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Death Certificate - Dewus, Waldemar E_1/6/1999
. _. .. � � �� _ • � � • � , � ti t r \� ' j � � r � ��� STATE OF MICHIGAN . " F LF � '. y`2�'�I : OEPTPiMEUi;O� W2LICdH a:tr , �� � ��tiN -� 3 ' � �Y �' -?: ��1\�.} :� : Y. y �_ � y�� SiaiEFlLE.NU:.tBER Y �5 °' � } r��17 `:�� � � CERTIFICATE OF .DEATH nv=, � �' ► PR,,,Y ��F nn� . � �18�3:36` � m�•t, , ;e *� ,t�"" e . '.?�✓, :, � � :_� �..e T' .,t Y' EalA<NENi 1 . " ` :: • , r +• . 'ri .s ' .�: Bl4d I:rv.� .] GCCEOEN S tRtE-(h t f1e '.tuU 9 __'.y." ,ie: z _ 7-.. ' 7"SE� A �.+�, 3 D+tE�OG OE+ N�otiDa� � n). :.�-f r ._ � . _., �� °' � - ^ - - - a . � ,ra' . i, '- ..a :.. :: . �.�� _.. ..,;s'.`Waldemar, r,,.yt E,..^,��= Dewus ,:', ¢^ Male>:y�_ February 29 >-=1996 ..-Naa /GE-lav 8�nnary <o. Ur.DER 1 YE�R ... a� Ur.OEP 1 D>Y 5 O�iE Of O�PiH f%�o^:.+.Oq.vur) ." 6 CWrvir�Of OC�iN t(✓ens) :nONinS � 0?eS HOURS � ta UrES .,.._ � � -. 53 � �_> »' , •.,ry FSeptember 25, 1942� x� .-Wayne?;.- 'F :� ':A � � �� �A`IOC+,T10N OF DE>iH (En e d+« cunn+y o v.a Mta d- a J�-)o ]e ) - ]p If-,NOSP OR InSi -:Inynen� 6 lc tliY �9lUGE� OR'-IOKtiSNiP-0f DE�in - �.' HOSPIGI OR OiNEfl INSiliUilO!"N mt pf.naf�ne�l�e g es�eHa�ro oe1,{n 3:O�ICmo Pao . DOa ($iec�yl`J q ' � � � .. . � �.> � �-., �. � . ' _� Hol .CrossrHospital � � �_ � -�Emer ?Room� „. , Detroit r'.r, � � -F 8 SO[ial'SECURIiY tlU:'eER ..�, 9n:`USU<l OCCUP??IOt� (G �vdol.[.o`r�OmeOUimgmosrol� �' 90 NinD OF€9USV�E55 Op�'IiiDUSlwi - -..-..: '�� .watyBMe Donol✓ie et ea) +xn IOe CAUnrt ��-,: 1CC. lOC<uiv:!(Cn -i:me oo.,'�m s�h1'r-j„y�� .�IOa SiPEEi..u:D Nuu9EP � _��j ` Fd .. ��' � . � �i SitiE ( � -:F ... � _' �' INSDE CITY}OP v1iuGE Of q}i, _ �J _: � - '. :r'� � ' i s -; ?y [i t�sa"or iv princeton�" ? 304 . � �6th. Ave. ` ;,, ;Inc3iana �Gib`son ;a, .,�: .�= ;,. - t y �� IO�,tiZIP COOE 11 2itViHPI« (Ct v a��;` 1' AteRll�t SieiUS- Ma N- U:SU9VM1'G SPOOSE -� �� ' � Id waS�OECEDEHi EvEF-' )�� b Sb:[�Or f t8 �O�nfry) �Nn[i Iq�[O..�WCOatd £(Ifyw/! 6 t' )m[ DPfO/t'IUSf mJnKl 'g'�: 4 U$ tpN.CD-i�PCfS� � �'' `-ZOIiIUR/'� .. • ,. P.acm tSenM ..i' ✓ ' k ni •. ' - t<_�� f5x res n-rvo1 � � `F �4"/670 r° ' Yu oslavia ' Married' ` � Zris �`L `nch ; -°'" Nof � -�"� ` �.r_^_ 15 ANCESiRY !te•can _Puena Pca . Ccw.. Cmtal a Sa.� 6 F CE �maon ine . Biao�. Nni V.�ECEDENTSEODUiION (Srihmry�-5-espaaeaompko-al ..�mrru Ovzro-.ame�;Mnoamc. �I^.e��Kan dao. ='��.