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Home My WebLink About0302 •s. ~ . ,~1 02 ~ ~~'~= . .. ~.~ ~:.;..;~ ~ ~ ~ ~ ~ ~~-~~' ~•~ ~ 0219655 B + a•n. «~,.~.~o ~ wsm~/fqra Sf t wMMt M W11pIMf co.~nnor or .is~arp mrs ~ to~oniows r un vN.rr 6~v! ~SI f0 ~ .ara.n UUS! i1~1NG TN( WbtM~M4 - fJ1!!S4 t11S! ~--- $360 Ni~e~ ~ -. } w ~ ., r ~ ~ ~ ' V ~ - W a. ~ J ~ ; ~ ~ 51953~ this document is a file in this office. .~ strar ~i NAR -9 I~N 11: OS sr`ee j~a ~' tr°~,ai. R~E~ P~i'ran~ CIfRlI CfRCUi C(E~pi1J U. ~' " t'' '~" : ~ Q~3" ~ U" , ~~.._ __.:. -: _- _ STATE OF MICHIGAN DEPARTMENT OF PUBL~C HEALTH CERTIFICATE OF DEATH N~ SlA1E fILE NUMBER S~95.3~ ~oeccoE~n N~-r~c ~.~s+ ..~oou w. scx Or-TE O~ D[A~N /Ab..Ow riJ ~ Jose h C Kalman : Male idovember 13, 1980 w-ct -«. w•.. ..s ~c.t -~.. ....., N e~ All 11 ~ OAY OATE Oi dwiN /Ab . Or1: Y~J oo~n~rn or oEwn~ .ti ~ f30~/YI / I .ws w~t «uu~s ...s .~i te ~.. '~ ~. k d.5e t, 29 1910 ~. Wayne ~o~-,~ a o~~,~ .,,~ a.. ~..,~ a Dearborn ~NOSPITAI OII OTNEII INS71TUTqN-w~ wwrwrwr.~.wrwwwr.r..r«i iidap~`~"'' ~"~"°' """' """` °' i Oakwood Hospi tal 7s ^ rw. a 7c s~•n or w~^ /N~ ~.S7A tn~N d Mmwt tou+t~n w~E~"'~~~owers..~1u W~t DICtqM !N~ ~ SURVn/M1G SIOUSE /I~ w/Ae y.ve m~.Nn nwn»! us ~rno w~ns- aHun ar ' U.S.A. ~oMarried ». Irene Nemeth ~i"~`~o~" SOdAI SECUPoTY NUMBER I 115U~-1 OGCt1PAT1pN /Gne k~nd o/ wor/~ done dui~ny mos- o/ KINO OF MJSINE55 O!1 Wpll5T11Y ~^~ ~'_ ~~^ °•"~i01 Detr i t~n i eeri n and ~s 367-09-2286 ~.. Pres~ent ,., G1R~M 11ESDENQ-SIAiE ~o~Nr -o~-~,- .,~« a.. -.~.s a Dearborn S"~~' AND " " (~AlC~ On! Mi chi gan Wayne "'d s~h1Q-.y« ~.u~ ~..~: « 236 Brentwood ,S. ,~ ,k p,~. ~. ,~ fAIHER-HAIN( ~rKt woo~~ uSt MOIHEN-NU~OEN NM~E rr6~ rppE ~~ ,s Louis Kalman ,,. Julia Bognar WiORM T ~~ ~/~ '• MAIIWG ADDRESS s~Nn 01111ro MO Cin 011 lOrw pAn ZI- / 1! /S~ynNUrt), //' -,~ 236 Brentwood, Dearborn, Michigan 48124 t! IMME DIATE GUSE (fN1ER OAKY ONf CAUSf PfR LINf fOR !~/. !0% ANO /t/.l ra.,,w ~,,.,....,r, ,,,~ rM, P,~ ,,.~_ c~ ~, 9 ~ ~~~ar~ ~~, ~~ ~ - ~ OUE TO. OR AS A CONSf OUE NCf OF. , !~~.~ ~~~~ ~~ /~-C-~~ ~G c~ 1~ ~~o L- Zn!