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Home My WebLink About0399 Q~/ CERTIF[CATE OF DEATH ~ 3%~~~j%~~ ~ O/ Mk~ip~ D~O~M e! PdNe H~aN lOCwt M! MYrHI f n wu ywuee DECEASfD-NAME rust SEt DAtE Of DfAtN ~ row~r, o~+, ~~.a ~ ~ Ben - Colman ima2e ~ Nov. 30, 2975 1uCE ~++rn, Mtoq. ~wnt~w wouw, AGE-usr u~w~ ~~t~~ woe~ ~ wti DATE Of ~IRiM ~ ro»rw, e~r. COUNiY Oi OEATH eTC. tsntr~~ weas ~~~~~s~ ~wf. wrs wou~s rw. , caucasian A x ~ Jan. 7,~.I894 Oakland C 1TY, Vllll~ , OR Td1NN5HIP OF DEATH «~s~se cm irun NpSryi/1~ pR OTNER MISTRUfqN-N~ME ~r Nw ~~nx~, crn strn uo ..~wa~~ ~ s.ecrr ns w .ro - . Roya1 Oak ,~yes William Beaumont Nospital STATE OF WtiN ~w Not ~w ~.s.~., M~re dI12EN O~ WW1T COUNTR~ A4IIRRIED, NErER MARi~ED, S11R~IIVNG SlOUSE ~p ~+u~. awe ruoe« Nu+e ~ ~i,aMotte, Mo COY"'"' ~ U.S.A. ~r°ti~~°i"`~'~ Jane LeCompte soc~~ s[cubn NuweR USVAI OCCU?ATION IGV! [w0 M wWa oW! pMr~6 rOSt O~ ~ of ws~ss at wanter '1376-I_0-5144-A ~~Bu~siness~Executive Retired RESIOENCE-S/ATF COUNTY ~1'TY~ y~~~/1,('aE pR TdyyNSF11p ~ ~~m ST~EET /WD NU/MifR ' Michiqan Lapeer Hetamora ~ ""`"'j~e3MO 313I Dryden Rd. u. ia. ~k. ~u. u. - f~T?f:R-NM~f ~~n~ wooie . uw MOTNER-~uIDEN NMtE rnx .uaou ~ws~ ~ ~S Sterling Price Colman Elizabeth - Shaw ~trFORMAl1f-NAME MAIIWG AOOtESS ~uun w .a.. cm w~or+w, s~.n, tv~ Jane Colman 313I Dryden Rd. Netamora, Hichigan : v. a.~tr . ..r .u~. ~a OEAM WAS UUSE~ (fHTER Of~MY OP1E GUSE ~ft IMVf fOR (o~ (bl. Al~ (cjI nrv~e» owei •w o~.n~ 11 r•+eoun wrft ~ . t h 0 C~ r C 1 h~?'~` G1 n Cf C V 2 p ~ v~,i~ ~ /Y~ f!~I S~ t~ 3 1 A v 5 . + • N~ - coMOmoNs, n •.n, ..~~cw a~ra ns~ w (s) ~.rea~re c.usf ca. We ro. a~s • co..uare~+ce a~ it~I1MO 1M~ YMOl~- ~ tTING (~YS! l~St ~ ' ?wRT p. OTNER SIGNIfKANT CONDITIONS: ca+anoMS caamun.w q ot~m ~vr wor nuns ~o uuse o~veM r~ r~n ~ ar ~~r tf YES V(!* ~INDIMp~ COM- ~MS q~+o~ LOe~ts oerea.u..wo uuu qY~~ri~ sc~t~oFr~ Ca?A~vvc+sc.,/.~?- c/~~c~as-~ hQ ~r°'i'••~~ AC~IDEM, SUKIOE. FIOhYC10E. OA ~~n~, w~, ~t~e ~ l10UR MOW INJURY OCCURREO ~ t.ati jutuu o~ e.uun r.~r ~ o~ ~.n ner ~ ~ ~retur ~ 20~. 2M 71c. M 10/. I i?