�san em-�rutcnan�.�d. CNneu � - ` f t , d . . ;_ _ . .Erca4sn\F <n frvusn.�e�[ lS,�ec�l :<b+/ . - "finpm �wn`IMa �< f5ttt�fy'peb..l `ElemenldryrSttWk+rY (OIZ� .:S.t Gaegrrll��u 5 1 - rE f' Z''.�Ci2Cf[ldll �N .. _ ' - .� Y 'F7fllt2:" j . ' + .�3 "'� .1 rz � r '� a,H[p5 �u�E (f u I c tis i:' . �' . .. . �;' � [ l2 - �°� 19 �AO MiR'S f<1E (! SCAlpolt $- t e ft ' 0) Anton Dew-us, ,Sr. Sc< �� �;r{ � Leopoldine ' S.� Bachert ,,, ' x C -�f%'` 2W ._IY:OAf +LiS ualdE fI o P n.p � 20o MAItIUG �OOPE55.!$heetanONUm;awRvulROUfeN mpe CryorP. e Sbtt.�IlP.COCeI '� .. '' "x�Iris ``" `Dewus • ;304 '6Efi. Ave., Princeton;:.Indiana 47670 e�� � F:"rs ZI:'METMOD OF.D�SPOS�iION B- �liCrt^u:�on; 2'+a PUCE �Of �ISPoSItiO�+:'(v /Ce e�er� Cr m ' 22G lOCiiiON--Ct� or V�lug . aieF �x - :l� _ Pe. a �� Oo aro -Oi�e (mec t�l _ w o:ne�'.oba 1 . / .'�•.. � :_ <^ - � k.E � - *L ,j -:s � .p �^ Ki Burial' ~� ``�i ` St. Joseph Cemetery '�� r�� Princeton,_ Indiana > �-�� . . ,:s r°a � ��� 27-� GNAiUF DF FUNEpAt ScR'nCE IICENSEE- IICENSE ��UTABER . 25 N�61E �NO <DOPESS Of F<GUtY -' >>� . � si .;= ' ' (otf enseq ' . . ..: ._ -- K�s �, �,r x ._�^. . � . , Percy-Funeral Home .:, �;° v ��. :1 I�(�� �v'� " 6588 5045 Trumbull�:Ave.,.Detroit, MI '48208��, �} �-: .sS. -2fi' Paqt � Er,er Ine Eii[d5t5. mNrit1. C<o pic�:ons.N � u im ine'Ceam. pp NOT eme(.me mme o� 0 6. sucn a ua or rrspamr � : oao ate,. - <% y: � a ai s�a�. o nmr bke lv oM o�e'c �se on'eacn u e . ;y ? ,y%�-: -q I i q i.8ec:ee y •, ,. ^ � i�. � • - 4` '� • . � ; ;:. °m i. �:- z a I c s.t ,po o.0 IAf�dEDI�iE GUSE (Fmi p �'': :-:' ' � '�v ' +- y y - ra.�.� o� <�a� � � , � �_ `Arteriosclerotic �Cardiovascular "Disease. " �� Unknown �E 5 � IKh�f� �r7 . �, DUE IO (OP �5 � COl�SEQUEt�CE Oil: � :` � : . � �: k 1 L �} � ..i s .. � .... ,� ' .r.:. � � ,: � ,;. 5 ° ysm ro e. . I E �' See mtairy� h t m atms�a OUE i0 ��OR �5 � CONSEQUENCc OF).' ��2:' ..�;,z, � !: i * li �NV � �eaau�3 to �mmee a e . '6 ,.,,%„ - � - J�? ' , . ..,� s "4I e- �:C ,, x O 1 �nID 11N0ERlYl4G � e`4 � . � . �, C�USE !U� a i ,Y. c-a . .. . - � . mat tnm e u WE-I0�10? a5 a CONSEpuEe�[E OF7 , a � -.y. _ es-u 3 n c<a��> usr-'� �y - . m.i� - j Z �[.'.. I� r,i y{ ,. *"i ?S ! .t .a "� .?«. 3x F, x. . 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Y � w �ne u se,sl u m} '1 . /'° i� � .. < £ � u : 1(S�+aN e �M ;LReI � F . � 4. � � � � (5¢naNre ina T,r�rl � :-//! �yJ f( �!'G / � :�� 'w j * JOO OaiE S�G�EO ( o Oa�v��i 30c AdE 0� Dc? H u r _'3 .