~-,A~ c T~ cti ~ ?- S~ OUE TO. OR AS A CONSfOUENCE OF. ` - -- t~,4 M~ ~~~~ ~~-- ~l/ ~X i c ~^i ', 3~ S~ PART 11 OTHFR $IGNIiICANi CONDIl10N5-(e.r~w aw.wwo w ww- ww we~ r~r r c~.w~ ~r. -v17 ~ AUI !Sp![dy Ytt WAS CASE REFERRED TO Ir1E01GL I a Abl E%I-~WER~ /Snetih Yea a IYbJ { 20 /~i~ ~.~ I 21 /~l L~ iLACE OF DEATM ~wn.r w..~.y ~.aiw~. f MOSP OR WSi.. w~r~r Op~ 2la TM~,~,~~ w r.«.+.w .w w w~.w~cr ...+wr~ s~w ~wo~K ~.wc~t !a/r/ V~lr M_ SO ICM[~ ~ 22s • Y1q/l~ / ~+ eo.~ a ow w~... r•..w.n.~a. «rI> r+.a~..e~ e.w w+. w.~w ..o...~ w w. 2~ 1~ M MM \~p~YO~~ M~M N u~f ~M W M~O W M M M~~. My W M~O M~ M N tM [wYl~l MM~/ w u.w~~ aw~a p Z /Sqn~fuie ~nd li-!t/ ~ t/$qn~fuie ~nd Ti(kJ ~ Z t OATE SWNfD lMo.. Di~ Yi J N UF DEATM <"' DATE S~GNED !~o_ D~~ Mr./ HOUR Of DEATH V 2 ~/r~~ y/!y/~~ ?U - ~> 27e / ~ 4 V ~~/ ~/ C/ - 23c . iJ M ~~i+~ ?4O 1tc M v~ HAME Of ATiEND1NG PHY5IUAN K OTHER TNAN CERTIf1ER /~~pe Pr~n!) ~ W PRpNpUNtEO p[/~p /Mn, p~: yi-1 PROMOUNCfO pEAD IMouq 2~ 7~ ~ 1se Ai y~ NAME 11ND ADDRESS OF CERTIFIER cn.rSt.ur O~ -~tp[~t [aarrwb (I~yt pr P-inf/ 2~~ d.~ w~ ~. /S s~~-~ ~-,.'~~.'G~ ~eu , ~z~~xN, ~;~~. ~~ ~[C tu[O[ ~~ w~i~M~t DATE Oi INJURV (MO. DI~: YI.J HOUR Of lNJURY OESCRIBE MOW W,lU1ry Qal~pp[D O~ MMDr+G ~wt5 rS~.~. 76~ 26O --~J6c - - --- 26d NJURV A1 WORK YIACE O~ INJURY-~~ ww ~...~ .~.a ~«.an..na IOCAl10N S714F7 O~ II~D wo artr. v~i~Gt o~ iOwrsn~ SI~R ~Specd~ Yes a hb1 w.e.~ .~c /SperMl 26e 761 Z~ BUR1wt_ piEMAiION. REMOVAL OTHER CFUIETERY OR CREMAIORY-Nw4tE ~p~~Tpp~ ~,,,iu~ a i~„~„~y,r n~~ 27• Bu~^ial :7e Mt. Kelly_--_ ___-- --- z~~ Michigan ~~~h~ Dearborn, DATE /Ab., D~y, Yi./ NAME O~ fAGlfT1/ w~ss oF rwauTV edl" orn, 2,dNov. 17, 1980 ,s,Howe-Peterson, Inc. - ?~546 Michigan, M•chi an 48124 fUNERAL SE L NSff REGISTRAR DATE RECEIyE ~ f~IS~Mn. Dn; /S~nlfuit ~ /$.9nalw! N 4 2!c ~ 29~ ~ ~ f, ' _ Y/J z9e - - - - - - -- - - -- ~ -- ---s - - ~ ,; _y. ,. . ~ - -t;: State of Alichigan ) I d e"~ - ctrCi~ County of Wayne ) ss. true cop ~origin City of Dearborn ) : . ~-, -~ '~t..~ .~~ .. ~~, 4L } NOV 14 ~ - ,~ ~ . ~ Date ~ ~ . ~ R 8n~c~ r~ ~ - . . .- ~~ ~