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; CERTlFICATE OF DEA7N ~
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~ FREbERICK BULWER PURDY ? Male ~June 15,1985
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K:~~« ,•e Forging Company `
~ Cu~u~ENT NES~DENCE- ST~TE COUNiY LOG?lltll ~,pE cm iwuts a STi1EET M?D MUMdER !
Lathrup ~
Michigan Oakland ~
a+~ti~Q+~ « Village 27720 Lathrup Blvd. 1
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FATMER-NAMF rrasT wpp~[ ~ws~ MOTNER-MAIpEN NAME n~,t~ ~rwoit i~s* ~
,e Frederick J. Purdy „ Grace Bu2wer
WFONMANT MAIIING /1DDNESS f~~[[~ o+~ Rr o r+o an w~oww ~
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BURIAL. CREMATqN, REWpVAL. OTHER CEMETERY OR CREMATpRY-NAME LOCATIpN an v,ai~c[ o• *owr.y.w st~n
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~ 2~, Burial 27DAcacia Park Cemetery _ Z,,Southfield Twp. Michigan
OATE ~Afo. Day. Yc/ MMAf Oi fAGUT1' ADDRESS OF FACIlIT1/ ~
2,o June 19,1 85 ~•R.Hamilton Co./820 E. Maple Bbrmingham, Michigan 48011
B-36a FUNERAI E ~ REG~STRAR DAT RECErvEO Br REG~STRAR /Mo. D~y.
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CERTIFICATION OF DEATH
STATE OF MICHIGAN) ~
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T, PATRICK FLANNERY, CITY CLERK FOR THE CITY OF SOUTHFIELD, MICHIGAN a
DO HEREBY CERTIFY-THAT THE FOREGOING IS A COPY OF' THE TRU~,~ AT~i • a
RECORD NOW ON FILE IN MY OFFICE . "~"'T'~ ~
e1~3 ~ -~+'d, I
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IN TESTIMONY WHEREOF, I HAVE HEREUNTO SET MY HAND AND A~F~3~ED rT~#k:: `
SEAL OF SAID CITY. ~ ~ ,
.IliN 1 8 1985 ~ /~7; _ - ' ,
DATE: A ~;.r?! ~;,i`
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PATRICK G. FLANI~I~'iR7~, ~GI~Y•'.~~K
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