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Home My WebLink About0524 . - ~ ~ CERTIFICATE OF DEATH r .~~1g~ ~ .ou. :N. ~ur~ Mlsw.• D...AwN ?dilt ?+..YI? .ne M. w.M. ~N~~ I~~f/ ~~M~ 4~ft j DA~ ~~AM 1 rOMtM, 0~~, sfM 1 ~ ~ : ~ - -2 6 - / ~AC~ wrw. www. urnc.r wM~r, AGE-us~ w~~ ~+es~ u.e~~ ~ a~~ DwTt OF NRM ~.o..n~. e.r. COUNTY Of OEAiN ~1t. 1 lNC1/f 1 M~a~l ~lY11 MO~. 0~1! M011tl rN. ~fY ~ , „ . - / - i9/ 1?1~'~ e.. IL , IV Of TTI wwt tw~ ura~ MOS?IUL OR O RtST - ~.o~ n~ emm. a s~~ «wra ~ i vecr~ ns o~ .w n S G STA`T~!~ ~IM 1 tl MOf M Y.l.~.. M~re C1fl2M Of WMAT i~ MW~IlD, tJErE! MARlEO. SURVWlKi S~OUISE ww. owe r~ren w~w ~ _ . ` W o S - ~ . A. . ~ ~ e ~ 1 'f 1 C ~ 1 wt ~Q ~ .-..e .,..usN ~y~ S[CN~? til!?rE~ USUy OCMATION ~a.+~ ~w~ a wr.w rof~ a I~D Of M/Sl~SS W It~1lS1RY ouw~ rrpt uw, r Mww ~ : u f ff0 iM ` ~ .)t.~vT1b~. 01r! ~2. ~ ~ ~ ~ ~ C • ~i v +e~ ~f+C! ~l~ON . _ r.if~Cw. (E~~S~A~ ~~n ~~n~ ~<~~iE ~ ~ Ml~M C/~ NY~ S~~ N~ ~ _ ~ ~reer~ na w No ~ G ~w. W~ r ~ I iu. 'e. ~a. LS- c ~ fwTMEt-NAME nw .m~t ua MOT~H-~u~DEN ~rx .wwe uar If a L°. ~ ~ 1~. ~ ~ ~N~O~MANT-HM~E w?IIwG AD0IESS ~ oi «o.. cwr o~ w~r... u.w. u~ ~k S e. i c ~ ~a 3 .S ~d w c~' U /S 1 Y rntr ~ oEwm wws Guslo ([++ret oear on[ uus[ ret tr+E Eoe hl AL ~ kM .m...n o...n ..w ...n~ u. . ~ ~e>'~ o N a z J ~_~~o m c~os~ ~ 5 ~-+~-anr.~. ~w ~wtaaie iiseMio ~ Q 1, IC ~t(C -rb~SfCfjSIL ~rrfM~tt UYf~ ~o~, Ow W. O~ ~i~~ K! W: 5 fi~t~r0 tw~ YMYM \tlMp ~~YM U1t ~A~ A. QT~f ~K~~ ~M~~~wwv: Gd~01/1a! CO~~MMIMG ~O O~~M NN MO~ M4NY M CN11! GAlM M Nf~ 1 N~ ~~ptr If ~ES r~N IIMNM6{ ~OM• ~ ~ 111s O~ MOI YM~M N~ WtlW~MO UYS! j w oarw i A. N~. i ~pE. w ~.wrw. o.~, ~w~ NpW INJUR1f OCCURRED ~~a w.~we a~Mwn rrt ~ oa r~n w, wr ~ ! ~ srecr~ ~ j }a. ~ ~ ~ 7k. M 2Y. E IN1U! AT KACE Oi wllJ~t.* ro.r. s*rn, r.e+on. lOUitOM ~ fneR w~~.~. wo.. un w ~o,n., s~4u ~ ~ ~ f~eaw ns w wo~ ow~u we.. nt. ~ v~crr ~ ~ !w. iM. ~ ; CFRfrICAT10N-- ror~w w• n.a ra+~w w• rua ~.e u.sr s~. wr/Mn ~uw ow ~ was w~ vmr sr otwn~ ottuiuo .r a~e w~ce. w nw ' ?NtSKUHc ?O M ro.~m w~ nr ~ow ~r~~ w ri i~io.pieo~o~, an g t1a ace.ue rw.. ^ 71~_ ~V 7~ Hc - ~ tM ~ O t tt•. ~ .M. ro ma uwra~ su~w. ~ CERTi1G?TIO~i-MEO~CA E7twwHE! OR COlONER~ o+ nn aws or me wow w a.n~ rwi wcwe.n wu r~ouou.~c~e ow ~ eurw.~. a ae ww ...s/o~ ne r..tfnuna.. o. or.+.a... ..o.nr wr nu ww w•m oceawe o.~ wr ww ~ws sui ~o me cwsNU s~.ws . ~ M !b_ K CERTIRE!-~awwf mrec~ ?~w.n ' ~nl1M~I,~-~ o~ rewe R tE SK,NEO ~..o..~, w.,.w~ n~ l~ JI LL.tam ~ti1~~'tc~~Cl1 G O-~SC-7~ snen w e.~.o. w. m w u.n [v ' r~. - •~2~ rlil N l vo~ r N ?(c ~L 4 ~ ~ ~Wn~l. c~E~u?iqM. ~Ewovwl En OR C~Ew~ran-x.wE lOU CIiY, Viltl~GE, TWP. OR COU s7.n i snarr ~ • :a. i~~ ~ dt U~e. C~ e 1 D 1~ ~ Pdh - rar_ a, ' aa:=cs-. J'. :sl: a~ys ~na~s . u~us=Y!~ 1K~S •!•••w • r w rn , rm M MrIM~ a~~n, ~ _ ~ . ;3~+ , - a ~ ~ o o e --t ~ ? b ~ ~sy ?•35 f _ -SrGn~ruRE o.a'~f rveo n oew? tEasnw~ 5-bd ~ _ rw. V"C~O~PJL ~ l.' J ~ . ~ _ " _ ~ ' ~ ~ ~ ~ ~ _ ~ . ~ . ~ _ _ " ' ,w,~~w~v~~ ~~~r _ ~_Z.r~~t~~ . . . . . ~ CEBT?FICATION ~ I hereby certify that t61a is a true copy of a Death Certificate on file in my office. =3 ~ FIIED AND RECOROEO ''q# ZT. LUC1E COUMTY fLA. ROCfR ?OITRI~S Addiao ' , rs ~'~K ct~CU~~ Co B _ ity Clerk ~ , t UtF,E3 . , . ~ City-~f Liv:bitia, '~j,ayae County , . ~~~n~ F~~ Z~ 31 p17~i~ State-of M~.`chigaa'' X~i ~ A u ` 1 394191 ~ D,? ~ ~ ~ - .~o i y 7~ ~ ~ ~ :--r ~ • . . ~ . - ~8~ P~~E 516 ~ _ ; _ _ _ _ _ _ _ - , _ ~ < ~ W ; r ' s- '