Document 3Qoeq6vkEGaGe6z7YEkMGQG0J

OH IH CAHOLWA OtrAH lOtl 04 HUMAM HUOOKU 1-- VWflN Of MtAlTM KMVKU - MIH (COMM MUNCH CMTIFICATE Of MAIM T=------- BS5Fgrre--dfear*ick Schwartt fait liQtgbgn, 1984 JiZaFeb. 4. 1911 y*+c+ ** ButiAMiaR | ------------------ Transylvania htAewpv MA* n Brevard Wl * 1CA P> s-r.r'-Tsr-'-sr-- . -- Jransyl vaniaIMCAoMaAafMuMnMluty* IHmjF.JQ.IAnpat ngz *MA(Ar _ MC 1 k^iBTliani^K PI a rah Forest m. 2 B-7 Glen Cannon T k o *U*- d MM* trnmmwv c^u. ca--------- I*United States Married Trie H. Schacht ISESt Em? C *frccwMBs i<<-- ***** j*ail -- ---- CgSt Analyst ,i? AcfigBatlnt. Jfl XthSV* J _ ------------- y, Theodore Sciwsartt /~m*4Mn*Al` 4 yu lzip fk -J fVwatbTr L OCATBd CAtfBC O iVi VAW1 .arelf HVJ- A VAMJra . . Xa BfcPi? JzTotfAAPPjrt..,r.yi^,a.r CMTCA >*A_V ONC tAUK K t.AffO M.M.M Cmibw. If Mtr Damud1*1AM(imlls MsaAiMsi-M Cardiac and Respiratory Arrest M DMA, A 1 <MM Mesothelioma r jaw ML MAT *- OlMll W OmAamimavMAM Aft Cl V*?isa \ C tjiT.A? fOOr*R5M142* TV. ?/ ,bi-nL . No Me. ~* M* AMlUlWU CBM llM tnwiM |V a* Met I/A il No TimaKa a. 9:21 PL MOTVCCt ITATC t*F fllBMKl THAT Ad. OCAT PUK TO THAUWA, ACCOCNT, MOM4CIOC, 9U*CIOC.M L UNiAOAt a A U4M ATUAAi OHCUMSTamCCS AC A6MTCO TO. AMO CCCTIMCO V AMCCMCA*. CCAtflKA AM*** CCkt<rtCAU OF dCATM. AWT DCATK1 FAtUMC MfTO TMUC CAT(COMICS t* WITNW THC Mt AiOeSCMCTlOAl KCCffMOCCSAO* TMC WtMCTM Of lUKViVAL FOLkOAtMC t>C WOCHVI**fi INJUWV. AmmpM TAM * Cartrtw* (fM * OCA llrtHCWCrt. A a ' CerlllM -TZrn r|wW. Ovm* Qm |mmm < CMMr CfMVMy ... MU/*i LetMtM<-e. le-SBfuw A--M ftaW*. HCMreiMmationMe--mb ^28-84Me--t Shepherd CISr'etAmUarrtso^rreyM^&vtHdjKendersonville NC n.Moore FuueraLSbrne'. BriBvard. WC lw (Mia Bet^ *r L*nc*f As*. 1- *452UmbM. rr. jK<2t ! r L fJo T gg1flaigflE.fr____ I certify that this ia a true photocopy of the information recorded on the death certificate cn file in this office for the individual name hereon. Volume Date Issued /Q- _ </ FRED H. ISRAEL REGISTER OF OEEDS, Transylvania County Register of Deeds or Deputy, Register of Deeds DTKR 0000963 Produced Subject Protective Order by Ford Motor Company 0T7F231 B vr ruDuv rKALin CERTIFICATE Of DEATH tlATf HU *UMtr* /maocc um w" Mkil 4M1 CIA (AH Of DEATH M* 0W bv / Donald *a****-*--h *. /Sooerfy/ fYn, i F. MKN i Hrt * Khite___ 67 - 1 LOCATION O* DEATH (7j mvrn 0t iwts o* u tHirri 9* JU-oNDwfl e1 PAY I |Ht( flt |pt rt*rw-- Via OW*_H_t _CV_I_MSU1oCuWlNTAT "igy" ^ Michigan COCUU SfCVlT> 1. P.Sj!ULK_M_L__OCCUVHATIaM rried Male Oct 21. 