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ECEI?SED-NAME nur rwu wr SEX W1TE Of DENtH warir. w. n+w
~ Dock Morqan Stewart Male ~Nov. 15, 1982
~E'~,~-~~~ ~~+~K A66-uu wuea ~ rw wu~a ~ W?r D/1TEOFNRTHtroMtww. COIINiY OF DEATH ;
~ '14~Yite ~"QQ ~ ~ ~ ~n. 5, 1902 Pike ~
GiY. iOWN. OR lOUiION Of DEATH ~runon ur~n Hpp~T~~p~o~E1~ pKTm~~ON_N.,.pr.~,r.w, IF H~.OR INST. ade~~opw,
~Pikeville ~~a~"°~ ~!t'x'l?ville Methodist ~
STATE OF tIRTHur ror u~ ~.s,w„ CITIZEl1 OF WHAT~ COU MARRIED, NEVER MARRIEO. S{IRYIY111p S1~OIISE ur ~nr~, ~m ~uuw r~ro
Kentuck USA ~'~!~@~~R~'0 Marie Akers Stewart
^ t• t. 19. t ~
SOCIILL SECUR:TY irUYtER USU/LL OCCU?ATION ~am aw p~on ~ow wr~ rop p KIND Of WSINBS OR INOIISTRY
~ ~~401-03-1035 . ~~~erau~y» ~~oal ~
RESIGENCE-STAiE COUNTY G1Y, 10WN, OR LOGTION 21P uaaaan urm SitEET M!D NUM~Et
~bKentucky ~~Pike ~~ikeville 41501 ~ t~O1N0' ~t. 5 Box 348
ATMER-HAMf Ndt wwu ua MOTHER~MA/Dd~l NAME 1~at r~NU uu
~~Robert Dock.MOrgan Stewart ~k Mary Mullins Stewart
INFORM/WT-NAME MAIUN6 /1DDRESS urrr a~ ua~. r0. on o~ *arr, w~. an
~~iarie Akers Stewart ~t. 5 Box 348 Pikeville, Kentucky 41501 ~
N1tT I. DEA7H WI1S GUSED tlfs [~dt ONLY ONE CAUSE /ER UHF fOR f~. (6). AND (c11 ~on~rt urturK f
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OR ?ENDING INVEST. /SOdry~l ~
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INJUl1f J?T MrotK ?tACE OF INJU[Y At Mor4 IN+i. ttav. Mctwr LACAiION (aun oa ua. M0.. tm oa fOrll. siAnl'
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~ RV1~. REM01fK CEMQ~Y OR CRFMATOIY--JVAME L,OCATION~-• ,~r.~•?= r~.
ur~.al Joh son Memor Park Psk ~
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I, Omar L. Greeman, Registrar of Vital Statis
'~h -ereby certify , . rrect copy
of ~the certificate of death of the person thenin named, and ihat the origi~al cate is registered
.
under the file number shown. In testimony thereof I have hereunto ~ubscxii~ed my name and
cause~~l ,~?e oftic' f the Qf~qe of Vital Statistia Lo ba ;sffixed at ~Srankfort, Kentucky
this 1~day of 9~'
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~ Fee Control Numb~r Omu L. C~eso4au. Ststs R+ai~rar
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