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HomeMy WebLinkAbout2116 1 • f / _ ~f D~'?AOI? DEPARTl~+tT OF HEALZfl - rIT~I. STATTSTTCS DIIRSIWI 30~Q'~'~ • CERTIFICATE OF DEATH r- ~'rj~/~"!~. • w~. nu .w..ee MYt~lw O~r ~f M1k 11.~M aae w.,.re~ p~A~p_Nµ~ rw~ uu SEX D/1fE Of OEAM ~ ro«rw. nu ~ ~ iYlh!'r II'Rt'D PERRY ~'El!'A LE ~APRI L 1 R~ 1974 ~ACE .rw. wow. urrc.n ww.. AGE-uu- w+e~ ~.e.~ ww~ ~ Yr OA1E Of M~1M ~.a~r. Mt. COUNTY q OU?M , irHITE ~ W` ~P 22 ~ I912 :~AYIU`E ~ ~.61 ~ ~ Vil IP OF OE/1TH r•fw c~r w~s MOSMAt Ot O1MH KStIM - ~r Ma w in~n. aiw uw~ ..r w.re~ ? - D~~TR~ZT ~ES ,~hE:i GRACE HOSPITAL S~wTE Of M!M ~ r.a~ r. ~.s.... ....e aTIZ9a Of w1uT 001lNftr MARMED, ?~EVER w~1fO. StlRrIrNG SlOUSE ~ r.re. awe .u~rM w.~ ? , CAh:,DA USA ~q~°"~""`~" „ LEO J. PaRRY ~ rwn oec~.~es SOGAI SE~IIl1~ MIM~Et USUAI OCMATION ~ava cw o~ ~.ot eow wWno .oa p K!O Of K/S~ESS OR M~OIlSitr l1YZD N p~~1~ ~~tnrvrw~., 6~re 373-18-895g ~.'°~.'°'".~"Jc .JSr',rIFE HOJ~E tlLDlMC! ~Iq~ .a..~ss+ou. ~E5IDENCE-SiAtE COUNt1f CtTY, VILIAC# OR TOVVNSMIP rrw cw~ ar~ STIeEiT ~u+D .~.ICHIGAt~ i~AYl~E LIf?CC~Lir PARK ;w`~'~~~ 958 CL~.'VELAi.D fATNER-NAME ~wt rMt~ Wt MOT/~!-MADEN NAME nM wNtt uN „ JAntS ALL~N ISABEGL~4 TAYLOR IH~OWANt-NAME MWNG ADO~ESS ~s~en w~.r.~. wo.. un oa a.M. ~.w. t+~ ~k L~'O J. PEFcRY 958 CLEVELAlvD~ LIJ.COLI'r FARJCs t~ICH 48146 ~nitt oum wws c~usEO ~r: ~cwr~t a+tr o~ uust rc~ u+[ rat h1161 u+~ kM ..MU. wber ..r .e.m , N ""'t"` urs' . . . ~ M~ ~ lL~t,e,l~'w 2 Y,t,/ y'rr+.c~i ~ ~J - ; corNnows, u r~t'• / ~ ~ ~rw~CM o~oe nfe w (N ~ u..ta•n uvse ~a. we w. a u• w~seaie..ce a: ~unNO iw~ YMOH- • ~nwo c~nfe ust ~ K~ %'v~.~~~ti~~~ r.ti~~A~cT, ca ~ ?A[f II. 011~ SIGNIfKANT CON0IT~ONS: ca.awws co..r~uiwo ro eu~w wrt .a~ run~ ro urse ann. ....n ~ w AYTOK/ f YES .~n nr~~ros co.~ ~ • ' - . , . , • ~ ns a ~•o? o~i~r M Kn~wo uwrs~ ~I~CJNPI~:PN~tR: ri7 .tiT• LE~. - Clfr^'+c~ric CA.i~..