1984 . IWr *>t couvnr Of death Oct ,,.r1--9--1--6- tj Oakland |hos*tai o* otNfff wsTirutOM 1 f . d1cw*.n-c27miu1d9..if.tmSsmor#hing Arbor<Dwrniv%e- t * * A* H. 1!__ Irene Roma ns kl * YES (M) or KiMUS O* MDUSTRV eoMifi<o> -ivmMhcj ft*fS tj 373-01-1259 ciMd *w*a siati j county _v Retlred"pesigp Engineer iUjWCnJlrlfC#c>AK#ittCiHrWvHV*V* f(ufjjlI.!*..*..,..o.rT .. 48076 Ill Michigan i<* Oakland ^MIltfEtlAIME fans' Q"T * ,-Southiie Id _ - MOIflU-IUMlt UM| STJREoETxAdHD NuMRfft ,^.2?w41ckBi Springii o-Arr.ho Haxxy n _EL_ loge 17 tmn op <a ho Annie "** Jord"*38076" II IMWDtATt CAUSE fart Kurt* o**.ronr ca,>uBx2n7*4um1t8to-nStitp. i*riln**EguAu rbor _Dr________________ Smit hf -- i e 1 d, ut Mogruf.hffli nma out to. on as r a>.H0jtna or Ll yr 2^ ides* Mi r OIX to. OK AS a CO*Stoutset Of -36* 14/Tlj FART U OTHER SIGNIFICANT CONOrTlONS FLACt Oa-*f*wDEcATHfSp+Cftyf f most orn mfi . oo* g ift*. Am H (Spmctffi 22* FTnme. 22b If rnm hn4 rn oauM *1 In **t* *<f Hm m Am tc o, <SjpwiAvjtnrf <cc frits; j_F \\_VV.rN i < OAtt S<CN(0 lo. O;. Til HOUK or DUIH Is mPctober 23, 1984 Oi NAME or AtTf WOIWG PHYSlOAt.' If OtHCK THAN CHITir1K: 5fl (Typr tvPtVnUM/ ik Freeman H WHnert MD NAME AND ADDRESS or CfNlFItS iatkmn <m HftKA ff4UM| fTw* or Pr\Mt in<Nf4 d'*** auWSY orWr Acb-/V Km WEKASAtClWAK' HfSEjfylmAAvttyDUtosWa.-DMlCotAl Ja. HD_______ il wn_______ c fS*gr**tmt sad JT^Ep/ f oati siuko /rt>. o, tv / HOUR O# DEATH 24* !. _______ FRONOUNCCD DEAD tUe Os, Y, / PRONOUNCED DEAD /*o*"7 ?ad ON ____ 7*> AT is Kurt H. Negmanp MD 1777 Big Beaver Road Troy, Michigan 48084 acc fifCbt hou (*(put OP P|H&*NQ writ! fSirf-l if i. Natural *JUR AT WON* rtSpaYN4|r Y or AO# \76a 04Tf Of INJURY/Mo Ovr Hr./ HOUR or INJURY 0ESCR4BE HO* Md Jftr OCCURRED 74t 3k RLACf Of INJURY'** --- m: u^v aw MM| ( /Specify/ ^ 2D 214 | LOCATION 2<o S'MCTT OKMt M3 . WHLAfi! OA tOWNSnP 'U*AL. CREMATION REMOVAL OTHER aWTi> OR CREMATORY-NAME LOCATION Off PiuACf P fOtWMN# flaw 2D1ATE (Mo CreaatiA*1 O*^ Yt t name or 7fTA*txrRTftYvnselund P-ark Cg-meteryi jADORitStS. or Berkley. racuity Michigan 'r-Fuller Funeral Home 21b 1Sil?