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HomeMy WebLinkAbout22411 515508 MINNESOTA OEP/~R(MENi OF HE/~L1N ~' s~ctio~ OI ViUI S{~li~lip „~„ ,,,~ ,~,,,~, CERTIFICATE OF DEATH ,,..~ .,,~ ,~,,.,. 0 ~ '.OltlA3t0-NAM! r~~st uoo-c •~~~ ~.ftt l.O~tt O~ OEAtN ti7rtM •. .t~• HILDA J. SKARPHOL Female June 13 1975 ~+~.A01~~~•~-~~~~Sl.-DE~GNt~lM'~c.uNOttQN~QA~.S.~Art 01 I:~rN u0~r~ ~~• •~~w •.~AC! l~cC~~• ~7~.COUNi10~OtAfN---.... - , ~.11tMAt) ~yi~"'~~ rOW{ S~ti~3i~~ . ~ De¢c::-ber 10 ~1900 Caucasian _Henne in ((~~ „ 's ~OCAtiONO/OlA-M ~~i,~~-«s~ ~• ~jw~~.~• '~t.••~~.+~-•••~w•~ l~.NO{MA~ O~ OMt~ IHS11tYt10N-~+A~nE ~~~ +oF'+~~~~s+c~. :~.a--- ~(' . . ~ ~«~. ~ M iT\~~1 ~ti0 \VYt{~~ ` ~~TN~\ACI ~`t~~t OA •O~tHw ~~y~f~~~ 7.ti ~ S OtCl~3E0 fvE~ u1 Y.S. ~~. 3QC~A~ $lCY41T NY ~•~.~~lO fQ~C1S ~wa... .~~ ~ • No 468-10-8658 7••ItLOlNC1 - STAtE _ Minnesota e 1 ~ C H l u ~ 0 LL L ~ l. C u ] Y s E ezer Hom~-Luther Hall ~ 0/ WN~~ 10. MA~~I(O NEVl~ M4fR1lD. >>. f~OYS! - NAMf r~r w~00wEb. O-vOtCEO s-~ur• USA ~ Widowed Sigurd M~~! I~e.U1UA-pCCU~AiION •~n~~NSOO~ww• '~ UNO i~U1~NlSSOR~40US'~~ PuA~+6 tiof* O- wio~.~+G \~rt. cr~w ~~~r~w~a . Office Work Camble-Skog~o Co._ ~ INi1 I~c.CIT1, VIIl~GIO~ TOWNSMt ~.•.w•_ ~5~."...... ": ~ :•. Henne in Minneapolis ~ Yes ~~ a./ASMI~-NAM[ il~-.~:fiM~~ACE l~~rtow-o~ut ~.A00~lSf 0- O!C[OIMT s~~tC* ••~ •~.r~rw ~o3r orr~CC COwr~.r ~ Herman Rood NorWa 2523 Portland Avenue, Minneapolis~ :!inn. a. MOTMl~- MAIOlN NAME 1~-.~~lTN-~AC[ ~f~~t~ pn •o~(K ~.1N/O~M~NT - NAM! •oo~[sa tOVw*~r) Gertrude I~T. Halverson Norwa Gordon E. Johnson 031 Drew Ave. No.;! 1 s. 20.-A~i 1- OIATN WAf CAYfIO ~~ ~lHTl~ ONl1 ON~ CAUSE ~E~ ~INE IAI, 14 ANO ~C~~ ~f OIAGNQS:S~'uf1L7~f0: ~•~a~o• v~•~ ~•ta.~~ •.~MMEDIATE CAW! ~ ' ~ • r c~cc^ so. Ly~C~A(CYOw![T ~~o 9[atM ~ ~~~~ ~~. .~ '~il~- ~ v ~~~ ~~ I~GC~GLif „~ ~--- ~ , ~ ± ~~V "` ~~ 4 DUE TO, Ol AS A CONfEOUlNCt Of d v 5 ~~ f~ I/~ ~~~c / C J ~. o~E Ta. o. „~ ~ eonseoueHCE or ~~~~~ l /~f ~~/7 ~S'`j( , ~ ~ ~~JS ~ Y ~11~t Y QTNIt SIONI/IGANT CONO~TIONf " ~-AYiO-Sf 2-. ~~n-~w...~o-r~cara~e s.cur. .jso~ ~. a~~..w..c c.~u o. o..•. /i / V 71~~GCtOlNi,3Y~ClDE,MOMIC10lO~UNDETERMlNFD llkpATE0i1N/U~~ y0+*w O~t •[~+ ~o~• t.1NlURYA W iR s~ct~r• t~a p~re s~~c~r• ~~ Ot~E~tEO ~ c»ac. ~o• ~ .-~AC fINJU Yt~t.w..~.~~AM.~T\(l=.~KTQA~.O~ItI i]Z~.IOCAT~ON s*~[[~ow~ro w~a.