~T•+c ,Ci,.rG .J.s. w_ NC ~w I1~iClOHif. S11KbE. MO~MIC~DE. ~.a+iw, w~, ~eu~ NOW /IiJYRY OCC1lRRED ~ e.ae~ ~..n~e a uwn r.n ~ p r.n x, m.. ~a ~ F ~ r![~n ~ i s.. tw. t~ M. ~ INIURY AT M10RK RACE Of NlIJR1I •r ~ort. ~ur. srnt. rKion. lOCA1fON ~ sn~ o~ ~.r.~. Mo., tm M tO.n.. pN!? ~MMH R! p MOl pql(t NO6..lK. If/KMTI ~ 1w. !M. ~l- C~f/1CI~T~{- rOMw M~ 'rW rOMM M? tW uO 4ft Lr wr/wt~ uN! OM ~ MO/pY MOt v~l~ M OtA1N OCCWlED ~t M! ~1Kt. OM ~M! TO 11 rww o~r ~ut ww um ww. Iww~ w, w, a M~eu ~ ~ifa~' a:~ ,.o: y ~y'~ tM. ~ ~ g ~T t~c N 7~ ~H. l~..•~•7~ a.. ob.n~o.. aw A w~ to «e cwsew~ wne. CEli1fKJ?TION-MEDKAI Ex~MIHER OR GO[ONER: a. me aws o. we woM a w.w ewt wueert wa~ wo ~~~~UOk O~ M ~00~ wO/p tw! rev[~i~rq~+. w ri O?~p~, rONIM Mt R~t wD~~ ~ M~M 00[Y~ ON M M1! YIO OY! 10 tMt 4Yfl4~ ft~7l~. ~ ~ K CHT1?IER-IiWE a+m p r~w.n etane w mu ~.ww. ~w~.rw~ ~ n. F~-.r~% /~r3?~iliR~~N M• r- . G~i+-.,~a.~-rtu. .o n~ ~ MAING ADOESS-Cf~~1fEf u~en o~ Mo. w~o.~+ w+t er . ri ~7<fH7 Pi. ~,c~ i N j~t T..'ci7 /~l~clf +f82 3 ~WI1l, , ~fRildREIIE~Mi6~M?--NM~E lOUiION CI7Y, VIUJIGE, 7WP. OR COUNiY suR ~ wtwr i ~ BURI~ L ~ ,o HOLY CkOSS DL~'7'kOIT, J~.'ICHIG.~h' : OATE ~.~w~¦. wr, w~ WaER~u MOMf-ruME ~n0 ~DO~ESS ~ siar+ w~~.~. ~.o., cm a ro..r sun. m ~ ~ e~ ,,,.4P~2IL 2~, 1974 ,,.I.K .,iJLO.~Y ?c ,iOI'., ?20E FORT, Lfi.CULt. PAR16, F?CH 4R146 owa eecweq a.~ u~y ~cis~ue i DlECf REG1SiRAR-SrGIV~IU~EE 3~M '/1 !M. i:(•. , i . ~ . .IiC-r..1 liY.' i~ I v ( ~f ~ ~ . " ~ ' ' - - ^ w- " ~ _ ~ ~ '~S - - ~ ~ I hsreb~ certify tLat tLe foregoing is a true coP7 of tLe-.recor,d on f ~e in Lhe ~ tmeat ot flealth• attested by tLe rai6ed,~$aat~-'ot:the Citl 03 Detroit. ~ D~troiL D~par . . ~ . ~ - - s -ti-~; ' ~:.~.L-.-~s~-y~c. ~ ~ • ~ \ ~ ~ i f ~ i. . . ~ if~~o ~Mt aECORUEO : ;i ~ ~ ~ ~ :T.LUCIE COUNIY fU• ` ~ . - ~'z . - ROCi.~ iC~'RI~S ~ ~ - . ar~`~~ u~ :t - ~ ClEAI~ Ct;,:ulT COU ~ ~ ' ; ~ RE~~o,+~ YC~i~tE~~....~-~.. : : ~ ~ ~ ~ ?,~E,~~Z` . - ~ fEe 2~ 318 PN 75 ~.s~o~~a~~;~ ~c~~.ts8ts~s ~ . Z , _ ~ ~ ~.ted A P R 2 i974 ~ ~ ~ ~r R ~,~~;;~:.~0~:~36 ~2114 . . . 3020~~ , ~ ~ . , k"i ~ - ~ e.r . , . . . 3