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HomeMy WebLinkAbout1576 ~ CERTIFICATE OF' DEATH ~ ~ 3~84'7'7 ~ ~ M.:dtw D~w~~ el RrN+c WoM~ sau nu w.~ea • . wc.~ ~w~ w.~u • OfCEwSEO-N~wE ~~y~ a•~~ SE7f OAfE Oi OEAiM ~'wwiw, s.r, 1. ~lii 7 1 RwCt.r~w». ..ww. •+~MC.•~ ~MOUw, wG!-wr v.we~ ~.a~ w~ee~ ~ e.. OwTE O? WRM ~ro~.n., wr. COUNTtt Of OfwM . iK. ~ sncrt ~ w~nw~~ ~~ba~ .+of. e.~~s wou~s wu~. ru~ ~ " • White ~ 1-2 -16 Calhoun Crt1i. iOwN. OR t n oE~n~ r.~w cnr u.w+ HOS~If~?L OR 01ltHt rt+S~RUTWN- ~...w~ r. e.n.e~, one uwu.,+ ~e~ ~ sncar ~u w uo • r ~ Lakeview No ~Lakeview General Hos ital - I SuiE Of WM ~ w.w~ w ~.s.•., wr\ C111Z~Ji Q/ W11AT ~~'1TRY MARRIEO. NENER MAlRIf~. ~VIVM!('i ~E lM Wt. GM r?WM w~Y 1• _.rit : ii~.~~~i at~ t3. S. A. ~b arro~d~~••? Vir inia Heck ~~c.• oecs.sw SOCuI SEQ~ITY WwfR USWN GtCWwT~On ~one cw~ a.wa ewe w.~.a rou p Kltq Of Ml51NE33 Wt IHDUSiRY ~r o~.n. wo~aw w~, aw u aa~ ~ ouu.~eo ~w 66-0 -121 e a in En i ee ~~..Shi vi le Ass c a s .~4~~.~~ w.o.. i:. tl51Dt~KE-Si~rE COUNTr GiY TOwN. OR tOCAT10N t~ ~ STREET AHO ~ ts?ecrr tes oa Mo ~«Michi an ~•.Kala~azo ~«Richaln No ~w Gu Rd ~w~MER-NA~E w.sr ..oa. ~.s. Moi1fER-,N.1oEM I~lAME .w. .w«t ~ Peter Noteboom ~ Ellen C nwa INIORMM+T-~wMf w?~L1wCs ~OOUES3 ~s+wer oa ~~.~..a.. cn+ o~ a..r. sun, tr~ _ ~ ,,..'~irs. Vir inia Noteboom ~nE$ Gull Rd. Richland Michi an 0$ .wxr o[wrn w~.s uus~ ~r. t~ arxr a+e uusc rcR unE ro~ tet tex ~r+o t~M ..~.ee+ o..: w«.n u. r-. / lel ~ f~-~'•~c.<- Wl , S-e y~.c Gt„ ~ l ~ co«wrw..a, ir...., ' rr~d O~q ~~st r0 n) ~ Iwr~Ol~t~ (I1Yl~ IM. ~ ~ ~s ~ COM/OYlK! O?: ?l~lINO h1~ MMO{!~ ~?~MO C~11M {~f/ . ~ (C~' i fA~T M. OTl1lR SIC?N~fICIWf GONOfl10l~S: ca.awa.s tdwrwArw ~O ouw~ M wot ~eun~ so turs~ a~M r~ ~.~r ~ a~ Au10ISY V YES M~~~ /IMOIMOZ Caf ? . ~ l itf Ot w0~ YN~N u~ Niltr~MwO 4N1ff i , N OWM . . . ~ N nCCIOEM. SYKIDE. MOwCJOE. ~ .~•w~.rw, w~, n.~ ~ nOtA u EO ~ t.ate ...~v~[ w wsrn w?