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HomeMy WebLinkAbout0865 ~ OAT[ R[ G1~TCN[G 8Y bTATi kC GISTkwk STATE OF COLORADO , CERTIFtCA?E OF DEATH 30~584 ~r._•,!•,~~ 1~MrSK~~ OR CO~ONERI .ec•• ••.~rw~~• 0(CE~lEO-h~rE "'O°`~ SEI O~./E 6/ OE~tM ..s.•.. ~ Arthur W. SCNICitTEL •Sr• , Malc , July 15,1971 ' 4~CE wart~+~~r~r. AGE- ure~~ ..a.• wo~~ . s~. a•c..~.~i.... p.•„a•. OATE Oi SI~iN •..e..~ COVNTI 01 DE~TN ~ ~vhite 67 an.4 1904 a s.. s~. • J ' ~nve r C~T~, iJ~N 041OCA1~p1 Of OEAiM NrLOE CIT1I tMrTf N S~IIAI A OTNFA iMST1iUT1 -NwYE •v ~e~ .r ~.~rp M~~ ~r~p~ ~..~+wN~ ~ ~ t c... . ~n• . ~ 7._ Denver yes Rose Memorial Hospital ~ ` STAf E OF S~RTM v.t.`~`:: 1TIZ(N OF tNAT COUNTRr YAR91E0. NErER Y~~RIEO, SUAYIYIN~i S?OUSE s.~~ ..~.~t+~~.~• j . .co av cEa...~...• ; ~ec~ Jersey ~ ~ U.S.A. p1~°artie~ Lillian Bernhart _ ~ ~ SOC~~~ SEtu4~T? NyrsER USUAI OCCU'AT~ON .~nee~ w~~ e~w~ ~v~•w~ M~~ e• RIKO Of ~Y11NEf1 OR INOY3t~1/ M~..ti~ \~I~. \~\Y u ~~F~~M ,,140-OS-2276 „h Engineer ~~~Insurance ~ES~OEMCE - fi~TE COYNTr C~it, TOrN, 0~ LOCATION "'~o~ 1T~EET u~D MUr~ER M~c~~~ t~~ O~ ~r~ . ;~,olorado ,~,~enver ,~~Denver ~~~?es 686 So. Pennsylvania , iATMEA~3MAY[ r.~~r ..ew• rOTMER'SrnIDEMNArE ..ee.~ „ peter H. Schichtel ,~Barbara Andress • NfOAYANT ~ N~Y[ ~E~~iWN i0 OECE~lEO r~ul~G ~OO~Eii •••~s. ~.....~..s. c.•• Y : ~,.,Lillian Schichtel wife „~686 So. Pennsylvania Denvq~Co~.ora~~G9 .N CaUSE Oi OE~TM e.~ c•v~~ re~•~• M•re•~• ia~ ci~~~ • ?A~T 1 • ~ • • ~ . a~. n.~ . tYCV ~ ~A / ~ ~rrEOUTE GYSEId I ; v " " l I~ ? . , ~ z~?^'~_ ~~Mlw ~ C~~b~~M~..~ ~ti• i~ ~ ! ` -n~ •y ~ 'r ~ ' . - • . , ,~r , ^ , c • c; ; i : ' / ......a... r?~ : - _ . Q~~ •~~t.A~ utiOt~. ' Ovf ~ ~M~~IM~~t ~I• . ? ~.r~ C ~~~t ~ ~ ~ ' It) ~ ~I"fH1 I i 1~~T It_ OTNER pW~IFICANT CONpT1pNf~ ce.rn~..~c~+•rh.~..s et~s. wr.H~ ~a~~~w » swn ~•.i+n. ~•w~ ~UTODSY S ~..a+u se.. ~ ~ .a.s.w o ~a•a~+..~c....~; i ~ : J 1?~. n 0 N?. Ol,4,t~ ~ v •CC~DENt, SINUpE. 11prIC10E O~~E iMOVROf ~NIURIf .wr~. e....