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Home My WebLink About0958 ~i • D~ElROI? D~ARTf4J+IT OF HEALZS rITAL STATtSTICB DIVZSI0~1 . 30~ ~ t~: , CERTIFICATE OF DEATH J-x ~ 1:~~. ~ow au .wua ~M~ ~w d h?te F1wM ww w'w.ree pECEASEp-~1µQ ~ns~ wM~ u?st SEl DA1E Of OE/1M ~ wwrr, ~~r, ~w e~ t v fACE ~wfl. Mf6~0. ~rf~KU~ wW~r. A(~iE-ufr WON 1 R~~ YMCt~ 1 M/ DA?E QF ~iM IrOMM, M~. ~Q{~'!1r ~f OEATM ~ ! !K. 13HCNt~ M~IM~t ItWfl np~. yn ~qNf .W. ~fY1 ~ ~ A A k • H- f ITY, VIILAGE. O~WPKNiP OF DEATH wsre c~r ~rn NOSMIK OR OT11ER tiST - ~r Mw w~ e~e~n, ir~m rue ~wrrn ~ ~recr~ ns a uo ~ A 1~. 11. ~ ~ „ . S1ATE pf ~IRM ~ r MO~ W Y.~.~„ wuy pTIZEN pF w11AT COUNilY MARRIEO, lEYER M/1RlIED, SUlY1VNG SI'OtlSE ~ r wt, on~ wstM wre ~ ~ couhw* ~ wpOwEO. WVOlQO ~ vec~s ~ ~ ~ ~ ~ ~w., •noence ~ r:i":'l_ Vnry • A N. 4• 11. rt ~ ..e.~ oece~s[e u.io u a~w SOCULL SfClIR1iY MIM~E! USUAI OCCUMTION ~GVe cM Or v0~[ oaN su~w0 rOti p i ca~~.eeo w . q~ wuwo ?w. ne» r nn~a ~ R!O Of MISlESS kOllSTRr ` F ~..s,~•~~~a.. on. ~t ,~i ,~~CO ~y L? y .~L~e»u uar .w~ss~o... ~~pEtKE-StAtE COUNir CfTY, VILUYGE OR TOWNSHIP c~ Sif@t MiD L~~. ~wcr~ ns w ro e tb T t; 1. •.r~ ~N. Y ~ ~a. ~ ~ ~ ~ t fAiMfR-NAMf nw rrae up MOTIER-MADEN HAME rru ryq~ •~y~ ~S h p. 1 INFORM~M-NAJwE ~w?RNG wD0lESS ~swen w a.r.~. wo., cw~ a wrv.. u.~e, rr~ Aa ~T IA ~ . ^ r~T oEwtn wns uusEO sr: ~H+rER orxr onE cwusE ?E~ tNE rot (o~ ru+D K+.na. a.u+ ~e.~. ~ N. wreo..w c.~u yC F~ f/ ~ ' ~ v' ~ ~ t i ~-t7 ~ ~ ~ . • • - coNarwMS, u ~wr, rN~cr a~re nse ro (?1 ~r.ua~n c.vse ~m, we w. w•s • co«seaw.~ce w: ~1~~IMG 1M! VMOlb • ui~o c•vse u~s~ ! ~ ?~?RT OiNER SIGH1fK~NT CONWT~O?aS: cwanan co.nMllhKr q Ol~M W~ Mpl lEt~tp t0 UYS! G/r!N w~~n ~ a~ ~~r i rES .en nrs~res co.. ` i ~ns oe w~ «~ne N anu~M«+o cwu 's ; w. N~ 3 ~ I10CIOEM, StIKIDE. MOWCIOE. A ~ ra~tw. w~, ~eu ~ ~+ow o~wer OCCV[REC ~ brte~ wA~t O~ uwn ~w rur ~ O~ ~~n w, atr ~ i j ~srec+. i lr. 7A • 1R M. lY. ~ i IlIAlI~ AT WORIC ?lJ1CE Of INIURY wo..e. r~a., snttr, ~~c+on, IOCAl10N ~ tinett o~ tr.~. wo.. Mt M~owr, p~w ~ ~ I~MdA Rf M NOI OAKt MOG..~K. ~fMCV?~ ~ lw. !M : CERtIRUTqN- .o.rtw w. nu .ww w. .w ~10 IAlI f0w 11r/M!~ Mltl! ON ~ ee/ae .v~ .r. ~e o[~n~ octua~[o •r sK nwu. w s~e y ~~nrsK.~wN: TO ~1 roMtw ~rr e,u`u wa •ns wk ~roY~~ wt. ~we. io ~wt ns~ ~ tla o[Ct~fte ~Wr ~4 7 L~ • 1 Z' !1[. y ~ s~~ p r~ [worn~eoe, pR 7 CEti~1U?i10N-MEDKwI Ex~wEt OR COROr~Et: a..w~ s~s w nr 2N. C t1.. - M. to wr c.wew~ su+e~_ : } MOUt Or oE~r Mt MClOfM V4~y /~DMOYMClO M14 . i ~ lIAMN~1qM p M! WOt uO/O~ tw! rnfft~G~~pM, ~r~ rt O?wqw. _ ~1 ~OM11 Mt hY Ip~ . 2 ~ eua occweo a. w wn a+o oue w.we c.vse~s~ s~•no. :.Ml 7C/ . i K ~ ~ ~7N""~ % L ? ~ ~ ~x ~ _ ~ ~ ~o ~ n._ ri?. , - ~ wu?IINCs ~-CftiYrf~ ~ ! s+~at a~ o iq. cm w / ~ ~ ~ ` N~ee ir !li i~ ~ • ~ ~ W~IAI, i1pN, REMpvu EMETERr OR CREMATOR~-rIU?~E l flON CITY, VILLK,E, TWP. pR CQUNTY sun ~ ~sncr~~ ~ !N ~ t~~ :'r !k. ' 2 t' ~ OA1E rrpnw, w~, aw~ ~ iUNER~LL N -?+aME ~wp AppREU ~~rntr p~.r.o. r.o., cm o~ ~o~, uwn, :a ~ B 36 J4 n n 1 O ^ 7 if ~ n-) C 'T'- t?'Y • ~ 8-68 ~uNUUU - r ~ ~stw-src,?+wrue~~..: i ~ ~ a ' 300M S l ~~r~f-',r'!'~?0 ~ { - - _ _ - - - - - • - - - r . . ~ I hereb~ certif~ that tbe foregoiug is e? true . c~opr';of.''l~b~record oa file ia the ~ D~ttoit Ds t~ent of Heslth wtte6ted b tbs:. . per ; J '~a~se~-;sea~r ao f the Cit~ of Detroit. ~ ~ ~ 'iF.~~Y i~~~ , . . EO ~ - • . ^ ~ - ¢ 5~~~~CIE ~~~~TM~ ; - . ~r. ' ~'r ~ - :i IIOK ~ lRGtl?S ODy~f . . ' - ~ . . ; ' CI.E~ Y~Rtt~~~ ~ r r ~ pf~~a ~u ,1~ , , . t.z £ 11~? ~ • I~E. ~ 134 1 ~ 3~ .Di~~t~p~ a.a;,, ital Statiatics x ~ ' f' .6i ' t s~yf - y. ~ ; , _ ~~s r ~ j : 3 . ~ted ~ ~ ~ l~;ia , _ Q . . . ~ ~ . _ ~ooic 2/JV PASE a~J~ ~ • , - - - . , _ ~ _ r.