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~ _ Ann Axbor _ yes „ _ U_n_iversity Hospital
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(y { „ Barry 11. Greenbery Sylvia Singer 1
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Ronald L. Grc:e[~berg ,,,f ?6071 Salem, Huntington Woods, Mic'•i_
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CEtTlrlEe-NAM[ Ittt! ot..,.•. SiGNii - !forte a NA, ~i~S16NE0
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,r ~ John C. Shoemaker _ _ „f _ M.D. ,~12-3-19.7.1
~"'~`A0°~~-`El"`~`lUniversit Hos"tital;l Ann l:ricor« I~lichi an, "~~810h
WtIAt. ClEANTIOt~ aEMOvAI EAttrEn a CIEwlydr-/+An.E tOU?flON CITY, vILIAGE, TWP. OR COUNTY f•.te
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Burial _ Beth _E1 _Mer~4-ia1 Par i~ I•ivonia, Michia_anµ~y.
• DATE 1t10•rr, Mt, •f.f/ rDNEfAI NOME-NAME ANp •ODf/St •1 sum Jt t r / w0 , Cltt M t/t•r, QtM. M 1 Y
e ~ l 1-28-1971 „the Iza Kaufman Ci?at??1, Inc. , 18325 t~.9tiile Rd. , s~-~~hfi
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3ooM Herbert Kaufman Edward J. Connors Nf Nov. , 27, . 19 % 1
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(UNIVERSITY HOSPITAL) I, J.C. Shoemaker Deputy Registrar of Vital Statistic
49'!036- of the University Hospital, Ann ~?rbor, Michigan, do hel eby
~ t9~ AUG 22 AK t~ 04 certify that the annexed is a true and -compared copy o~.
- the death certificate now on record in this-office: thz~
~ FaEO RItC fECOFQi o I have compared the same with the origirta -,record "and . pie
ST.LUCtECO1piTY.fIA. '
RCKsERP01TRAS same is a true transcript therefrom ansi"'~he~Nh¢1e _of s/ ^h
CLERK tiRCUIT t or igina 1 record . -
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OCT 2 51976 ' By . ~ - ~ }
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j putt' Registrar- :~`-:":i'-: r- ;
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s~ 33? 470 « . _ - -