~~a.wV¦. N0~ IMJYIIt OCCU~REO•~+~~~ +~~v~~ wiv~~ ~r ~a~~. ~~~r ~ - 'MlC•~~~ i ~ i f 70•. ]0?. r. IOs. ~ .r F( u ~~+/URt AT ~OYIt •IACE Of INJUAY ~wa ~~r ~~~a~• LOCATIOM o~~~ts ~.i.a w.. a~• e~ ~e.+ ~f S V 'N~(.it O~ ti0• •~Cf~~~. ~II~~~ ~l0{.. /~t. ~N~C~I~~ . t < Ta. ~ ~ r_ • ' " ~ . ~ ~ W C.RI~FICATION-IM~SIGAN . ~ - . ' •~~~o~o ~..a oat~~~i0 ~~or y~ . t• •~e i~~~ ~a~~.~~1 ~w ¦O ~1 ~ j1.0[~tn OlCY~~ ~ M • r. F M< O~tl ~f~~~0 ~~0~[l ~ti0 t~ ~..1 ~[~t OI M •SO~~[Oi[. •bY i~V~l~ ~~O• ' Cfans~~~iqh-COiO~+E~ s~ ~.a ~~s~~ {ur~w~ny~ we~ ~e~vmw. TME O~CEOEMt ~sf ~11WtOVMCEG OE~O w.o... o~. .a•. ..e.,•, •.o'e~ ~~•t~~.t~~.er. rt Mw~M O~~~r ~~~y~~~0 M~.~~ 0~~~ a~~ . oy~ ~O t.t t~v~l•M ~t~~{0. . )J.. ~ M. JI?. t r' CERT~s~EA-S~GN~TURE . ~A e~~~aaow ar~• OATE 31GMED •r~r•+. o~. .t.• j ~ " i ~ ~y'_~~.• 1 ti . - ' ' )7~. . . • . ~7?. _ ~ CERTIFIER-NAYf f~.~~ o~ YAILING ADOAESS o~ ~.~.0. +O. . c•~• o~ ~e.n i Gerald Miller M.D. ~~~3865 Cherry Creek North Drive D2r.ver,Co~o`ra~o j t 6uY~ CQEr T~pN, iErOvAL CEr • O E TO . ~p~ ' ~ ~.~,i ; ~ Z ~remation ~f4es~~g~ C~r~'t~'~tory A~s County,CttTai'ado ~ o u.. . ~ o"TEJuly 1$~;13y1"." f°"~i'~o'~"'t~id~tt4~i~~s;i`n~: ~i99°! ~3 z~an••,~ F o ls.. Denver,Colorado 80203 ~ fUh ~A~ ~ECTOR-f1GNATUfE IICENfENO. AEG1fT wR-fIGiATY~E Q~TEREGE~vEO~TIOG~~EGST4~q • ~ ° ~ '~1~ ~ ~2a ~ "s ~ - . -rt / ~ ~ • x.. s~;~. ~ s ;stt : ~ - _ . - _ - - - . . . . - - - - . - ~ ~ STATE OF COIARADO, City and Cbunty of Denver, SS. ~ I hereby certify that the above is a true, full and correct copy of ~ the ceXtif cate,.in my custody and now on file-in my office. ~ - ~ # - _ ~ ~ +.`•~~i~ ~s '~y' ti~nd and of f icial seal at Denver, in said State, this U,~ d~~r;,o~- J~1y,~.;~, ~1971 . ~7 • ~ . ~ ~ ~ J. . 'a` ^F ~ C . s ~f, ~ '~~,~Y ~ ~y-' 'i • F--~ ' r ~ ~ ~ ~ ; . ~ ~ : ~ i ~1: : ~ ~ • - ° ' ~ a~ Reg 8trar o ital Statistics ~ ~ . . N r ' _ - 1'.;' ;,j Q• Ci and County of Denver ~ t~ . . , _~„y~. ~ C•~~•~~~~~s~~:¢_~ ~ ~U:~ T Y ~}E ~ n l7~ ~ ~OpK ~~l PAGE ~ ~ D uty ~ • ~ _ { ~ ~ ~ x~. =r~ _1-_~ z ~ w~~ ~ z~~