^fa&oaj8072 izLl or ft KtCfiWD AtClSTKA* t<*o o*r, Iff O oJ |^/ f CERTIFICATION OF DEATH ETATE OF MICHIGAN)*COUNTY OF OAKLAND)aD * \ '' . I. PATRICK FLANNERY. CITY CLERK FOR THE CITY OF SOUTHflELD. MICHIGAN DO HEREBY CERTIFY THAT THE FOREGOING IS A COPY OF -.THE TRUE DEATH RECORD NOW ON FILE IN MY OFFICE. ' "2725?!m*w0","*ro*L"r" P#ny 00*01 - MTC M l*A*CN . Vttuvforw QONOAfACOOMfG Jud* HANCOCK it /l^l OHIO DEPARTMENT OF HEALTH DIVISION OF VITAL STATISTICS * CERTIFICATE OF DEATH . -p 3*p&rSsl /OKIMNl lMiH , MITCHELL %<l Aiac* . A M" Ml * . White 64 CIH.VA14CI OALOCATKKiO* OC*Im ,Hale UNO** V*A* MD*R * Oa< DATCO# MI|H*.Oil.r t Mm | Ohi Nm < Mh 1 Sm he [ i MOVIfAt OR (HMM MfTin/TKM -IWM WMe |h, . (mm a,, r., October 25, 1984 r_ Cuyahoga , Middleburq Heights > Southwest General Hoapital fTATf OF MTmO<mm14. OTUIH of PM*T COUNT Mr ninpatient (OCUL MCMRiT-r *. Poland_______ t__U-S.A. (I t<w-ltS MCtAMO VA Mi Uj AMCO fONCIII mm m No IICimRMV- a Married Polish KMVtVWC MOW 0f t*~* m 283-28-4612_ Cacvlia Spiewanek tmo OR MwtfH OR WWWt Q.llC- miiMan-IMii . Ohio ' town ^aT>.H.uUM^Utw i> ford Motor PR T AMO MA*HR 1-- Cuvahoqa t4c. Parma 6440 Goebel MOThCR-MAUKNMAMC Am Company Drive MUM Of LMMTI mmM, ... YES OMMANT-MAM* (T^ -- /mm/ Owe a Barbara ttTRMTORMAMl CITY OF TONNI Cecylia_______Ovca 6440 Goebel Drive Parma, Ohio DC ATM WAS CAUStO Y; U*rt* ONttQNt CAUSCtC* Lmt fQ* Ui <*J AMO 4cl] LaLi aiAHI Ql 44134 wotan mmO Pt*tw MMCCNAfi cause Mi Hespthelioma Out TO. OAAS A COMWOUCMC f M/. . aif.^ +------- / {ooc TO OA A* a cOmSCOltNC( O* PART M OTHER ftlGNlFtCAMT CONOiTlOMS < 7months ADTOFtr tfat m* / was CAST REfCRNCO riM--4Tr r Mr */ ACC W<00* MOM UVWt., OR F (NO1 NO IN VIST /S+~nf}, OaT< Of fMAIRt P*mA . ral 20- AAA Y AT WORK |J*Wi irav1 ___________ 'LACI Oi ilMF T 4 / Ml . m / w MOV* * >* NJU*T OCCURRED jf-ii* -,aa / Nay M IW* a Na . iaa !/ amt ^na/. ** S-_________ . IlOCaIiON jfiwa m F / P.-a i*r a ***/. mm. */ j Ia* .. r M. CampHMl My ATTENDING PHYSICIAN OMY lu T Me Ml a* a <kh*i*i. mi% au-m* a t* MH. Mm Fct t-i *a h Hm cwh> dfHMe rwt/i \/ K- CilvV OAT( llCNfO MTA. 0r. rM/ UOO* OF CXAlH fa Me Cmm** * CORONER Only EM On am HM '> -- >*/ Muyeai. ai n*v aH wi* flfmWi -W IM/I DATE SGM(0 /Na. 0>/ TmI HOUR OF OCaTW a Rm anm aw i October 25. 