HomeMy WebLinkAbout0516 • Seclian of Vitt. Sllthl~u
CERTIFICATE OF DEATH , , ~r~• .
n„~ .t urge ,~ur.~r ~u• Slt I). DAfl 0l Uf AtN
n"fr
~ L OlC[ASID -NAM[ ~ ~ JVne 8r ,1979
WINTON OAVILLE OISON _AMale /a.000Nt10IDIAtM
~ ~ b ~ A hN ~ j wOwt" o.• r[•N biACI frcC~••
W 7. W O ~ w ~ y , "r[ G t 1bUN0lAONFM[All .UNOtAQNlCA,S.DATI O/ 1111M
c ~ ~ a ~ yy ~ A•,Alll e, 59Ar, Nf a May 16 t 1920 _ Cau_casio_n Bento~i____-- -
1 A A ~ rC .-~-~~"l7" '~N
rOwwe»~vl 7t,•~~oltoua.`I„w~l JO,NOS11Mt OI OiMtAINf11TU110N-NAbtE I~r wOruUr•leuG~t ~I
N Q ~ Iclrr,vltcA4t o frrttrr»o w~ e[
O M N Q i ~ lO.IOCATION O? OIATN '
~,I yes _612 5th Ave. _No. _
~ h ~ 10 ",1 ~ tiJ ~ ' Sauk Ra ids II, t?ouil - NAMt~
I PI ~ ~ ' n Q• e ~ IINTt ON IO»tl4w COY"TA rl 9, ccIT17IN 01 WNAi IOC MAIAIIO, NIV[A MAAAIID,
A ~ N I, OTNIIACI COUNIAT wIDOwID. DlY01t;lD /ru~rr
' Married Helen tAndersonl Olson
n n r o z ~ Minnesota U.S.A. ISi.LLMD OI IUSINlS~011NDUSUr ~
O ~ ~ ~ g H N IS,WASOlClASlOlYtA1NU,S, 17~SOCIALi1CD11[TNUMIIt IIe,tJSUAI000UlAl10N 61v[»aoorwor"
1nr•• M N OJA I»4 MOST Or wOeelw4 GNt, tYLw N' e[rNIt CI • I
b l7 AIMIO IQACIS Orated Dair Bar Daily t
ffi,ClTr,wt[AGlOIi TOw~fwi" Sd.•4!;car~~;•~~^
o o ~ a Iti ,°i ? Yes 471-09-6761 1`------ ~
ISe.11A01NC1 -STATE Sb~
~OUNiY ~ Yes ~
~ ro o I++ c ~ Benton Sauk Rapids
p, rY 11 ~ ` Minnesota -;~al+ Awo »u+ria /ofr owrct
' ~ M ~ ~ ! IIbJtAtMr[AC! rr'rt a rorrc 11,AOOItSS 01 DICIDlNT lX
1i 1,1 Ai NlA ~ N AMl COU»+A+I
y ~ Minnesota 612 5th Ave. No.; Sauk
~ ICJ 56379
~ W ~ ~ a Sennett Olson •,fl... _ r,
IU.M0INQ-MAIDIN NAMI IE•IUiN1tA II+ArtOrrOA[~Ow eINi01MANT-NAMI 612 5ht Ave. Nor
GOY"`Nr' Minn.56379
• o " h ~ 7 7 a ~ Inga Hetland Montana Mrs. Helen J. Olson; Sauk Ra ids,
II pAONOSIS Otllgl0 ureo.~M•r[ ~"•[r••G
A ~ N ~ M M O l1 I 70.IAIT 1 - DIATM WA! CAUIID 11 ItNlp ONST ONI CADS! Ip UNI IAI, 111 AND ICII G»[q eo, ettettwo•nr A»o a
nlArr ~
• ~ Ij rl .Q A ,7 K A,IMMl01Ai1 CAUSI 7 ,t IG
dH a l+ [+M n O
~o ~
~ 8 rJ m A 0 k .h 1, out To, OA AS A J~ / ~ •
~ ~ ~ A ~ ~ ~ CONSIOUlNC! Or ,i,Gr A?i//''
o ~ u
N
~ ~ ~ Mb Mra+• I C'.OUt10, OItASA
I CONSlOUINCt 01 e,AUTOISI • ,rncwmu,o»ctcovvn«o
1 i ~ ~ p M ~ M I ,w or~uM,wY.4 c.wr o, o,.l.
