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HomeMy WebLinkAbout1555i• \, 51~466 ~ ~ - MINNESOT/~ OEP/~RTMENT OF HEALTH ~ ' /' • •• - ~ S~Neon ol Vil~) $Wiiliu ~ ~ - ,~~.. .,,, .~..... , ~"~~' CERTIFICATE OF DEATH . ,,.,, .,~, ...,. ' UICI~SI~-q~Mt ~•r•.~ •..•.1 a~sr J.7[l ).0~11 OI UTAIM ••.•••• f~. .~.r .,. nona2d W. Cowan Male June 25, 1979 _ . • ~~ ~G! '••~„",~~~'at.U•[~~(.+~f~t~.i~a U•:LliGvatp~~~ O/~~f GI ~HIM 4ir+..-~ p~~-.~~w ~~.IACt s~t[~r~ Io.COUNlt01 UI~IM •.wrKi~.l ~ ~ ulir.~n! L~..j ~~- ___1 --- ..,.•:wa ~n.y_~~5 1 19.f1J ~Caucasian__,_ Y.ennepin ___ ._____ _ ~ _ .larr.h_.26 .'~ IOC~I~OH O~ OlAiM ~C'~ ~.r'~ , .' :.... .. , •~t( w tOw..~...~1 )i - ... .. -. ~ )d N01~1iA1 O~ OIN1~ IHSIITUTION- ~~~~- [ ' r ^=• '~~.~~1~. G•.~ ItQY,bi.nsda 1 e ~ 'lwll r .... .. ^~~~~~ _'_ ' North~iemarial _fios~ita'1 _ __ _ ~ ~^~1N/1~~~ 1!7~~~ G• IGAf~Gti [ 4~.~+tqr1 V. ~liit~l~ Q{ V/NA~ 1~ rGiRf(O.NIVIt A/AR~1[Q. 11 S~OV~~ - N~~- ? COU~+Tl~ wIC~OwIO, U~~OlClD S~[C~~• ' 1~ ~-;,~,,L o ~~~, USA t4arri ed Anne L. Cowan . ____i , :+~~5 GfCEA:(6 fv(1 cN u,S. 13 Sa7CtAt'(CU~1ii NUM~l~ ~~e VIU~\ OCCU~ATION It~•t .n~a o~ ~c~• Z~~ •~~+D G~ ~uS~r~fS1 Oi ~n:GUSiti •ca+lClOiCfl •~. .•••~•• ~,,,~..cuos.o~ w.~x-rt.[.i.+~i+:•ip~ ~. 468-42-1937 A t~edicine -~o----- ----- ---- - - - M ~ ~ - - ~~~~lADIHCI - S1Ai! ~St. COUNII ~Sc•CrtT,VIIIAG(G~ tOWr+)HV ',~~.:•a,.••+•'••~--~ _I:ina~9ota----- ----- ec I t~- N~~+t ~~"~- `- --~'~44v.~_ MOINl~ - M~~UFN NAh~t Ve~ 4 ~ :C ~A~T 1 - DtAiM`;`~,GA\UfIO ~f A.1nMA+(O~~if CAUSt . hennepin _ _ _ St. Anthony______ _ Yes _ '~eD E~ot~-.aL~ ~sr.i~ c,..o•~~~1).ADD~tSS O~ OlCtOINt s.~[t• ••c +u~.e~: •v.• c••.ta ~ cc,.r~..~ ___~ Wisconsin_•_ __ __ ~~Q~~~en Drive~j St.__Anthon; __ ____ ~l~.f,iTNI.~(,f •.•..t o~~ori.c+ Ni0 MAN/-N~ME'• ~~05 D`e~'~BZ~ DP• : ~, ,.,.. , ~inn~sota Anne Cowan St, Anthony. ;.1inr.esota it-.rtR ~.nir ~~r.f ~~u)t rl~ ur~t ~w~. ~U wr~0 ~C~~ u O.~C/.01~1UIrti•IL •••- ..~••, ..,.~•.•• c~tc• ~4. ~_1eI•n/,Iw:w1l•.~a r~.... ~-Q...~i:~ i..,..~ a.i_~,~~.-~,P4.t.:~.. _,d-~.l-1-~w {. DUL 10. O~ AS A COHSFOUIHCI O/~~iro~ ~L ~~ ~'~~ ~ ~ ~-~ ~ C. ou1 ro, o^ ws~w CUNSFOufNCE O~ Z ~~~1 • 01N[~ SIGNIfICAMt CONOtTiONf ~ - Jte.