Loading...
HomeMy WebLinkAbout0950 8~1'1~~~~'9~:~AT%'~'~ ~ f - j~` ~D~ 1 . . I IDrl12k26~'~*~6~'b~~3'~'~"~~5 ~ ~ r; +~~]R~` +~c{.~.`~[~y-~ '~f ~se`"`VITI ' " ry x~<. ~k~~9X~~. .~p~ ~~pg e~ Qi ~~V1161Viu~~~.lll`~~~~'~IM ~~~A"~~Y~'a a .a ~ w So . . . R~ . , . r~~~~~ ~ , _ ~ _ F ~ z~`T~I~ I~~`'~5 . . ~ ~e , . ~Y ` }~to t~e ~ l.~r~'~i~~`$'''f C ~i~3.r~~' # acc~~'~ " e _ .n ~ , ~ . . . • , ~ . . ~ ~ ~ ~ . e ~ ~'d ~i~~ ~~~i~''i~ ~Rec~~ds ~o'o~C~9 :a`t~ Pa `es '~"'6~~`~`"~h . { ' ~ ` ~.~~`i~ela . , ~~:~'f`.~~~~ P~~`1~1.~"'~~'~"~ii'"ds-s.~f°`~t. ~I~Cii~`~e-'~ " . . ~ - - . - ' '~~~1~i '~ER~'~~'~~ t~~~ ~HF. -`5~~. ~ L~S { . f , ' - - ~ - . - _ , . . , . ?P_..,. . : ; ~ : ~.rE~ ~ . . . . . ~ . . . ~ . . .~CERTI~ICAT~'.~~~"6Ei~?~T~! . n~ua~t«t ~e -s'~ l'b R 1 D A e.K~c Mt 'lbCAl' *i~"t N0 a '6~J - _ !Et ' . . , ~ NµOeppK Y ptCffIIF11- N~I~Uf 1~(iS~ M~ODI IAS~ _ SEII OA?E ~ GEAI~I(4W"1~i~~_? ~ . ~ -~Jl~:~ ~ °~E~~~ ~aT°. =`~Olf~°~ ~M~~1`e ~ ~M~"~h'~~~~5,~1~8~1 _ ; ~+sraucnoHS ~ ~ ~ 5603 ~~e ?.~{R~+^~, ~'~R ~ UHOER i p11~ OAI~~ blqiNl4b Yr 1 ' ~ COUNfYOi UE~ M ~ c~ RALE -~q.Y~rele Wac?' AGE , j • , ~ . ~1; MOS (~I~rs' HOUNS ~I~NS' e. _ "s`.'"?„ `~6~ ~ ~ ~ sSe 'teinbe`r :13;1~~, . St . ~`Lu~'Ye " i~ s s S b k r• _ . I~ CIIY 1dVb~it~i'tC~Gw ~ .~70 ~ I,LU~-1e ?ps HCA~~Ep?HSi~'r~i~wn-Na~+~.~d.wr.~wM•.yrru.~.,.~a.~w•~ ~ '~?~f05V~~~i11151'~I~rnU.a~POA : . 'O - ri . ~-r „ P~'~t'~St. . r~ rt~a$t. L~cie~Hos~it~l ~ ~ ~ ~o E'~t~'p~~"~~^., - StAI '~'~Ntt~nol.n L' C~ttTE~!'~1iWHA1COUNfAY'' MARR~EO.N~VfRIMAnM~EO. • SURwNWOSPOI?SE{l/~vd~:p~n~wa~e~nna~) ' ~ 7d - c •n , f01SOK/rl . . ; . - ' ~ s ~~fii~~i 9 UiS:A. . ~~'Ma~y' I'. Downey_ ~ ~ SOpAISECU~~~JUtul6Efi USUAIOCCi~~~OM10Mlrq,pl+pi~,,~» . . KIHQ~i9USINE5sOi1INDUSTRY ' - ~ . ~ ~ . , ~ d « ~t~~ „ ~t ~ s , 3~i~I-87=1~1~~j7 ~ti'r~d ~'~ome"~r'~~t M «.w, _ : _ . ~a. _ . . ~ ~ _ . : . ' . - . " ; + ~ , r ii~fbN ' SiREEf711R~NUMdER _ a : SO~c. ' r1isv~~~vo)S ~ 14 IiEStDENCEf'SF~tE COi1NfiV ~~V:T01MN0 - - « N ~ . < ~ . i : Fl~~ida ~~pSt. LU~"i`e . ort P~ie`r"'2e r ~~~1~-`~ °Lakes End °brive. ,~~~es . . ~ ~ . , , . . , M ~ ~ ~ ~~i~11NEH-NAME '"~i~R57 ~ ~ M~OiSIE . , lAST ~ ~ MOiHEN-4M10ENNAIJE - fIR$T ~ ~-MIOOIE ~ lASt ~ • ' ~ -,2 j,.~s _ "H. A. S`t. Lb~'is 1CA~tke~`irie M~Int~e ~ T-kAMEl~~Md~Pr~nel ~ Y ~~i~NC1+~f10~E55 , S~NEETOfY'~1~~ ~JO ~~~0~i~f01k~'! SlAiE ' ~S~p ~ Mar"y I St . ~=L~~is - ;,a .1~19=D I:ake`s 6~d`~Di~i~e F~~`t~ "_Pi~r~e, ~1'oi~id~ ,~3~+ . ~~a~ • ` ' ~ • ~ . ~ ~ 9IJRUl CbEwt~ON.AEMbVAl:07HER/5cw..?r~ ~E~iiEtEA1Y~RCREA~AfOr1Y-NiW~E LOCAT~1 C~iYb~iOWH 5 TE , ,a+ _ ~ ~ ` - ~ ~`Or°~'awa •Pa~`k ECeme°t~~~r ~~.``IJa~e'rford `fiown"'shuip, Mi~h~ig~n ,e.'~t~ti~3~5v~1'~~B~lrisl ~ . , ~eo__ . • _ .L . ru?aan~ ~TOq-,s~+~ y,. ~ iUHERAI NO~E' y- ~ J~oor~s~~~ 15 "0 e~C obee Ro$ : • ~ ~ ° R~ '°Haisle 'Hobbs Fune'ral'~ome Ft`.Pie'~ce~~+l. ~450 • ~sa - ~ ,90 ~ . t , . ; , ' ` ' OiYS ol ~aa~nwrYOn ~nA-w rndt uw~. m opnron deatA occurred at the . _ _ q~ ~^t I ~ `~f `wu s' ~ oe w a a~ aie a~o o~.ce ana oue ' 2ii' on ~ nw)? r+d we a u+~ u~se~s) aa~eo~ . . . a ~ OAiE SiGNETfiMo. ~r. r~.t ' (~~JTfH Oi~TE~SNWE6 ~4b.'Da~ rr ~ ?~Ot~i ~b~ H ~ _ , _ ~ . . 2ac :;e , itc , W " soel~~h'',: 6~ g~` ` 'I`1' 40 ~ P. NAYE O~ x}~ENDIt~! 1C1AN'li'~~f1ER TItAH°~EHTififA /1~pt or W.nf~ PRONOUNCEO bE11D lyo':Osy: Yi 1 Pq0?qtlulCEbbElCU1?~l . ~ - j~°.s . . - . ~ ~ - ' ~ . , ' . . . ~:-2/0 OPi . ~ ?t!`AT , . `~.~IN ~ - ~ . ~ . NMIEA+vL~AppRESSOf~EpfIFiENlWnS~GUN?~EpCALExM1MefR}~?ypeapr~/ . , , " • ^ ' .a _ • . , ~ ,b IZ .Iames :1r.~~-Au"~in,M.D. 1~7~d~~So ~heast ~i~lm6or 4D~i"ve /~abl Po~t $t.