATH .oc.i ir, M~ . tiAw~... oM~.r ~l h~ac FI~Y. u.. .m.... . DEGEASEO-NAME ~~~ft rrwt u~~ ~ll DAit OF OEAM ~ row~w, ~~r, n•~ ~ , Elaine Idabelle Sciturro :Female 1 Januar 9, 197~ tAtE vwr. Mww. ..~ucw a.euM, AGE-a.~r w.ee~ ~.~4~ woe~ Ow~E Of WiN ~.o..+r. ~.r. COlM1~? Of OEwTM ~ nc. ~srecv. a¦ ~~w~~ ro?. e.n ~s .r. ~ . t~hite ~7 ~ k Au~'• 1~ 1926 ~layne j 1, VIILAGE. OR tpWNSHIP OF DEATH Ms~ t~^ wM Mp~(~u OR OTNER NStIM10N~- ~r ~ u+ u~w~, cM st~ep uo r~urt~ ~ ~ ~ wcr? ns o~ Mo Detroit Yes tit. Ca~r?el 1~Iercy Hospital ~ SiATE Of YRM ~ w«o~ w u.s wuy Gi~IEN Of Mml?T COUrRR~ MARRIEO. NEVER MAlMEO. SURWVl1G S~OtlSt owa ru+ow w~r i i _ . ?!ichi~an ~ U.S.A. w1DO~D"D"~°i"`~~ Jose h J. Sciturro ~ M I• r e d P .-e~e ne.e.u~ •.~c r oi.r~ SOCIAI SECUtlT/ MJM~ER USUAI OCClNAT10N iwve aw0 Or W~a 00~~! Ow.~6 +wr p I[R~ Of M!Sl~SS OR M~tISTRY ~ ::C~.atO rO~Y4lM! MM M NM~Oi ~ ~t ?9-22-6 91 ~iouse~vife Own Home 3 ~n ce~_: uro~e ~'W+~ tESWE~KE-STAtE COVMr CITY, V1lLAGf OR TbYVNSHIP C~^ SitEEi ~w0 3 ' Southfield ~~~n~«~ ~ * ~ f.tichi~;an ,q Oakland ~k ~w yes 28146 ~lellin~ton r~est _ iwTMER-ivAMf nat ~+raa u1t MOTMER-MAIOFN NAMf ~ru raou uw ,s Forest Hill „ Edith Groom ~ ~NfORMM~1-yCMf . w~s~NG ADOUESS ~s~rn w~.~.~. ~+o., cin o~ ~o.n.. u.n. ir~ Jose h J. Sciturro ,r28146 lrlellington irtest, Southfiel@, I.'.ich. ?~et i. ptwn~ w~6 uvsEO ~r: H+r[e orxr or~ u tr~ ~ e 1e~, w+o i 1 ( 1~ H wmeM oMsn .w oum wea.n uu q ~ 4 !i-~' ~•L-.._~-.---.- t 1 ~ . av. a..~-..._ ~~~~rfti~ , . . ~ r s COMOlfIOMf. ~M?• _ _ J G ' wr~Cw o~v! usf +o (b) C~ CS it w- S~ ~r~tW~tt C~uSe ~m. p~ ~O, p~S • CW+StOUI~Kt O~: ~g' fr~nrG ~u( YMOl~- . ' C ~~i»o c.uu •~si _ ~ ~ARi OTNER ~F~CO?+W_21C~!S: c no..s cawwu»..c ro e. wr .w~ uno w uuu oewr w r~n ~ a~ ~IRO?Sr ~f rES ntee nwe~Mo~ coM• ~ ~ j~ ~~as a.w~ a oe~r~ °~reuu..iro c.vse y C c/ ~~iD ~ 4`- f-- G. t.~ / C~-~. f. j.' ~ IA. ~ IN AGCIDEM. S111C10E. MOMKIOE. A ~ ~ rwtw, wr, ~e ' MOt1R qOW IH/U~r OCCUltfO ~ tM+t~ .unin M~~wn ~w r•n ~ o~ ~wn n, aer ~ ~uion~ • • !M. 10 r[. M. ZM ~NJtItY Ai wORK ~IACE OF WJURY •r .