� 31c D iE e�GNEO:P•� Wr 11 '.� 31< VSE t1V�+ ", '� :,• .;�` ��. ` yw"'a y? a �r r�� : March 1;..?1996 �' , A 1874-96 -CC > � Ue 3W H+�'�E Of :RE�:�c�G Fn'/S�OC�! 1/ G�„E� ienu CE2i6iER ((�peo� Prmq 31c PIi0�i0UUCEDOE>D(A�u. �ar. �•1 3:e tiME 0� OE+ln , ;.•`?R ;'":. � :;q, �< 3>;,� � � ;�;�'F��ruar��29; <19�96 11:06 x�i. :Arn, � 32a tAldE AND �DORE55 0� PEP50 ��'• FO CGttPlciEO GUS OIeOE�iH �iiEM 26� (! pe m Gy:O�r � , TY ��� )2o�qCErvSE t V E- ' � YunG;A� ChunQ•;±MD��Asst Med >Eiam. 1`300 E. [Jsrren; De[„ r1I; ,48207�s �, 034826.' � ':y, � 73---�<Ci�SURiCE.N04i:1- iU L J�� DA'EG:m.USr(Afo Oe. r�)': L�'.iIME'OF INIURY 33c 0 5�. i8: nOw uqUAi_OCCt1RFED �`Y - t t1 � .� .'r-OP FENOING ItnEST (Soe J €+ -�> M -:'� � -. ? '3�I . � Natural-;� }, �. r,. : ,.5� „`�_� r '. .:31e ui)uR� si`wOFn�� ')i� �..�EO�-•iitlUniy- : xm.e. b. si�e<c�iacvo 3:g'�i0i>i�ON-9�eri o. A• .• i. D' No'.• pq. vaaye m '-S�ote (Spenry �es or:�o) o'LU ou�b,ng e:c lSozup) iiA - � ,.;. . . < �%' . .t _;' � _° q � 3� FEG6iH a5 AGrva1UAf n��� �, ' s���. ' �/ .t� 7=a D E=fIIED�%l�onm Oa��Yee�) �� .� ,90 � � ► ♦�:'' � � � � r.. -�,��i � , �--�;� !� � .Y -R � 0`49. �.�� � �. � . :r, 3� �t , � - F $ k �' .r -� .. � .., . _: . : .. �., a j n i,. �'.`� z rx ...y> -, `>_' �' a �� � i ' y i �>q � ,"""�, 7HIS CERTIFIES THAT THE AeOVE IS ATRUE COP.Y OF�FACTS RECORDED ON THIS fiECORD� y� -:��,� ; ` �: � `�,- - .�,<.-:a' OF THE PERSON NAMED HEREON, AS FILED AT.THE DETROIT DEPAHTMEM�OF�HEALTH. �.,,,,,, z 3&- z .��ti; .�: �"`. = tZ*''? �..-.. s� � >:.a '"' :� .�-.:`��^�Y� h•eat p r�^._ty." � '��4 r- -_._ � -�. `�. -..' r x ..?` 'a ., T'. §. -.• t '� z . r ✓ � � "s:° +' ^ i � � � 4 ,. ° s ; � � : ; Y V'�1qR0 41996n� �_ � , �t : y, y � � � ,3 � f'. '£ - "T „1�y � + .� ` ,� � ,� r,� GLORIA J HARPER . ,� �,. � � � �A�(OR OFT �_� - rc* REGISTRAR VITAL FECORDS g �,-x f, 1�ENT op y � � y�� t DATEDY'';v' �` 'DETROIT DEPARTMENT OF HEALTH .^- <? p �<� a p�, ; �O � --NSITAVLOR" :� a �8 � ' V.a � DE7R01T, MI 48202 0�� i � ` .a� � -;�x -. ...;�.1 ...rw 2 :'"�' c � ::'z � -." Sa? E � • �.. � � * -°� � ° * ' Th �"Department ot Heatth ° � � .t � Z #� ' £� x s s> , . ., x , „ �e y :' � `. • nexm�n • , • `�'j� �w.,m. tGQ;.� > x � s VItB�sReco�ds .:a� z F:�. <, . `s' .. • � • ��`4b/T•M�0 "s . . _ ,� a , .. . _ ,_ – t� . -'�� ~ ' �' � :�� ~ � ��� � —�� ` � .� � 2 , ,� (71q - �Olo�1� - o