~ Lu~ie I~la. r p~' r~o~sTau~ f~'A~CE~'6 ~di+ nECS~STaw iMO. o.y:~Y..~ ,r' . . . . p ~ ~ . r . . . ~te..,.f. ~r6 . . E . , ? ~ ?~p..a~ou.ua 7.~ . . , _ ' r~s:s.sg~+n..~). . ~ . _ . 2~ ~MME T€"~u~p bN L~A ~PE t on gY~ r~ur r.~ ~ r j ~ ~ai ~ i. Axo ~e au~wr eee..en onsa.a~w aesn+ ( • ' , ' ~ ~ ~ ~ ouE ro oN it5 ~ NC~ Os : ..~`wncA pM cwA~ (y - ui v~d~yiip eww y~p " uw..a~ en.e~n a+a.~ ano ann ~ ~ . to1 ~ A=~ ~:C'jVy~'' CA/'L ; ~ . O[1E T0 ON AS~`CONSE6UEN~ bf I IMerrN OeMNn d+sef snd aeNn . 1 . ~4 , ' . , . ' IAMI OTNEF SK'~K'~Nl GO~+U~~qNS-ConOnnt eo~atWq b OeaU Gt M•~i~3 b CaM q+ert .h VMt 1(~ •!M~ FC1MlE. W0.S~.ME1~ A M7T0~'SY ~ ~ GISE NEiEN~ED !O YEl?G+_ ~ . . ~ . . PREC~ANCY WNOT~ illSi ~ YONT?~' ~ a-(~ , ~E~s.ALWf@J~'pec.^y Ya's a ~r. . 27f _ " . lVl/ "'I~W " ~P ooaWii ~GGO[NT.. Su~C~oE « DATE OF IN.iIMY (Mo D~p„ 1Ir ) ° ifOlM ~i IWURII i~ ~~CRIA~ 110W ~NJURY O~CIMtqED . . ~ , 27p ~~UOf aUhbflER1A~NEO1Spc.fy! ' , . • - a . HS Form 512. ~~a ~ > ?~e ' ic - 1f ?~e ` iNxn+r ~t wa+K rsv.cer I~A~E O~ w~r=~~+wnc ra.m. su.~i i.ca.~. d~.c. ! IOCATION ~~tnEEf bA~~"~'6 No ~iY°O~'tOwH S1'Mec 84 (Ob~ObiN ° r~f a Nol Dvro+^9 elc ISl~c.~~~ . •evioua ~IOOfK . "'1A.. . " ?II . . . ~S of 12~1~1 - - ;~y r~ . . L' Y ~a;~ . . - . y~~s ° ~ ° fM~~ olrfiFY`'~ ~ ~ ° hw'~ i ~ p~F MaR ~~~1,~~t'' 8aa ,~,,,,.~d ~ ^ N~~;~i~Pt~°~c.. ~~e~t'~+a . CL'"A°(11~ ~ at ~r~. s~. Ws. ~ '88 APR ~14 y A11~~1"""'~ ~ . . ~ ~ r Y S •<<W~rnin9: " .`'1 ` ~i •f ~ ~:1 , . Cp~ N ` y . g _ , . , p , r , < ,~IL~C ' ~ , ,~f: ' ~ ~ t . ~6 ~~,~'?~1~E 'd UGL~i ~ C~~' ' ~ Ui~ ~ti~er : B~OK~ . - , . t. ~~:'~~~.~C, . `i. i .~~~,~.,+,ai~saith ~ „ . ~ ~ , / ~ . ' . . . L ' • ~ , ~ ' S , , Fj ~ , l/ . . I • . . . . . - ~ ! ~ . ' - ~ Y y . ' _ Ji _ _ ~.`~YlOOw - ~ ~ t ~ . _ _ - _ . _ ~ ~~-?-^cc-s ,~s._~,~'s±r:.'-..,,:.., . . . ~