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Death Certificate - McCullough, Denver John_4/22/1971, _ • � '� ��'1�L 1 I _ x o� , . �� � /� � i . =.. e WV • ( �'�� � Ii e• �1 :.q•fi� e i,' = •�v Y a— � �� �. ga. •m . � M •� � i � 9: ' � S - r � w Y�� J i t Y+OI •� I � _ �. J �I � �/ Y � 3 r j �> � b � u u—`o`,`\ �l � B :�t � � 3ii _. � ��, e 8� : �a�.'.�. - 'Ts C b Vr•� i � e eBr y'� � � .€�; �� ". • ; ; < , � •i.a � � g �ae� � i i � � 9=�= Q �') y � ��. ^ ., � 3 � Z • I : �� .� � ',� � ��OI� q j { .SZ`oe d. �'� - ��• S � � e � 1 � . . g , t �t���-� . Eat "O Tr� O _ �.. �. L .4�.�' .� a� . = �°,�< � •��I '�" � o L ' W a : � N . ', ir •,u ` .'i ..i..r . `".. a . . L (' . �N :q.l,'°•. , . u. . _ _' :� _ • , , �, � OCP�RTM6NT OF PUOLIC NC�LTH �ND wc��'�A[— MISSOURI DIVISION OF•HEALTH " � /� � teif fLL[ NIIMOCN _ 'N . If�NY91C1/�N OR CORON6R1 ' � `� • • • .. : •,�. - . CERTIFICATE OF DEATH � ' � ' •..' A,�O . �•... ..,- Repisvo�IOn�I�viaNe. 31g P�fma�yRepl>na�lo�Dis���nNi.00� Repf�va�'�No. 3 �'^.�'�r ,VS300 , . �'' � � ' ' ptcGSto-N�wt � e. •�ouu i�sr sEx oeitoio[�in��o�y..o R°". v�o DENVER� JOHN MC CULLOUGH ,. , Januaxy ].2 •1 "'' `� = �, �. , x�CF �•nr .ro.o..nn<�• �+w•+. �G[-uv u�o�. u i o.. D�tE 01 eirttN �-oMx o.., CoUNTV o� oEeiH� ' '�, •j � _ d. nq i�ncmy u e.r .n� .ow' . . un � n.�� _�' . .. . •� ..K. '.. ,' —�e �. � •M o , u .,.a . �o ... , N as — .iv�o ,o. 5. � CIIV.I0WN.0o l •IION OI DF�iM ���m� an �mn nO5Pl1/.l OR OiHEN WSIINIION—N/�f �u .q� �+urnn.cm vnrr uo .wnu � . ..I . ,.,��,..., o. �o , 'r ,St. Louis, Missouri ,,, � ,,,E3hRRES HOSPITAL ' '' ' � 51/�IE Of llPill i n e0� ie u.f��., +��� CIiIZEN 01 WN/�1 OVNI0.Y MI.MMIED, NEVCF MhRNIED, $URVIVING $NUSE W"�n, 6m wC�w w+l i coo+,.., ,/ wioow[o orvoxaonnai,n —`'A,� � u�w uo�.ci �. T•Y.D�A/✓%� ! r. G/.S�% ��. fLe�J_Cl,i n.r�/�'.AfS t.'� l/[� .—' _._— _I. rwvl Oenps�m SOCIet SECU9ILY NUMpGI USU�I OCCUY1110N ievr nno O� WO�� 0 Owi�O Ov a KIND OI l/USWCSi OP INOUS�RY �<�me,: .;Ca 6Le ..o..��,,,., .,, n�ino�. f.0 C' yJ �AR� � so��,iw. ��n u. 0% //± s, /B r C ue. "_.�. _. .__— I rxowu.non i•�m� � 51MtO HumtFi m�mo+. Rf51DfNCF-5��1( COUMY CIiY, IOM'N.OF lOC�110N I1 � � // �j ]� /��f) -'�' • 1/ / ��I<ii� r f O� r01 /`) • f f/�,I � �/) �J,��J,G vA . 6. Q i��iY�i.�l/Yii ��ni�VflNi�C' �ll ��. 