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Death Certificate - Henson, Charlie Edward_10/20/1976...�1�_If41�::.,.��ni�.�ne1�,Tu"1L:�^1�..��-na_•�.:_nv^:nt-rteRwm�:l'_3�=L�.C� =SYC11'Li1ffi.�(:....!!i� �T�i�r"""!M"ut'�.�Y... w�..._ —_,= �. S�I ATf- l)f- l�R17UP!!� o� +i�� ��u. ORIGINAL oci Meur or tieni n� SFH�9� ;[, - VI I nL Rf.COHDS SP.C� D 102- � s�v.IF CO�'V CER7IFICATL' OF DEATFI � �AI.O� �. iln5f n, r��lll�l.l [.1�..� •rf.• C1.71!(:4LOfl 1141L Uf� u4���� O�♦ rl• III:CL�SlD • I1C11�� �� Cliarlie lidavard IIenson :•.Malc_ ,��Vhite .. June 17, 197G �:,.��E o� ..-r �c„ —r.,-: o. ,�— — -- .--� ..,. �,.� .�.., � .�,��.� �,� or i �. . . I.1 nn. Pima Tucson � SO�SO�N. Shannon Road ' °'; :°';;. . �;.,�o� ,.o.,� ��.. ,�.�.�.�,�.,.w, ,.�., „ . �4 ,. .A<—����:�.-s�n,�� s��.��:���� �.... � �,.,...,,,,.....�, ,��,,. , .�,.,�':.a... �.. .�. - , ' a. FeUruarv 10� 1907 �• G9 .1__�=.pu ,'i�:' ::��„� �ii�,`o� ���VS�A4aryaret Greenough � I�LSCE O[ 5:�•l l�u <C�r..lw. CI11:1.t: DI- nr�11 .��C��. SOC �t.51.CVi.i; r r�0 l ql`O� ` �4 � uini.� . [ou���n � . •soc.c.`�or.rn �� ,�. Illinois ��. USA ��. ri-ri9alion�+�Iater :���:o�=�• �;. �.. n4an „� x.�+ u .� . � �s,,.� .. . . �o,,..,. <.- �.... �w.,,. , acsmcr.ce , o. n. <w� Arizona Pima Tucson • 85705 S1uEEi �DD�+E550�� - Orv>ESCec�i�0v �'O�+rLOaGV� ncl::>•.>' oqE•nOt155��SC � a.r.o. ' S050 N, Shannon Road �� z�^'� °�°���s �.�+ �� AESiOEnCE . , �+�. �<...�- �,.. �, Montana � a nEEU 5 .. .�o�� u. .�ncu c i�. ..,eirU�n.�S ., u„ y. .. �no�_t , . c. t�..r .} . �� Curtis Henson "°"` Goldie M,' Garris .� � •.rour..aui�ssicue�u�.c / / . �.,m,• �� �o n•�_.� ..��..o � os:.:c �.com .D -rl�!>'��— ��<<. �o'.. . . .. . .. r'1..,.. .. t18J%�Jr' � . �� ' Mar aret A Henson �=e \-Vife ���. 5050 N Shannon Rd Tucson tlrizona 'i �� i�.� 9: ..;;� �`�o o,.� 76 <a� ,.',�.. " .•Tucson,-�lu�i'�ibna . ... a : � ..� � ; �� ,!Ji=�, ;� .. ,.. .... ; � 1�'ii �oN oBurial�.`.� • .oe6-2 + i E� �� reen Cem ter�_�sti. :=.Pi} � ,�% . i%� �l. ,�YTh� i � � � . -o � .. ..i y� y�. � . „ . v /�c - i��i / �ce. .c � w� \'•� ..�... .. �' •' r, Everc�reen Mortuar 3015'N. Ore�le R �'�cson.l�rizb n 6j/: -.�1.�',/� /%/,.��y ^ „371t1 : ' PHYSICIAN . i V� � .. OI1��I• •�4. %�� 1.• •O. t✓[OL[f�>ft���e4r�11�1: •�/ `11 00 / . , 2 , � 2 '�/j6�_ .