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DECEASED-NAME utsr r=D6,1 llltt S[K DATE Di OEAiN / rOttlw, nu 1 }
I Kenneth TUTHILL t Male t September 5 2974
RACE w+Yn, rtcao, ar1.It•« Irpu«, wGE-!•tr w.at ! n•a vrwta 1 w. DAZE Oi NRll1 t1.o++Ir, a•, COUNTY 0. DEATH
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' t Washtenaw s. 63 s< • 6/30/11 Washtenaw
ITY, VILLAGE, OR T01Nt~HIP Of OfATH ertl0e cm llrl» NOS?gAl OR OTHER NSTrtUi1pN•-N 1" «ot « en,u., a+w slrtr •.e «urea
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STATE OE NRM 1 u «OT 1« u.t a., wrt CITUEN Of WXAT COUNTRY 1AARRRiO, NEVER MARItrED, Sl1RVNING S!'OUSE 1r +.ut, OM rAlq« wrf 1 1
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- -=,~al.+Ct • Michigan • USA Married u. Clarice C. Cudli
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I: 370-03-32$4 I)?. Ca enter 1)• Aire Construction Co.
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le. Michi an Iq Livin sto If/ Hambur 1.~. No Ile 10592 Pine Bluff 1
iwtNER-NAMJ' rlarr r100tt twtr MOTHER-MAIDEN NAME rrtr rlOaae utt •
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Is William Tuthill Is:• Mabel Johnson "
INiORAaANi-NAME MAIL ADDRESS /seen a a.r.O. r10., em oa ro.r, t1•rt, Ilrr
Ira Airs. Clarice Tuthill In S°2 Pine Bluff Hambur Mich. 48139
~wRT 1. OEAM WAS CAUSED tY: ~[NTER ONtY ONE CAUSE /ER IerJE N?1! (o), fb1. ANO (cn nr~r~e« o.~lter •I.o ee.l«
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CERTMICATION-MEDICAL EIIAMINER OR CORONER: o« twe t•tlt a rllt °e•r« rwt Meeaa«r !rt rao«awlcts e+ew
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CI'Rt1AE lure w nl«n A Deaate oa rmt A S D IrtY+r«, w•,n•a1 ~
t,~ ~ac~c Howard Carman, M. D. ~ tt! 9/74
yRJNGADORES$-CERiMKR 326 N. Ingalls,""144ifi.,~i or, M1Chig`$Yf 104 trre
RtJRIAt, CREMATgN, REMOVAL EMETERY OR CRfrMtORY-NIaME LOCATION CITY, VILLAGE, TWP. OR COUNTY sr•rt
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• tDyATE 9 9 74 ~ K~1 n.NMuehli ~Fll,le teltroaare 403 S.
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e. Ann Arbor Mich.48104 .
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STATE.OF MICHIGAN j ~s. I, ROBERT M. HARRISON, Clerk of said County of Washtenaw and Clerk of
COUNTY OF WgSITY~kgyy l the Circuit Gourt for raid County, do hereby oertiiy that this is an exact
reproduction of the certificate for the person(s) named therein as it now appears
- in the permanent records of the Washtenaw County Clerk's Office.
• WITNESS the seal of said Court and County this
- SEPTEt:BER, 1974 day of
S c A L ROB H RRISON
Deputy County Clerk ~~tlrTj
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