1984 *< 7:23 a** HtOMOUMCIO OC A0 /* . Per Tew) nr aROeeOuMCCO ot ad fNawi M MARK AND AOOACS5 OF Cf R T/FifR FHCUi OR CORONf A {Tr+* > FVmii 1M ON 2M Af tf*wi Mr 1/ 0 -a . eirv MT wRRyr. MM, v m >RORI At Vincent CH(M HON,.jOAT( Anku. OTmfR iS#r*r< ^Burial r NMK OF f#4lW(R M.D 7225 Old Oak Blvd, ***** OF CfMtTfRV OR CREMATOR T idAMTdIOllNetmis Hls.. QM 27, Holy Croas Cemetery |w Brook Park, FONTRA*. 0*RtCTOM * SIGNATURE A^ 44)10 Ohio *C MaJ iilHJUllWll n* Rhoopbeerrt JJ . Inman ^ FUNtFAi TRM FHO >*OADODRffS 5973A (ITRCfT MO* ?)'/A t<A B ctt / ttufci 7229 r ; iffi GolubsXi Funeral Hocae, InCa, 5986 Ridge 5w Z(x.}^y uzjtyC pi< NECO IRCG*TRARS SUa lu*N ^ " / " \0+* PfAMiT tlftOED / ` 44129 I HEREBY aSOTFT HAT THE ABOVE IS AN EXAC ' COPY OF THE RECORD NKLCH IS ON FILE IN THE CEPARDOfT OF HEALTH, CLEVELAND, OHIO. wrnexs w hand ami seal as iixal registrar or VnXL STATISTICS. | RECEIVE.U K. Cr,l'vVAY .;jQV 13 136f3 ^KS 0 ? O ^- ---? ml uV* drJUL^yi REGISTRAR t i qrr" .fe? i' -* DTKR 0000967 Produced Subject Protective Order by Ford Motor Company 11853 0536626 O.* . - r J * --IvVy CERTIFICATE OF pEATH r,`10 1984 r b('O` tCtOCNI IM J*SJL v > Alphonse T. Lobockl **V - *--* *-- -- *N 4 " * *--unom i ! m> t p* I**! I - -WC4 ' <**V : *m*-<*% - mm> tn or , ov, m WHITS * 68____ _______ _ ____ V OCT. 22. 1916 n>i*ri , Wayne___ ltOCC*rKc*lOa IK ou'-t AA- ,,,, t,,. ,, fDtaef troit, MMfI m* I t*0l < OS"i*l C ItW' I5IHUlS ____ c___ 14186 ABPICTCN *'*H tf *' * l U C*T2t* flt *W***T CnDHUt - *** ,w n--. etri^wMa rMgtp $r* ____MICHIGAN i U.S.A. . HARRIED ELAINE CKRISTOPHERSEN : -r "yts socuu. SfOi*n wmk , USOA* OCCU^.r<M /C-r* of jCWO 0f oWKS* O* mOMS'm > mMvrtUnf Mr PiW if n 372 01 3501 CUMIHI H< ****** COONIV !. STEAM ENGINEER J, IOCAm nr ,,jjj -----rt* 1^1 AUTOMOBILE INDUSTRY 'ifaffi -a*C nuitff* i tWC**uC*hWoA/plLJ-J < aias( t*>n a# DETROIT v. MICHIGAN___ U*. WAYNE n. i.y. 14388 ABINGTON fAtHIH-NAK * Alt MOTHiA MLAOfN NAMC fl THEOPHIL LOBOCKI ir VALERIA aOOMESS tC4> O* mo WRGBLEWSKI fsi*is r< CAMK test rsr**' RALPH N, /iT MM(OiaT( CAUSE fAHT I u< mesothelioma LOBOCKI 22290 LEEtfRIGOT OAit r 0a* CAtrSF Af# fOrf r f*/. *NO w / Out TO. OA AS A COKSCQue**GE Of SOUTHFIELD, MICHIGAN 46034 7 months out TO OA AS A CONKOUtNa Of PART OTHCH S#GNflCANr tONOiHO*tS C-*.. m. *#, l AUTOfSV /S^wicrfV WAS c*5( TO tWC*l j dr AN , l*JWl*tflJ /&mwY Fr Ay/ Of ^TVACf QAT*4 _i7 residence ___ / -10No\u Yes______________________ ___ |; Ot' mtr*o*saHeo.h inST . oo fSp+Cft(VL,t, j /, ** -r H ; !