�� �.,. �.w ��„�._ ,. -�;,-.���-�q. . �.�o.: Si�274+."�IE� ��0 A. �., �_<<.,,�P� . ���;� `�` `'_"` � io q. � � � i .i � ��. � .� � � :30 P, :,,' j '� " � l ( s,��..,: �.E � , , .,.� .. .,�,. Shc�r•m� .� �' t rs� nc: , • � : � p:��: `� �as`��� �� . r: � •:3231 N. lst. Ad�. Ti,csc�n A"l. :�' � . .,. .� ,. .,�. � . � � ��,«�.� .n �„_�: -'' � Jwte 1f3,197�1, 204�1 1.� - ` � ;� J.� 11 1 7 � .r PART 1. u�:� . wo �: �.i•� � , .`., �`y�i� \�` .��. , CONDIT�OlIi, IF 'q, �v:•EUIQ 1 f �1f��6F \ •,.�\_1 , . SNI. wHICM �V �(��\l G�VE FISE LO UVE. tO�:S 5 G X � i1�E IM!nEOIATC B. COtlSEOliii\Cf 0�4�!\��.,,�� t' � tause i�i. '. _.. ' , u�c *co:'a.z . '1'i' ST>T11:G :HE �' �i / / � �.:OnSEOVtuf����:�� \l� .�� UNDEPIYING l � `� i1 � c�use usi. . FART 11. o1�.cn SIGt.4� \v�:` rbrv[ � ��, :��1, . ..'.EG O' DEa .� 'Jnll Oa .. � ' .'1... ..c�, ❑ ° .�m•�� ui�u. " . :c�o�+r . '� i��csnc. ii ��I I'��•��uoc .;�u •.���a�.. '.c..�, o� uc.. ,n,.o..,<,�, � ��:�� .,�� ;,� •:.: � �� . Ir`. �o. �O '17 76 �`;�;. � ����� �xxxz �.� � � A�o, ��pti��,�il�c' SowN'a � � .��� ' --�—'y� C��! °�"�� �.���—�^ �?:.. . La(� 4.tN4R. v ' ' _ . • 1/1,Oy 4�.,a`.��COf�• ,n w ���(5'IG�r10N. In � r Oo�..�0� �,� �I{ \���.�lo� �1�,!0 [CIPCV��Si�MCLS^5���1(�. � �h: � ♦ ♦ uOV� ,• � � � � -�'. � � � ,� . . , .,�.�� I ,� . , . . .,.. ,. . ,. � l� '�;Xx /l `�.:' % .� .,-� • . Lt •u�'�i *` �411 4� �; � (�.'� tj(�7 HEI�[E'.� ....��,-1_ �i .o.,s<< i T.� % i ' ' r--�' ...0 ! ' `'� �" "�`�_ oc.,. � E J[;. •vi 1 r[s. n[xF[ �woX � / ��cs covs�c +co i � • ' CCiCa�w14�NG [�VSE !l orou��� � ..,.. . �'�15, `,j' '- !_—FI . .�.. ��. '.` • I � � '�� � 5 _ ' J�.. it ., .� ' IL �� � �y . .. „ . ,, _ .. . , ,. .. I ; � State of Arizona) - -- - - ss Date Issued Sune 22, 1976 Cotinty of Pim:i . ) This copy is a true and exact reproduction of thc dociunent officially registcred and to be incorporated in the official records of ccrtificates in the Vital Records £�ranch,�Arizona.Department of flealth Services, Yhoenir., Arizona. Issued,tmder the aut rity of J+RS 36-3!+1 and Uy direction oT: l ��� .. ��� �i 1 . ��� �� �� � �,. �?t- � c.} :�-t� ���z�,n:�, Waltei C. Rogers, h�D. � r.ii•r.a .�n l•Jarner Director, Pima Coiu�ty Heali:h Depart�ent Cniei�enu�y County ReEistrar and CounLy Re�istrar ��