~ore. raer. strEFt. s.csor*. lOG?OON ~ sn~n w~.r.e. .a.. cmr w rmrn. a.~e i 3 i fnun ns o~ •w ~ ow~tt ~x.. t~c. i snun ~ 3 7~ 7M ~ A u CEt?1f1C~t~ON- ra+m e.• n.e .w+e~ w• •~.a ..o u.sr s.. Mri.~~ .uw a. ~ e+s/ae w~ vn.r oe~rN ottuneo •r u~e rua, w nr ~ rOMm C?r ~4~e ~~Rt w. ~wOUl~ ~wt~, u0. ~O M Yu ~MrSK~AN: O~ [MW?!CGl. OV! ~ ~r?[MOtO ~tw! ~ T~ / ~ ~ ~ t1a oea~sto r~or l tu F n~ ft1 ~`"^e !M. TO u~t Gwft~fr ~t.re0. ~ CERi1fKATlON-~EOiCJ?1 FxwiwWEt OR COROaER: o.. Me ~.HS a ne qOlit W q~M fMf OKlOlM~ V~! tiOMOtMKlO W~O ~i~urwa~4+ O/ Mt qO~ ~wD/ W M rntarK.~rpw, ~w re O~+M~O.~, ~OMM O~~ ~W wOY~ 3 ot.n~ occuueo a. s~e ww ..+o ou ro nrt c.use~s~ suno. ~!i' / , , 3~r2_ ;3 tIi ~ - CER11f1ER-r~AME ~me o~ w.r~ SIGNAT eeGfee DA SIGtrEO ~ro+.n~, e~r. *wi Blaise Audet i?~. D. G ~ ! ~ / - - '3 :";`~GDO~~i~f~t'a i:orthlar_d :'edica~`~~ " . ~°'ou$"~'ifield ~`Y`ich. `~80 : WRU?l. CREMAt1pN. REMOVAI EMEiER? Ot ClEMATORT-N~E LOCI?flON ClTY, VILUICE, TWP. OR CWNTY su~e ' ~ srKwt ~ Rer~oval/Burial Grand La~m Cem. Detroit, ?lichi~an DATE .uo/.~N wr. a.s~ WNjRAt HOME-NM~E ANO A00lESS ~ sr~en o~ ~.r.o. ~.o. cm w rovw, tu?n n~ ,~January 12. 19? ,,.na? e Funeral Dir~ctors 21r525 ~:ort~~vestern S4uthf' ~ ~ -~5 r oIRECtat- tEC,~srwt-SeGrut . • • ,a. ow~~ E~v ? ~[cisrawe ~ f,8 • /•z,+:~~;?.~t1~~.~~ .~~-s ~i~ ~~Ib ; ~ ts~ . x. _ ' .j. " ' I berebT certif~ that tbe foregoing ia a true cop~ ot ~2te ~tecord oa file in the Ds~tpit Depq,rtment of 8ealth; atte6ted by the rai6ed.aaal_dt tbs Cit~ of D~troit. ~ ~ ~ v ~f~: ~ 2~45~~ _ ~ ~ ~ ~ ~ =x ! ~ ~ - _ ~ST. LJC~' ~dUNTY fLA. ~ ~ - ~ R:~•:_~ ~'~f~t~$ _ ' Ct=~• ~'~IT CCURT - ' ~ - ~ ~ c r ~ ~ . t. " ' t t ~ ...~...r~. ~ - ~ FE~ I 36 PM ~7a IREriE R~DZ :i : ~ . ~ Dd?~rislkoa- Head,. Yital Statistic6 • ~tOd ~/1~{ 1 ~ l~lY ~ , L`; ~ . ~ ~ , y t ' 3•i!.~.~aER i fRAS1ER, RA. ~ V~~J f~~~ ~ ~ ~ ~ A A""ntyt Of LOM i.• ' ` 1 ~ C. BOX 2210 ~ _ART, flORi~A ` : : ~acE 2~3