_____ ;T X.fiV f **-* -if hi w ' r> "<' i cm _ / / II* I*f #* M it /--J I--X in Ki I i~r ^, r f Xlr* .Hh-A /,-y. - 2 3 o*ri WKD ro. 0,, r noonn---O--f --D-f-*--Ip* 1 ;? in> November 26.1984 9:10 A. S>1t ha*Mmct Ooff >AnntiHOoimMOc Fnn*rrss*uciMNi iiff ooiimh({p iham ctiiif* iTrpwf^-ti MAAK AMO AOOatSS Of CfftT*lC* o- ./ frpe cv Pt*u, <*C 55 oOnAiTtt mSKMH: rf**o oit * r :ou --J53"< 24tt _____ _____ _rn MIONOifMClo OA0 /Me O^r Yr r ' PWONQUMCEO DAO/Mevi'/ 1 n Wallnl Janaklraman, H.D. , Henry Ford Hospital, 2799 W Grand Blvd, Detroit, MI Om*taft. *bH4A*ACC-of*tA. WefhlT* Hi'jiit SrmiiW . NATURAL AT WOMt tS*+Ot* IV, Hr AN j I.OtUATtIi noeft Win jmuutvr /CUUo.. on>,,u. v./.*jjtMteOn*Uu* Aof iinnjuyiimrr L i^VAOE 0# lAXWY-m Nm m-- iN * I.w , w /Speedy/ f ptSOHlt HOMf AJUMt OCCUAItO 2*4 LOCATION irAif CP >fi mo Of wuC* <JP t*imrlw# |)|l| 1151. iJONIAC CNC*efON AfMOVAc OThEA ;CfMCTElW CM OKaUTOAt nam( JtT^ BURIAL i,,, HOLY SEPULCHRE CEMETERY 'LOCATION o^- v--t*^G4 y* 'aeni-* it*ti *jit SOUTHFIELD, MICHIGAN OATt (A4o.D*t IV# NAAK Of fAOLtn AOOiwis oflACAbi 18957^. WARREN AVENUE B.Vl 6/62 IX NOV. 2411934 :21^/ARZEMB0WSKI FUNERAL HOMES, INC fWNfUAt, * V!1 DETROIT, MICHIGAN 48228 , 0ATf CfMt 6t CSTPAA tMc flaw NOV 27 1984 mi ctjiTirits trat nit above is a tide oorr or facts rxcotorD on rar aecoro or the rosoN haked azKEOH, as ruts at nc Demon oeeabuqxt of vxaltv- CDUNUI a. V0UHC. lUTOt cut or onto'.! NOV 2 71984 SATIS rrvAM i. TsaiUJ ttCISTTAA. TTTAL UjCOUK OETKOIT OfTAATHEKT OF KEALTS DTKR 0000969 Produced Subject Protective Order by Ford Motor Company ~oh f i l e in the D ivisio n o f V ita l Records. HJ* I . Sl*ft . iiu )K(SUD*4Mli . titnamunup MP4* ratal Of MMn AM MCMTAi. KTCKNf curinun or maim >i MKOIM.ni if 5 I HOU* Donald Joseph MTTCHELL January 19. 1965 10:53a- l t*Ct I D.l( Of MIM A AO< \ White jSe 24 P 19l3 70 E *1 Mroiwnrisd M h cmnNOi mii **' iua>u ( uuMOManroicouNuofiUiM G Pa. USA WPOWtof] OOOkCtO Garrett cr o* lOMoite.w i MM*oosrAi.MU4M:noQo*jrmnJM Ifa usoatOCCursrtiN MKriirrin (M><y KMktsot Oakland Garrett Oo Manorial Hospital Maintenance Auto MIMMSIM'KC - t. om o cx-mm >nhmm> 6m e*oM Ik MAM m county lili cmwipwi _ < wkwncinmiiv |m sneer atoms / nr coot * fV*r%MA4A< 1 Garrett | Friendsvllle n*Q xg) | Star Rt. 1 OM S MAWH NMM Boot 7Q-A __. 