't✓/�1N.iV/,[�'e. i��. �/QS �.. � i _ _ . u ��IM[P—N�m! r�opu ui� MO1MfN—.wiDM Mf iue� °'�^�r I �,. Tes i!/Je ��..Gvv(�h „ Mq ; e_ _ ���=�?.� iNroy�,H/� �µ[ ' Q-! M�IPNG 100P[$5 �tu�n O� ar.0�L0.. f n O� �� .�.o. n.� ' - ir. f�L�zr3,beTii /i�l(.` V.ILOJ(�? �re O .i �.��JO/t�,� J��G•� (;_�•'AN.fVi.�/2lND/aNA P�Q� I. Df/.1N w�5 UVSfD !Yi I�NItM ONIY ONf UUSf P!P IINE �O_t -;bf, A!D �Q� _ �_ �,�;.i�e�6� . ��. �_�e,.,� �.�,� , i r ^ � � • ' W .;`t.6:�P -r .... . � Ia1 � � .I L Q M I � R' "_"._ . . __�_ _ _'_I.__'__' 1�. _ .:�N ..\ �..i . �,_ . ..1 . �., : pp � .. _ ...•�mo°:'i�oi:o� Ibl I.��V�YL �F��1�Jii.Z F\�'�L_._f����.�`'�_� __" �r\5_ ._. IU 11 [�1 � DVI IO. O�� � COw�IOVIi+LI p� . :�o°�.�:i °r, �� ��, � e rz �+�j � J � Cu �,�� �.s (� w �: s. ��I�Ri II. O1HfM SKrN11K�N1'CONDI110NSi cO+eniWf Co�nu�W+c �o ou�n w+o� nwm �o uu�� crv�w �w ..n � �m ��tO�Sro p YFS � V� n+o�wo� cM� ••. � r.lt 4� " ��el��o IN VI't�+tia�r�r C�u�l 1 . ' a� ou�. 1rE6 . �'.:-.'. .'�-• ' -'.. � . '': �a: � ia �'e6 iw '___ ._�� .—. . .. � ' uo+�+. w.. v.n N UP r.n n, m. in ♦CCIDEM, SUKIDE, HOMICIDf, � �N MO�'/ INIUXV OCNRAfO ���^�� ^•'�•� d�+ni•• i� �••+ � w oRUr+x*FxMm[oi�..u,.i •. ... - . , - r, � �a. m. M. rm. INJUNY �T WON6 LAC 0� INJUflV u ru�[. rux. Si4[i. LOCATION ISiRtt w LLU..M.. [iM1 m iO�N. fuRl F15fiNCNEE� PflC.GNM:CVC '- � If¢irv r6 p x0) rKTn. mia mc.. nc. lsiurvl � iN L�ST 90 U�vS , »�. • - xel. - zop • zo O�n pw .- _. . CtS1IRUiqN— �a.�+ .. n.� n.� � u i./ne n o+ i omloio +or rn � oe �� oeCUtRO �� �w uu. a �w � IN��ICI�M: .. � iO �'OMm C�r �iuDOr�M •11 �OOr��M1�q�M i�OE� D•��•�Op�� pX • ^�^•^� Dec. 25 197� :��Jan. 12 1971,�,.Jan. �12�1971>�,, e :�� �.�o•��u�w,�. )b. mn.>eo no. - '" CE����G*ION—MWKAL FIAMMEN ON CORONEP� ow �wi usn or m nom O� oom �•� olctwn� w.f npri vo ouo � � ou�. occo�i.m w mi�o i� :.o oui io r�:� �uuunl �n.no n•�a•• . °'n ... . . 0'+.6:•.• ., «o.ae; . � o.. _ � +w.. 'h II M.lM. rtur• • M � . CFM1111E0.—N.VAE �m� orn u� 1 N1 UR �A SIGN .�W � r c+s.__.a r:..,., u n � . . . ,.. "��m.' .1 12 71 .. QeMpvAl- _ �a �"i'.�.,� 1 � I st. Loui's'. Mo.63�10 � �-� '`',�;�+' C�M1 O� IDww �11 V.: �'� �,l�(� �NDi:4 /YS! :` �.�� ° x' =:+�b� �Pli �•�'�t✓A.t'SV .�IPA �:DiANA'-�:'� o.rt ncu.mJ�iNC. ��cn�/w� : r. '�'i )Y. I� �4 ��(� '. ••- l•i.. � . I` . ' �,� . , � �. . ,. ' � . . � �� , . . , '_ . ; � ..� 4 : . � •. . � .. `»ti�_