~r ~ w~wn w, aas ~s r OM 1NrDETE~MNED ~ tKC.~* ~ ~ . ~ ~ ' ~NrlaY wT wO~C ?tACE OF rr~JRn.~,w.e.••••, snea, r~crw•. IOC~TION ~r ~ an o~ ~o..., sr.n ~ ; ' ~sreun ns o~..o~ ow~t~ Koe_.e~c. ~s.ec...~ : . 29~ 701. . h! t CERi1FKAT10N- .a~rw O.~ re.~ ~o.~e~ wr ~w wo us f+ ,r' wte ~urt ow ~ ao/ao nor ~~er a~e Ot~M OCCVt~tO wr wt ru[!, O.~ n~! ~ ~ `w~SK1~N: t~ ^~w ~7 rOntw O?~ :~taa 100~ ~~tlt Oi~na. IwOV~1 . O?it. ~r+O, 1'O o4 YH ~ 'I ~ ~tfli+OA Mf ~ - dd/ - / ~ / 7 ! lit. ~L p rt [MOrIlOGt, OY! ~ ?t~ O[ClAflO ~Mr ~21~ 71t 71j- ~ ~l 1D LN t~YSlttl f4tp. ; CERi1fICAIIpi-MEO~CwI E1fIwWER OR CORONE~t: o. a.e w.s or rwe wpu~ p oe.n. rwe oKeuNr w.s ~~o..o~u.c[o o!•o ~ ~u..M•?qw W 1K q0~ uO/Ot rw!'w.ls~ ~?r~0+. ~w ~r O?~p~. wwnM ~ ~fa~ MOY~ oram octw*s w~~ eaa .rw ow w na uvu~s~ sun~. ~i tts M. ~l1. ~ CERRRfR-Nywt m~e a.w»n SK~w R/ e DA SKNEO ~.wm, wr, nu~ fl~- / ~ ~ 2H u~n 7 ~ a MA1lwG wDORISS-CE~t u~n~ o~ ~r.o an o~ ' tu. ~ /O . c' o-n ~ . ~ ~!S ~f- /C~ ' ~/Y ~ ~U+TIAt, C~EMAi10M, RFMO~IAI Et1/ OR CREMATORr-- lOG?iWH 4R Ot lpvu - stai~ ! ~ s.ecrr ~ . ~ Burial =n- P ar' e C m ' ' ~ , DATE rnww, w~, .e.r~ suwERwl NONE--NAME ArrO AODRESf i anea w~.r.~. ..o., un w ro••M, s~.a, t,r. ~ B•36 ~4 -2 - ~.D a i ' ' P Ft7NERAl T SKdvATUtE O~tE aKM! ~Y tOCM tlOlfil~R' ± a a~cg ` ~:.rM . ~r !1 ?~r4 • ~w. / . : ~ - _ . . : , a - r, s . . ',i,tt~E~ ~ ~ r.; ~ ~y-r flA• ~=~5 ~ STATE OF MICHIGAN ) ~vv~ - CLER YERFIEO c~'~ t ~ - ~ 3184'7'7 a~coae ; : COUNTY OF CALHOUN ) ~ .s ~ . ~ ~ Oct l II sfl ~M'i5 r ` ~Y-~ `I", MARCUS J. GRAY, CLERK-REGISTII2 OF THE COUNTY OF i CALHOUN,' DO HEK~BY ;CERTIFY TFIAT THE FOREGOING IS A TRUE AND CORRECT ' COPY.OF THE ORIGII~T~L ON FILE IN SAID COUNTY. t ~ r ~ _ . .a ~ ~~j ~ ' SIGNID AND SEALED AT MARSHALL, MICHIGAN i • c~~"~_~` 1~ THIS DAY OF 1975 : ~i, - ~ ~ r • , t• ~ ~r ' $Y ~ - ` ' - DEPLI'I'Y CLERK ~ ~ 4 BOOK ~'tY PACE 15 I~ i ' S - - - - - _ .-'r .i~~ . -~.~.""+y"'S~~3s, x ~?.':~ta~.rr~~ -