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HomeMy WebLinkAbout0643~ ~.s-~, - ; lOGl1l /II! Ny~~~f ~ CERTIFICATE OF DEATH AAic6ipo~ D~pcRa...a~ oi P~blic NwkA -- 51.2'7"~'! ~.~ 1~~~f ~~i! MUY!!~ ~ UECEAS4D-NUMf ~~a3~ rwou ~~t~ SE7( ,~pAiE OF pEwTN ~+o~a~, o~r, t!u ~ ~ , l•IILLIAM nOHCRTY ~t ~-L~~~ .•= 3~ . t;ov. 27~s97l~ RACE v~utl. wlGq~ \YUIC~M IMD1~N, AGE-~~Sf uMe~ ~•eu ~~t~ ~ O~r OATE Of ~lRM ~w.'M~~i.' Ga~i'~Y~f OEAiH ' ~ etc. 1 i~ec~rr ~ ~~~r.p11 / Rw~f ~ ~..Of 7.~1 wOU~l w r/w~ ~ ..~~ . t~ . rthi ts+ s~ tr~ ~ ~_ h~' ~ D~c., * s~~ ~'- ~ t~Y~° CITY, VIIIAGE. OR TGW^JSHlP Of CEA7H ~~~s:o~ c~n i~r~n ~ NOS^TAl OR OiFffR NSTIfUilOti ~. ~rr~~.~ y~'y,~p Nwye~ ~ ... _ : -~ ;~.? I`.,_, s-etu~.Kto...o . :f "- •-- -• - ~-'- j ~~ ' • ~. :`•.: `.~F _ ,~ ~ a~Q~ a . ~.~. . .~ ~ ... . . ~ Y - .! :. . SiAiEOR 6:RiH ~v .~o~ ~« u s•,..~re Gf11EN (~ WMAI COV~VT1.11 MARRtEO. NEVER MARIIfU. ~j w1 bwr~~r~~-- ------ --- -- ~ I•:ich~ couwrtr~ LTJ~1 W;OOWED.JIyOKEO~srtCwj` (!.~~• e :, `., ;~- '~ _ -_ ~ 19 rarr~a ~ ~~v~'~ ~ ~ s- ~ SOC1Al SFCURIiY NUMSER USUAL OCCU-ATION ~wv! [r~D O~ rMa op,.e owur rOff O~ ! ~~~'D! "- - rOruwG tut. hfr u ~R~~lp r - N~ '. ~ , ,~ ~.' ~• .• ~r 3~3 05 3~~~,3 ,,. ret. t~~ ~ aci ~isor ~-• ~•• ,-~a; •~ '~ s` S,~el ~~.. ~•:;.~.~~,~y 'r~:ss, RES~OENiE-St~-E COUNTY CITY, VfLIAGE OR TOW:ISHIP O1 n•ryw` • •'.~y+~c+~ - +~~ ~,r ~~~ ~.•3;^'?~3 ~a :'?'1~~~}~' ute~~~ / '~~~~1a~3 ~`tVP~ iAfNER-N~F r~n* r~oae us~ 'MOiHER-wu~OFNnruwe ''-i~Sr.~~ ' waae us~ ~„ i: i~ iar ~Lc:a:ri JO}:C: t;/ ~__ :__ ' C'lauv~~ ~~ INFORMANf-NAMF ~ MAIING AOO~ESS ~sr.ee• :.. •~ ..o. an o~ ro.~, sr.re. i~n ~ ' ,,. ':rs. .'iv~ ~ r7onerty ~h 253fi i3iddle ~-r ~., Hyandotte, i'I 1ta192 ~ TwiT 1 DEAT1i WAS CAUSEO 6~ jENTER OevtY ptlE C~USf IEf LM+F i~a o•:. 4-~p (~)j •r-ron..~re ~..r~~.~~ /'~ ~' - M-+IIlM ONStt ~MO W~TM 11~~~~ , / r.y7~.q uuu . . Ie) ~ ~ ~~ ~ ~ p < < ~~ .PiO ~ l. f ', ~. a .~ . ~o..z. ~..~~ '~ co~o,no..s. ~r •.n, '~a'~~~ '~ ~~~~c~~~_ ~ rwK» G~vt ~~se to (b) ~~ ~r.lD~~It C~YSf tOr, ~f t0. O~ ~1 ~ CO-.S! _f O~ ~ s~.n..o ~we ~wote- ^ ~~0~~! i.~~e c.use t•sr /~ ~'/ ~ ~ ~~~ /A/l ~ ~ ~~ . ' t~RT M OtMFR S~GNiFIC~N- C iW~S cd+any+s cw*n~u ro oe.m wr wo~ ~ ureo ro t.vie ene.. ~w •.s- / ~ ST If rES ~e~t nwmNCS eo.~- ~~~ ' / ~ ~ ~ .es~~~ vot~eo i.. oert~..~ uese ! ~~'S > i~c„~/ Ch;-cr-t ~lL ~~jr 4c ~ i-ss ~w iw uur.l/ ~ AGUpEN~. Sl- tfOiwl E. OATE WJUR~-'~ -..i rrar~ • ' Ow IN/U j!