Y FI, ~rtpr rp 0»
~ h O O ~ ~'e, ~ Z /Alt 1 OTNII SIONIiICANT CONOITIONf ~ l_ 5 i
R 0 CL M ~ A ~ ~ /
j f" A fr[c,•• •t• er ro
~ az n ~ r ~ ~ T,INJU ,
t.ACC10lN1,SUICI0I,NOM1 101 AUN lTIAMtNlp / ,OATl011NJUtr MOMiw o.• •w «ow
~ I ~ -
{?tPlr D Of?IAAlO C
G,, o• N d ry ~ y
~ to t0 ".t tK ~ ~ c«tc" en. rect. o »ro »uwte " ur•,rnG»c owwfel w . f ift'r
~ e,l ATION t "
,,+{b W fA M SS h t N U ur»ow•t.?AAlr,errttr,rrGroAr,0leKl r-.w
Gr„ MI O p 1"i el I ~ AUIlDIw4 tTL,I
?1f M .Y Sb iTZGw. I W
r M C W r~y ~
~ A ~ ` '7 I , 711• NOwINJUATOCCUAAEO Itwiur wAtV"1 o7lw~wriw rAer r oN
r~'~tM
201
a Annlb4~d ~ i~
I V - 1•Cl1TIlICAl10N - Ml01CAl (IAMINII 0 01 Nll
~ M 1" 4' ~ I »e, CII1111CATION~INT3ICIAN .,M;".efe Ier,.er"reo.".e"deelh
~le enl On the beru d rb e ~ mire"e. e11M Mdr N ~ I
~ [r0 ~ ~ ?A n M ~ W 1 eNeedel IM lKtepd hoT o»~ idea nn/ due bre. cevuf UaeA ebrn, I M deuderl
~ ~ M ~ y I ~ w,,. e,r I
c , I Idid, d'd "eN .iew the pedr ely, dearN etc and el ~ ~ ' / M. ~
~ , `'.~Q r ~ q11 tow Airn/ha Olin M- , of reeev"ceddrode"..SG...~-j-f~el
w ( I
pulA acwnl el Mel IM /tae end tiTe end ee the deu rood [ber• and • w / C7
i~•t h+ N ~ $ C the ktl.InrtAeewledpedreNlAetevuftlatd, W
7fd.Ml01CAl I?AMINII 01 COIONII. SIG TUIl~~ ,
O ~ ~ ~ A ~ y 71e,1N1SICIAN ~ SIGNATUA) `
t7 tl 41 b ?NS f0 ~ n L~'njyr
< r' y~ ~ I"' h T7L Ml ICA (IAMINH OA COAONIe.NAM[ rrYr[ OA relwn ~
~ ~ AQT-~ ~ e ~ ~ ~ 7Se, ISICIAN.NAMI ITrrl OA ?Aiwrl Q Al~• a/cd1,).IO~ ,
_ 77h, DAtI S GNl W
[e * ~ ~~t'll"1 1 ~ aMAIIIN A DIIS[ r"YAIL IAM. 4[DIt At ttAMlw(e O~ CGA ewt» wOMTN pAr •LAe d
r,
7/6lOCAT10N IGn., rrGG•4t 0» Gouwrn If r~'I 0
0~~~GV ~ ~ A/o 1[IIIA4CIIMATION,iIMOVAI 11aCIMgIATOACItMAT011-NAME !
~tr,~=' Ip ~ """r Mound, Hennepin County,,_ MinngsQta ~
• ;.c• N ~ Cremation Fairview Cremato
~SbtUNlAAt NOM[- ADOe13S 0'
71 d,0ATI0r1UAlA4C1lMAilON01 ISAIUNIIAINOMt-NAMI Sa>1k Rapidg/ Minn, 563790
IIMOvIIt MOwiN oA+ rIAN 32.4 2nd Ave. ;
~ June 12 1979 Ain nn Funeral tome _ x
Iv~~ I: ~OtlICIAN G ''I [AA ICTOI-S16NAfU1l ~
' 71e,0A1[HllOITLOCAl1101STAA1 711• lilOtTIA~N~ ?Ir~./}/ lJ/yrr ~ ~