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HomeMy WebLinkAbout2327 . ~ ' T HtC ;1 CF NT IF IE l) C(WY OF AN ~?ItII;Wl1L l)Ui:U?:1f N T ~ (l)~~ uut .~ccrl~l ~1 ~~•~~h~ituy~.~~~hril. ur if ~r.~l u~yite•.~~un i.annut l~~• I~rl! 1 THEREPRUUI.^.'t1UNUt~HISOOCUMENTISPROHIBITEOQYI_AW!Chaµ193.380RSMo1 9? STATE OF MISSOUR~ 293269 ~ ~ CIjY~U~ JE~~~Q 1, S 1 HEREBY CERTIFY that this is an exact rep~oduction of the ~~C ~~ijq~ed therein as it now ap{~ears in the pemianent records of the Bureau ol 'e~~ b~of Health oi Missouri W~tr?rss my hand as Swte Registrar of Vrtal ' ' ~ . ~ ~ ~ ~lsion of Health of M~ssou~~ this date of . ~ • 'r / _ ' • p ~ • ~ / ~ . ~ . ~ ~ r ~~~~~V ~'~'Mv(/ . ~ti~ '1"" ~ r '1 i State Reqistrar ot Vital Stat~stics . ~ ~ • . ~ ~ ~ - ~ ~ - on~ a ~TM o~ ~ _ . `~s.`~~~~E3 ~ ~t; ~o~ cFan~care o~ o~?n~ N. _ ' at~. ~~s~. ~s. ~ •~~w. ~tc. o~sr .c / O d ' •~~n. ~e. YL-. -_~iSy w..:.w~_ j• . , r~iwc= i+i=~' ~_---__---=sz-- ~ i usuw~ aes~ouru "M-+.....~. • CO~x'Y , . STATE • ? GOUMir r .r..r.. ~ ~~K~eN- ~~!.Z2~.ll~i _ _ ._?4~.tia~^/__~ ~i C1Tl !1 •~aW ...+r.~. ~..r .+r tcl.~: Iw j c LI~MGTN 'J~ c:~ n' Y•wr• ~s~••• a.as tCLi W I~ w~~ OA a~y TT,~Y- ~r. r. M.~•'~ GR K ~ r ~ 1 Ty~ KA NiiA~ Ci T y ,_!~s(~-E _ ~ .~TOtl~N _'~1'~N~.A~~1Z.7f--~- ~ - - - . 7 ~ F Rl A~~1E .7I •u w r~r l.~r~rna Iw w. ~~a~~ wr~ ~ O STItlT7 ~M ~wt M++~~~i - KSI+Ta; t*A ~ ~ ~ ~i¢ . { ~ ~~r-~no.~ ~~~1 1'Y.a 1, 7 a i 4YA~~~It/~ ~s~-- _ ~e~ ~ - - , ~ Nh#2E ('3f ? ./mR1 0 l4 1 ~ Il~w~ ! • LiTE sY (T~r: ~~eaccas~o~ ,,..Sa HE~iP r,1)~ ~4.4 /J. CL~~ o~j ! ou*w .~~1,. r 18. ~ 9~'' , 1 SI1 ~ CLYGI! Of1 P~GE ( i ¦MR!ED. Ni.1~=N tl~R1U[D. W~E Oi NATTI 1 AGf .t•iM~ • . r • ws w~:A+fA. G~aOHCED ~.uar+ ~ rr.wt..~ ~f~}~ G.rs L.~ i u. j ~ ~f M A,~.~ VV r+~~ T~ ~_~..,,_t~e r,~ r_~ . ~PT :11.~ ~ X 9 S 3r4 S~ ~ ~ ; ~ WL1~lOCtLTATDN Kar.e~~.~• IOt. KtXD 0I dil~ilkLSS OR IM- 11 p~TNKACF ~t~.. r wr. « r.wV~ f.r..~• 1t CiT:aTk0/ DY.~7 a+..raa.r..wer...~r.r.~ ~ w1sfRlr +y~?`~ ~ ~ NnLr~i inl~~~ M • KAN~A~~~y~~lsso~/!i ? ~~1~. r~ra~'s wa u~. ~onas•s ur.~oo. ~wrt u lL.i a wsa~ wa.'e i ! ~ L.` A V~Ab 1~~ ~ ~?zZ!~~L13`d~ F i-~-~ a 7 T ~ ' ~Q.s,~s.ics~~v!~n13 ~ - i- a+axs ctu~.o cru ~.r u s+~Fyc:, ~o+r es~ ~ n saa?1 ~::ua~ r ~ V. INi~0i1MANT' S~ 01AT1~~E ON MAMi /t:.:,if 55 ~ rtr r..