21531 Edward Mitchell ' wsiQfCUUOfv(IfNUa)i cUmM-(oOoKia)amCi(MST lit MCMiSKUiWTNO Tea | WW II 190-01-2856A It tUWStOfttAfM <<* wkkWCMMI'SICf.M, IKm|_ Anna Grlinn Mrs. Elizabeth* MltcbeU^>-6atne-as 13 I "" 11 ~ J JLiMlrtinua.-~5xru M3UL. K TO'IVV I *1 't- - a. t m. kiiIiA out lo.wuACONUouiNciof 1 out ro. OtASA COrfifOufKI W i-3 f? 3 15S5 * j .\3 0 n* - --- aii a Q>y iitxtCAKi coowors comiimuijnc topqim m mqi uho ro nw uiM<MoiM*MOcorpinowoii>rwAirT<a~ i CSuryui. o6` ` ' ' '** h 0*11 Of OKIMOn 1% CONOHOM K)i vmCHO***ION W*S MlfOlMtO AufOTJ*' e nsQ -dg) m ns. frMO^GSUSeo INC(f#riGCAUS4SOf 0f*W? nsg_______ +*o Q fit *<("* Q m time Of tuutr tk HOvf VTKMY OCCUMtO !-- MMra mm< m | oa n MlOM*X4G Q tMTM 9M<lk NOM AM MOHIn OAV riA MMrirDCM<i*Maa 114 *OUWT OCCUWWf0 IiUa lOWHlACVf *OHfi MfeCRPMQwr gw ?m tbcAf5*A v- 7^a i , I --rtA -- tit -- id\i--U. ffc-- ---- I..-- / //i^ i. i____ /V l. \ j *- ..I--il ' lit |Mtil4j| |4^ wan 9%T yyzz_ If 4-? Ha bfj ahw Aat -rl<-P JH IMVJCUN1NAA4 d^OlNMt, W iM l-^rl I*mI np'"'a lHAafsl m*m a<4 hew *il>9n|i*<avwi UMf . AlIfNONG MIOCAC _ SlAff \jT _______ mrs<tAM Q owrtcrowD wmwsciahIQ iu Aoonss ; * ./ n lit OAff >ClHtO / /, / , 4 / / ^ / jr\ /* . m- 4- (*> ______ u MMI. CKMAlON.flMOVAl lim OA(( IVK /O . Burial /yfr t< fUMCwaiOWKCI ik hwk <ti c<(Hn o chmitom rrett Co. Memorial |im vxauS-v =^==== Oakland Garrett Hd. fW MG4IIU S SIGHAHMt Durst FUneral Hare OaKnd, W. 21550 \ I WITH [ j i t DTKR 0000971 Produced Subject Protective Order by Ford Motor Company 306 IF Cf P rSTATE OF MICHIGAN DEPARTMENT Of PUBLIC HEAL RECEIVED k cmur 0728716 /55r CERTIFICATE OF DEATH t 11! 1 0 ?3c5 u7j ^: C-Uiun CM BfAS1H 1M,, O.r n, - WV0 ii May 74 i85_(__ MC---t----X . iS--MCrfVl *ct -i.. un<oraI * tn*TBl -UONwO*Ct d1 1 <CiWATl o*rt of mmtH (f*a. a** 'rrr Lw"* f k UHITE .. `jy 5a | ** toc>A*no^ o* 6**tm ^njn_. ---------------1-FARMINGTON fi#*c^ Qw( i^ttoi HILLS I_1_____ , FEfl.04,1913 <___ OAKLAND |KSnf. o ort hsmui<K.---, ----. J Watw Otfv^JC ei W W1XM41 CO*>*tl OrNfimOf UU &t *** .*w *4nr(l --plIZfN OF A*I caw'" ; Mt'NII NfVfe P. 2357Q GLEN CREEK DR SdWVT'ffNCl S'*OUSl fit mritt, ywwr Aame) it MEIEM< CW(* * . CALI FORNTA USA .oMARRIED ..MARGARET WHIFFEN i] social *Cu*irv nu*mkp I USUAL OCCUPATION /C Of **ork Aon* *"f (M #/ J rWitt90i *0 Of lUSf<$$ Q* tMOUSfR* ., 359-10-0506 .lili ENGINEER ... AUTO INDUSTRY CWAACN CMQC NCC - ftAte i COUNi Of locAuPf no" FARMINGTON SWII um MJUMI NO aw m i--n o* HILLS 23570 GLEN CREEK DR. VIS MICH ji*> OAKLAND frrN(ii-NAMi #*?