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iTATE tilt NUN~ER
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oeaoe+r t~ ..n aroou urr snc DATti of oe~?TM tam. ~ K~
C~IARIeBS _ 0' : Male ~,Marab 29. 1979
M.a. aee,~ ~-Ley! iee>~ O11Tf Dt MM %A~a. DaLL nJ OOtM+fY Of Of/LTM
~~'e ~ ~ 101" Juae 14, 1913 itayne
7a.
uoa? aF ouTn .I~oa an ulrLS a: Livonia Mo~wrK oR OTHER RISTL+v++oN-erw ir.w. ea~.c,r..r..r.e~.e.+.r
• +w w..~ ~ a: j St. Mary Hospital
7k ~ or: 7a
~i~ pflLr$1 OF YH1AT OOIRITRI/ ~~p t1M1VNN0811aOO0sE lKwil4.llr'~ ar1A1~ ~~~1 ~
Miebigaa ~ Q.S.A. ,a Married Hattie Lee Bowen ~«r
.+c +wrl,~ tio~+ILI :ea+wn R1LRYrt11 ttsuA~ oCdJrAT10N /eA~ kA~ld dworlt Sao. moray ta+ort LonD a w'was o1+ •+OLls+ntr
la
i 374-09-6306 - La out Ma"n°~ .wa r~.atwtr
+s. y +.w Bedford Grtnite n
curlt+L+ ~esoe~a-sT~,~ oou0m wc~?urr .e.~ air I~+ns of Livonia snaEr wa ~
Michig,~tn Rayne a~[]..oa rays u.n as -15825 ltorviah
+sa. +p, +tta .w. ar
ti?t~e-wwe war .rooms us? Moniai-wt~oe, wwa Ma ~ w.
+s. Robert B. O'Connor Nellie u a
lM~OLMMNT ~ MAiLINt+ ADWIEis sne+~r a Rsa a~ an a rOaw suit ar
~ 15825 Norwich, Livonia, Michigan 48154
TM w~aATEOese ~en>~a?~ra+acsra~~iu~tt~~a+ir~t.ie,~..uin~ ~
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~ DUE TO CR AS A - I ar.r ew
twE Tq, AS A oowseouEncE oF: L..w....... w .
+e? I
BART w OTHER 81GI~RFlCAHT OONDIilONS-a.t..r ermr+.~ r weer r.e www r a.r .r.. e, .Mr ~ AUTOPSY (S~paOly +tes WAS CASE AEFEiS1ED Tf? MEDICAL
a Mor FxAMINEIn ~r +Vt M IMay
~ n0 2+.~ ti+p
HALE OF DEATH ve..a Li.~ eewe~ F I1O6R OR WST crew Owl 2a.
f Ir~i~ Aabr~cy O/fr. Ira. ~r< / lGa.c! ? l:r aM wMw.M w Ierraier .r r M ~ r~ .ter erla
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/Seynipa.rldTitAy • C rS~aNYrsrl/TitAy
' aATE sIOII~ ~iwo,. ~ n,~ DEATH DATE s~ n~o,. ois +s~ HOUR OF of*T~+
23s. 3~-3a-?9 x~ 2:22 P. M :s M
. t+IA1IE of ~TTEnoltaa PlnslpAq IF o+HER THAR cERTIFEIt /Tj~p.aF?liar/ PROwoullcEO I1EAD pta, mil'. nl PnDI+DUHCEO DEAD (HberJ
~ 24` ON 2k AT ~
NA1E AIO ADDRESS Of CERfIF1EA Ilerarcrb as aEOle~t tn~ereerw /T1M+o?RFIt1
is. Rogrer H. A31uni M. D. 1?920 Fsarr~ingtan Road Livonia Micliigatn !+8152
woe.. surcoc !coca, w?uwK d?TE OF MJIIIIY f0.. dI: L'fJ IIOIRt OF REIUIIY DESCRIlE HOw WJtIRY OOCURREO
all ralorlo InleeaT. /~/M
H., Natural 2es. sec. tea
NJIRIY AT 1MOISC RACE OF piRNrY-we eear, a..~ a..l ~ .era LOCATION aaEET Oa ns~. Ie0. Orr. vain. all lOYlr«r aTAIE
f$aaily? t±Fs Or NW r.rva we /S~paiy)
2N. 2Sf.
SLpaAt, OAEMAT+ON, REMOVAL. OTHER /S,p.d/j~/ ~TERY OR CREMATORY-NAME f
OGITION On. vauOL. 011 t~oYn~IMr sT~E
27a Burial 2» Holy Sepulchre Cemetery 274 Southfield, Michigran
DAiE DaLr, I+' NAME OF FACRr+Y AD~ORE~ Of FACRJ+Y
na arch 3~, 1979 2F
red Wood Funeral Home, Inc ~
610i? Five Mile Rd., Liv~
DATE RECEIVED "REGISTRAR /Alh. DorA
r ~ mss. March 30 ~~79
- - . ` ~ tea-`! ~ _ _ _ _
CERTIPICATI01l1=: f.~~,;`' ~ ~ - .
I hereby certify that this is - a true copy of a Death,: • f Vie- ~q([;tom in my office.
z~,~, `
Addisati W. = ~ • _,6 erk 1`
~ Cit7? • - _ County
Date 3 D ~ ~ State of ~!i
- - r~U~ -
4'76461
190 FE8 t 9 t'~ i2~ 37
~ Y. A.
s
8OO1I~~ PAGE2~iJ7~7 plc
REGBI~ VERtFtEO