~ rr..i 1 ~.a~ r~ w..v ~ w r.~~.~s~ ~ - ~ ~ [No 1 n! o •v~ K ~ ?~IfR.~_BClrNIl.~_KEt1M~44~1 ~~l~r_ A~~ /f'~e r cw~,[ as ctwrn RiE~tCI1L CtR71€IG?Tl~ra ,•..1~.: a,-.._~ . ~ ~ ~.~.y~r ~ ~ ~:~T~ ~rr~.~~.~,,.~~,.~~. ~ - = ~ + O3k2,.~~r tfADi~v t0 DEATN• . ; ~ t~ fa W. lL~. ~00 Kt - ! • i1Y ie~ rot +ws ~T`'«'YT GILS£5 ~ OIIN~.J~ i KJ~' - ' ' ! W a~L. M rJ9sJ. l~[w~t wssrr. ~ fnV DUE f~0 te) - ' ~ a 4rtlb~sr~. ci+~a a +asr a!b s?a av i r+y . ~ ! . ~ . ~r • ~r~y t~r b- ~ ~a~ErtlYq aar M~ ~ ~ - ~R~.~i?iR~T~ Dl~ TO IL) w dka ~re~ irr~ 11 OTi+tA ~:ratfKxYT Gdc~7TtC~6 ~ i (!~f'fwu t~1 ~ W Mtl l~s a1 , ~ ~~it:~l b 3L CK+~ ~ oat:f~ e~e~f iMLl. , i li? W7L Of Cii~ ' DO ~kAlQ9 f7ND:7h~.5 Of Ci"UAT:.yI t II ~s.^Co'SR . : ~ r-^ i eII~e~~ . ~ ~ ty.YS~ca~A 2~e.RALECiiK,'taRYw~r..~.r Iie.lClilf.Ta7rXOa~'Oa~e~X'ff ICWx11? E~~'U . i ~,."{i.-~( ~ a~?Ve~1~fl~ ~wf.iY~.w) - . ~ KGf:::At7£ - t ~ »a rKi ~aw, ia.n ~T... a..~ j 2te cntlfRr OCCZ+astiD . m?~of uo u~aRT om,A~ . f ~ ~Y ` (~iA.t ~T(''~ ~Q'T t41ff~ ~ ~ ! ~ o6sS U lt'Y~S LJ • ' . ' + ~ ~ a/ 2asSi Er!S~„~ L~ a::e*.::ed IRi de~ewea jroa ti~~ ~ !p__, ~e 1~~'~ _ a. tL~ / ls~t s4ar a,r dre~s:rE; . ; ~ • e:iet c^~ _~~°~r]~' 79_ owd l~ot 3~a:A xtti~*ed aL e~ . J'o•s du taur~ end ~w t4 3s•. •d ~'.a+ ~ i ~ a s::~.~arru:a I~.-s w~:` -y ?1=.I) «,.rn.«u:~: • bo ~cc~ ~ ~.-r s i i f . ~~,t,,~,1'L vz _h 3.' i~ ; 6 ~i 5 w :.R a„~.~l~ ~ ~ ~ a.o ; t ~7• 6~ :a:. C L..:Ii ~ ~ I< RAKS C' ~1=iitA1 l:sbae3=#~~'::7~i ISl l..r::..il ~i..~ I.:+z.cte.-+ ':1 • a~ : ~ ~ F~~,jal.e,j 4~_ eTIN,~.~'~~'~+~~r3/;~gS1 NlCL ~ffi'~~jE/[~ ~~J~NaAS ~/7~ ~ ~~!'l,'/~ ~ aL~ 3LYl _:.~ca ~::,.s 'p +ru1..[eai c~~Lts~e • s~c r~ o_~l•_.~.:, ~ j ,t . • ~ A ~ $ 4 *s - ~ ' ~ i ' , R ~ . n ) ~ ~ ~ ^ ~ ~Y.I.U ~ ~ < t t •~.~'`.uf - - ~ ~ ~ s ' _ , • - ~ , - ' ~ . ~.::.._.._~...a.._.~ ~ .~r. - s~r.~ 1.~.+....+cJi ..J J {~~-.-.y ._l. ~ ! lE0 AMp RECOROEp ~~.~UCIE CGUNTY fLA. ` 1 BCER POjTRAS ~ CLERK C+~CU~t pOURT R~COR.^• vER~F1E~ = O~t 10 3 os PM ~7~ ~ ~ . ! ~ s ~aJ ~.i?~ V ~ Microfilm Memo ~ The quality of this ~ - copy is unsatisfactory ~ f or microf ilming . ~ aooK~ ~2~'~ . . . ~ . i' i~ 3~ . ~ . ; ~ ~ _ . ~ . k~ i-~ 'Y- . . {•L'~~~~ ~~Yy "'ae~~_ .~.'¢'h ~ ~ ~ . ~ K , ~ Y r ._.,s