•'---]ED ~ e~ wrury~r ~...u~ ~~ r.rr/ ~~~r ~~, ner ~~~ ~ s-tc ~ o n' ~- ~• ~. 1'» :.~T~=;+' ~7oi ( ~NrilRt Ai WORR -IACE OF MIIURY .r ~o..e, ...... s~aer, r.ero~r, IOCATION ~ v r w~•_ -. cm o~ .o.w, u.,e ~ ' f 1 f-fC~n t!! O~ NO 1 pHK! NY , f Y ~ f~fGli L~ N~ w~~ p,~~. J~~ (' ~' i ~I pf ~nf ~ ~ . 1 ~ ~ ~ y. . k CEtT~iIUTAN- ..o.~rM w• .e.~ ~ ~".:D.:nr-o.~~'-'v/. ' •a . . : ~ Mu.i~.e~ •ir.e ~. ~ro~r~ew t~! OEAM QCCUtlfD •r mt ruce, o.. n.~ ~ /M~SIGI~N: iO ~O~+~M D-~ ~tN YAr A. twOY~r ~ ~ ~rtFI.DlO ~Mf / /J r ~/ w/ ^~, ~/ ~ c O~fl. ~wD. 10 O~f YS~ IH of[[~u01lOr ~ C/ )~~ ~ .ri /y 7f O~ rr tr~Ow1lOGt. W! ~ f ~ ~ ~ C ~Y= 71i ~ ••~ CERTKKAt10N-~ E1tAM~N R OR~ER o.. r~~ ~.s~s o• r~ ' ~ ~i_, ~~~ _~ ~o Me uux~sr sr~uo. ~ e~u.~...r.o-. a•~e ~oor ...~ia rre ~~.eir~e..~o.~. ... ..r o.~..w~.. +o~~ o. n.~ rwe ofeta~- _~c»a~..ceo o~.o ~- ~Ow'.. o.r .~.^ wov~ Dl~M OCCY~~l00M AM D~~! ad0 DW ~O fr! C~VSt'S~ 1f~1~D 71~ ~}, rn i ~_ M CfRTIftER-///Nyjjµ~~~~E m o~ re~~r, /-- ~-- • SIGN,~TU~/E/ /~ we~~-- DAiE S~GNEO ~.w'/rn. w,-.,~y!~~ ~ 77~ ~ ~ /~~/7 ~ ~ l /~7 ~ 71~ ~/ . ~%%!~-. ~ .~I/ I 7k ~/ ~Y - /~ ~ MwQMMS SS" C Ri6~FR ~ sneo w • .r~ m w _ . ~ ! ~»f ~ (/ ~~~ /1 ~ ~ . ,~ : - / ./GrG~ ~v~~~~ ~ f {URtwt, fRfMllTqN, RfMOVAI Cfw~ETERY OR CRElrui -CN~ IOC~IIOn "' f, VILIAGE, T1NP.~OR COUN7Y s~•te ~ ~ s-run ~ -- :w ~reriation t~~ ':iood.;~~re OT@I13`~.OT"~/ ,,, °~c,Z'Olt~T;I ' ! DATE rw.o~nw w~, rt~~~ fUNER/U MON~E-NAME Ap ~ jr tV o+ ~.r • w0.,' :r' a r_T~,tt~rt.; ~-f ri C[S~CfZ ,N r;ov.30,1971t !,~ R J I~ ixon .I~ci. °~"_tt~ 3idule Ave. +.~,,,,F~ ~ f1RiER E(7 iV~J / REG1S~,~,~, AlI-1tf O~~E ~tCf~vEO,~'~.r0[A~~EGIS~tw~ ~ +~s,~~~~.~`"s~ ..._ ~i .~~ ~~ ~na+rri+r- ~~- o~ 374 ~~ ~; ~ Jw 1 i v t ~,~i v 7 ~ - - - ~ ~ f~. ~ ~OT YALID U~vLESS THE RAISEQ'SE'~A~OF.tH,E. CIT1r OF HiG~~anD NaRn ::; •=-~z~U fr.tk~u~~ - "~ ~ ~ ~~ STATE OF r~iCHi~ANi ~ ~ v'~~~~. 51.2~7 ~ C O U h T Y O F N; q,' Y N E ~( S. `~ ~~ t her,~ riy c^r ti fy t h3' -- ~ is a true '~ HIGHLAND PARK~ -~;{~~~~~~f~~ ~,~~of. a recor~ an r= n my otfice ~ ~AN ~8 ~ 11~ 4~ ' y' • F ' `J ~,~'-~ . . . .f• #~ j ' 'ts, ~ - ; FIIEC RNL tiECBRfiEp ~ ~s- ~ St. lut~E cou~r; Y f~a. .~ <. ' f._~ ~ ~ ROGER P T : ~ ' ` ~ 01 FiAS CC RK CIFCUIi C4 1c E Date . x~ r:'~~~~ ~' c ~~ .y~u-L?~ ~ ~ . /~ %, ; R~t~01'i t'cDEF'•,01 -- I •: rk ~~ ~ F: . ~i_ __- ,-~:~fl `; ,..- , - . , , ~.,. " t.?-. • ~ ~3 . ' ~ 8t,~x ~`tU PsGE s~~, - ' ~ ~ ~~~:~~_ __ _ . _ _ x - -:- - KL--'~ . ~