~U10-S~ -7~t ~ - •-:..cu...suwo p * ~~ . snu~. .~s cs~..r. .. ~......c ~..~. c. u..~ ~ ~`l J~~ ~)7e. ;„ID,N1, SU~CIDl. MOMIC/OI O~ UNOFiFFMI-~fD lle. D~t! OI iWU~~ MOM1M o~• •t•w_ wou~ 77c.iwiu~~ ~t w~~i i.~ c~r •.cs c• ra LL ~l Olrf~rtG~ I c`.c- ao+ ~' ~~.ry~ClO(tNlu~~ u...~..i.r••...~*~ur.r.i ~o~~.G~~~c( ~~~~_IOCATIOH •t~ttr w~~o rw~t• cn...~a~•ci o~ ~o~~~~~.--io~•r• s.aii ~ . ~u.aD+~G IiCJ W U 2)1. MOWINIUl~OCCUf~lU ~aw*tw .w~u~c o• ~..uw• ~r ~.~• ~ o~ •~~i ~I. ~~~~r201 J < U ~ 7 ~ u •,.. tr ~ ~ , 0 v ~ '- t Z v r 0 7J~.CI~lY1C~11pN-/M~SICtAN -•i~/ . •••• - p•• ••. ••~ ~~6.CIl!li1CAT10N - MID1CA/ 1fAMINI~ Ol CO~ONl~4 '..~ W 1~e~..dN M• •~c~o~~d ~.~T ~•~ y t~ ~?~ 0..1 Ow ~k~ -~-n d~M t~~w.w~b~w N ~~~ ON~ o.d, ~. ~n~ .n.r~~ yo~~n, .e n.~ ~-.w.~w f~~~\ ~ lo~~ •e~. •.rn/Ar. ol..t •~ ~'_. ~(~ ~7 Y ,. 1 ~d.d.l.A ~~o~~ .~e~ ~~~ MA~ ~hs. ~t~~A kcv.el ~1 M. ~. ~Aelmt c~d ~r~ 1~ ~-~ a~..s~~ ~ro~~d ~o~.~. TAr Iecelev i O~a~ ~e..~.d ~r q _A en ~~ ~ne c~ar ~wd ~....~ ~.d en ~e~ ~o~e w~N o-~.~ ~wA ~~~ I ~~~ ~.~w~rwc~~ /~~ ~~ ~•... ... .... ., ~' M N• etn d iw~ ~wo.~~Nye t.~ r~ ~M a~.r~~ ~~~a~rd. 73a.IN1SICIAM - SIGNAIU~L ?I~~MlDICA~ (tAMINtt O~ CO~ON~~- S~GN~ty~( G : ~ // 4. ` O~~~J 'S ~~-~~~, ~ ~)e.-H~S~C r ~wneE ~~ .~ e. •~~w~l ~ 71.MfO1CAl ItAMIN1~Q~ CO~ONl~ - HAME ~•••c o~ ••,.~+ ~-I l~ G H ~. T N O~~S Q N o ~ ` J]p.~w~iur~G wD0-ISS •~•`•c..+. .tc~csa i~~.-.~ .i+ o^ cowo+t. )]n.pwll S~G~+tO ~ ..o«~. o~• .t~w L - j3o~„il~~.S~,...~r u-•.:,.. n{.h,~.... 1~.~~ s~ q-a a- l, Z 1 1 5 ~' ~ .~a tun~ltttrw~t~O~+.~I+aOvw~ 7~stt-~+NNrO~LiTrAAIO~f-NA-aI ?~c.IOCAtiOw ~c~r...nuci u. c~..,+r., ~e..,a. `> s•~ c... i ;~li Cremation Sunset Memorial Park Minnea olis Henne in Minnesota ~ j ~, - - ----- -- ------- ~__ p -1--- -- -- P- ~- - -- - -~ - o ]/~ (1~11 OI ~U4A-. ~~(MAIIOq QR )~a /yN1~A~ NOM! - -IAME ~S-• fUNF~AI MOME - AOO~ISS ~ ~IMOVAI ~4ti~~ 4~• •la• p _ June 2y, _.~979 ~_ washbt~rn NcReav~ N.E~_2901 Johnaon St. NE Jdpls~ t-1inn. ~ :~+.U,11 /IUO~I1QGAl~IGNt~A~ i~4. O Al ~IGHUM- ]~(.~ut l ~. CIAN O~ ~UHUAI D f0~ tN~K• 1 . /c~~M U.Gr •1~ '~ ~P ~_L ~ ~~ >,r~_.~-.-,~j-~ ;, . ~~ ~ . = P!CE ~ ~ ~ ~ ~ `~` W . ~.~ ~ ~; = ~"" ?33~a..n .. . YS,n' ~~~~~