~t/URY Ai WOR1C ?tACE OF W/UR~ ~r ~w¦e. r,u, snee*, i.cron. LOCAiION ~ sneet o~ e.r.o. wo.. an oe io.n~, sr.o ~ ~ ~secm ns o~ ~+o~ on~ee r~e.,[x. ~sreeu?~ f Me- 701' _ . ~ CEftTlf1GT10N- ~OwrM Wt ~[u ~ rO~+lw Wt rEU ub 4St L~r nw/~w u~+! OM ~ O~/WO MOt v~M Mt DtAM OCCV~lFD n~! ItKl, d+ At i ?MrSK~wa: TO .o»rn o.r n.~ wo~ u~ee ot~*w. ~no~~~ o••e, ..~n. ~o n~e usr i ~ .rteMOeo m[ y ~ ~ ~I~t A~ 3U ~~7s~ ~ ~a 7 - .S~'t~~M. ~o me c~i~ii: e~ E :4. otn.uorror I lt! /~'U? JI~. ).1 y: !I/.D/J Nni ~ CERTitI(AiION-ME01CAl EXAM4~ER OR CORONER: a+ rwe w~s a~Me wpy~ p~ p[~A 1w! OKtOtNT rws r~pnai.~c[o oe•o . E e w.uu~w p nw ~oo~ wMO/o~ rnt wrtsnwno.~. ~N r~ o?wa.~, ra+*M wr n.~ ~ou~ ~ ~ curM oceunuo o.~ a~t o~a .,a oue io r..e uvu~s~ sr.no. ~ i 7h . Ail t2~. M . . CERTIiIER-HAME ~me o~ rawn SIGNAiURE oee~ee o~ uar DwTE SIGNED ~•o~.u~, o.•, nui . ~ ~ t3.. AI6~.~ E. Nur~u+~ ~J rn .~~u.v~ ~ 4~'G~4h~n? _~ac 3 /975- ~ tiunwe~oo~ss-ccRnr~ce 3s3 S W- t3 Mil~~~9~oad~ ia~ a 1 G a k M~ c l, ~/&o~ 6U1tl~t. QEMATION. IIEAWvAt fMEiE~l1~ OR UEMATORY-IiAME IOCAtfON CITY, VILIAGE, TWP. OR COUVIY sr~re "~"~""Burial Thornville Cemetery 2~ Thornvil.Ie, Michigan 21e N~. DAfE ~ , w fUN Al ME NAME ~ s w~!.e. o to sr~q, an ~ Dec. "O3`; 79"9'S ~u~'g ~ros~":1D~ eraY~lome ~3~"~."'~iain Almont, Michigan tH tS~. r`~ ?S1X+E 101f 4~~ T.I~Rf ~ REG15T ..,~w~ tN tEC~e~=~or~? eEG~sttw~. q ~ tM. O ~ - - - - ----py------------ I hereby certify that this is a true co of a record on.file in the ~ Office of the City Clerk, Royal Oak, Michigan, as attest-ed ~o by the ~ seal of the City of Royal Oak, embossed hereon. ~ ~ . * a±:: C,~,. - ~ r~.~.-...~ `s 4 • •,i ~;_l. ~ _ • T' ' ~='A'~ ~ `•'••~C,S ~ r__'~J-•l....~.--_`. ~r :i;'~ "Y : ~ L - . ~ - _ f ~ ~ ~ : ~ ~ 2 ~ ~ ` g~ 7.~ ~ ~ , s ' ~ + ~ ~ . g Da te De~~y: . . ,~.`r sr ~ ~ q ~ f , ~'~'t'~. t~ ~ ~ f J... E ~ f?~,E~ a~~oou~jY~ ~ '.t'•~~, ~ .:,~~T. ~.~'"c'. • ~~~E~ Y~ ~ ~~pu~t ~ 'i'~:~~ t ~''"'F', ~ • ~ v 1.. ~ c~EA v~F r Eo ` , •'~j~~~..~,~.-- ~ PF~aR~. eH,~6 . . . ~ 3 ~ ;2f U;L ~ E ? 2!~$ ~ ~ . , , _ .lK.: . . 4~~ ~f y.i-' ~:}Er ~ ' ~ .~5~ .3~ea~` .,°.~5~5'F . . 'M?°.~'~'... _ .