~[w Cn•_v~~~~i[o~*Oww~«~• co~wr• fr~r[ W40w{ [ttJ ~ ~ . 1 71~. HOw~NIUaTOCCU~~EO 1~M~(A r~~VA~ 0/ ~MIVA• IA ~~AT i O~ •~A• .1. ~tCM jQi 11~• Cl~TYICATIOM - ~NTSICIAN -- ~ -• • ~ - ~lb.~E~T1i1C4itON - MlO~CI~t lIAM~N[t~Ot G0t0-itt / ,~ ~ ~ •~I~w~f~ 1A• IKf~~f/ bM~ ~(_J N f/ ~~LL ~rf~0 ~ Qw It~~ ~~1.~ .l ~~. ~.•T.~a.e. •1 ~M Na~ ~.~i s. ~M ~~.e~~.ya.~.., ~w T~ ~O~n~~w ~tOlh .~ :~d ~~w ~we/\p ~liq M ~~ •• •• ' 11 ~~d we •.~~ ~At NI~ d~~• ~~~~A: ~tcv.~~ ~1 M, ~n rtie I~r~ ~~/ d~e 1~ Isf swf~~ f~Wed ae~.~- ~A~ decedeM Y•• _ •• •~ u L~alA KCMMJ M~~11A N IAf ~~K~ N~ Mn~ M~ ~w /Af ~~1~ ~1~11~ 0~~~! On~ N ~ a' . M _ ~Of ~r~w~YwC N~f0~ ~w 'h• bf~l r T~ ~ wlfd~~ /~~ 1~ 1~1~ C~s~~l ~1Ml~ >>°' ~MZLF N- s~ • . 7~.MlDIGAL (iAMiM[~ O~ CO~ONE~ - SIONAfU~E ,r/~~~ l ~ j 17r •N SICAt+-NI~ME •~~ O~ ~wi1 Harol~i ~VY. Hanson, M. D. )~.MFOICAIEtAM1NE~OtCOROVER-~IAME ~*•-c oe ~+~+': .~. .-.......~ ..vv-a„ __.~..._.., .~.v.~~~ a.~...~a. v. av.uwa. 202 Doctors Building, Minneapolis ~ Minn. : ~ . /UhA~, ~~(MATION, ~lMOVA~~ l~- CEME1Qf O! ClEMAiO~T - NAME .ot~-., __~urial de Cemetery ~ • ~~:t Of ~u+e~l.C~E~ HAME peterson - t!!•jVA~ MOM~M O~ ~" .•.:i June 16 :.FT l~ RALS b A:binsan, I - :;•rF ~,~eo ~- ioe - o~ -° d - ,~'ar,~"T~- ..~r.rr 2 < o~ ~ N Sk2~ ~ ~ O W ~ ~ ~ . h < z u N • ~ ~ ~ ~ ~ O W ~ N H ~ 7~M.QAiE SiGNEO ' ~ W 55402 f 6~~'~ 1'! 1~ 75 9 a ~ , < Z~c.~OCA:IOH ICr~r. ~.~:l~G[ Ow [OU~i•~~ - ~~~i~~: yM..pt ~ at r:t'.' ` 2600 19th Avi2':'•'At~: 'E': ;^~tirie ~dpolf s, kinn. W ~5~. ~UNE~Rt MOti` ~OO~f1 ~207 CENTRAL' AVE. N. E. ~ ~ ' ~ ti~ ~. • ~ 541i- _~~7 11 ~AN Ot ~UNt~AI D~ tC~ !- SIGNATUIE o ~ . t D~pUl ~ ~<~ L/ /~ ~ . ~ ..''~.; ~• 1 r• 1f~' ,. I h ~~j- th~ ' e above is a true and cor ect copy oi t-afticial ~. ~ rec e=~ t~. . e S e c~ i o n o f V i t a l R e c o r d e f t h po l ie f ie a l t h Dep ~~ -- ,~t ~. . ~. z1 %~ Dated: ''~~° w ~C ~ 121 - ~ , . ~~ eputy ocal Reglatrar • Minn polis~ Health D.epartment . Ar~q ~lterations shoxn kere made undor the authority of the Minnesota Vital Statiatlca Act and the regulatione o£ the Minnesota DepartmenL of Health. !:~~~ -...• ..._..._ .... -_,.- - . -- -.- S155U8 1981 fE6 -2 A~! i~ 20 Fi~:D AHf pECUP;~c~ S 1. l uCIE COIRI T Y. Ft A. ROGER Pt?ITRAS CLERK CtRCUtT CCi1RT p=cr n^ ;•r-,.:~ ~ _ . $,. fn- } 80~t~(•~4~ PAGE~~~ .~ ~-°~ ~x - . _ '~~~^ ~ _ ~ ~~.~~. ~ . ~ ~~ _~~ ~.