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~ CER?IF'ICATE OF DEATH
• 5J~fjB IMrs~1w CORaNERI STATE NlE NUMfER
OECEATEO-Nt,YE tMtt n00~t ?wq fEt DATECfO~tATNwouiN,ont,ttaw~
MiriA~n R. Asarch ~ ,Female , Nov. 26, 1878 .
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o „ Denver ,.6780 E. Cedar Ave. #801 M .
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485-07-1309 1., Homemaker 1w Home
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Colorado ~ N1. Denver n1. Denver 80224 ~tt6780 E CedaT~Ave f$Ol
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He Asarah ~ husband 1.6?80 E, Cedar Awe. #301 Den r Colo ~ 80224
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~ "~uriai „,~1ov. 28, 1 GoLdon Hill Cemete - Lakewood Colorado
ruN[RAt - NAMEANOAOOREiiQfNJt1EMLNOTIR st~atto..sa.raaT?.nw*atw ~ 80206 .
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N , 1978. _
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„ Jos C. Tyor 1KD 3865 Cherry Creek North Drive, Denver, Colorado -
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t STATE ~ CI7Y AND 000NTY~OF OENYER, SS. ~ _
E fy that-this document~-is a true and-correct :copy of the T~
- ~ ued . ' n said .State this -
~ icer~. _ f'~l~ -an8 an niy custody. - I ss t
p~ - ~ d~Y ; ~ '197 . - ~ - _ - - -
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<< - - ~e raised City and County of Denver
4.;~ ~ :_of-Health b
- b County of -
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penver'~~- ~ orado. -
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PENALTY BY LAW if any person. alters, uses; attempts to use, or
furnishes to another for deceptive use any vital statistics certificate.
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FILED ~ANp°RECOR
~ LUClE CCUNTY;'~
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433098
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