* _Ol MU | MO IMt* ' U1IOCN NAMC f-H 1*4 O, CHAHLES MfOflUANr CAMPBELL h> | MAILING AOOllfSS ANNA TRENNER * Cnr tpm (9*1, " 1T*I| MARGARET CAMPBELL j.a.23570 GLEN CREEK DR. FARMINGTON HILLS.MI. 'if iuMCOuTf C*USf r*Ai 1 _ H' HTtfi Offi. * O*tf CAUSf PfR lVf fOR t' i. ItI ANO Mi i.i rpz?//s_s /rg out 10. o *5 a coNscautvcr of '' ' ****f*T. " . 1Idout TO. W A5 ^CONSlOofNCt Of PaHT n OTHtft SKXtfCant CONO<TOn$ c*--. /A-C- /so , _ " _________| _______- ._-M_*_f_f.__ Aurofst /s<3#fifV WAS CASi CfC**fO TO WtCHCAL (XaMINCA t jSfifcOy Tfl O' Afa/ | fLAO Of 01 AT 1 -w^ ----IS****# m f HOSP Ofl (W$l. taaeer. oo* O'!-- * t$00c>fyt Horne Ut> / ll< 'N P -M <"**>f** W 4*MW 4: 0*TI stowro /Up. Do, Y, / fcy hoGn Of ocafH gr I May 24. 198S iic 4 ;00 A m 1 yt NAMi Of AfTtNOtNC PHYS*OAN If O'Mffl THAN CBlRl(B ifypt Or Pn*t} lV.D----------------------------- 1 ti i t.|.r a iw < ji-- . t We- vcy'M * l* i--1 MM. M> MM *44 A. M t--"*** Me*e ^ (%Ufirr rt<jr Tittyf ijp- < 2 *`t S.GNCO IMo Off. "/ si *Yn" PlN0UNC0 OCAO D*r r,.f HOUM Of OCAYN 2<c PRONOUNCCO OCAO fMoorf 114 NAME AMO ADOftCSS Of C*Tlft* ."'KCu*. CM AtO<M |mw<Ai fTyom or A*tof/ 2u On 1** _________________ H B-36* V63 1* Kenneth L. FerEsman. M.D. 18700 Meyers Road Detroit. MI 48235 a MOM Mtul4 90 rfwa^o Hrvtsr OATF Of NJOBf IMt. Oi, Yt t HOU Of INJt/fty OCSCfttt MOW MJUUY OOCUARCO m* Natural P4JUAY Af WOW fSptCi** Kri O' Abi lGt> lie PLACE. Of tNJUKY- **-e /SHfdVl PW \2e 2*4 UfLAL. CAtMATlON BJMOVAL OTH{R dMfTCPi' OB OUMilOBV NAM( ltd LOCATION 269 |14ft W ii 0 HO O'* WUAC4 Oe tomfM* *( LOCATION at* mud o" ow%t--* U*n ^'burial OAKLAND'HILLS CEMETERY ,,t NOVI, MICHIGAN____ DAif f**t 0#r, Wry j nam( Of Facility Aoomss of tACittrv iMA3L 28,1985 !t.- RG6CR HARRIS FUNERAL HOME 218 1 5451 FARMINGTON ftfef VON IA y<f#AL G<sr*A - n rT~S OATI kfCtlvfO f HCG'S'*** /Mo 0,, \ iT|F ;rr'>w- wu ji. May 24. 1985 ' STATE OF MICHIGAN) COUNTY OF OAKLAND) S5 I, JOAN REYNOLDS, CITY CLERK FOR THE CITY OF FARMINCTON HILLS. MICHICAN DO HEREBY CERTIFY THAT THE FOREGO INC IS A COPY OF THE TRUE DEATH RECORD NOW ON FILE IN MY OFFICE. . i* ' ; l f / A *" DTKR 0000973 Produced Subject Protective Order by Ford Motor Companj