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Death Certificate - Pennington, Harry Caldwell_2/7/1995� S'f�'CE OF MICHIGAti ) C01�T1'f'Y OF ST. JOSEPH ) SS. CEtITREVILLE, MICfIIGAN) �' T, BF.VF.RLY J. RURNIIAM, Clerk of the C�unty of St. Joseph and the �irc��it Court thereoE, the same being n Court oE Record having a seal, �10 hereby certify that the following is a copy of tl�e record of death as listed imnediately below now remaining in my office. LF J �F 3�-3- � 0430101 B , o�.��. ,.���.,��� « �+s•� �.rv 511 V�uV�I �(L��PK CVV1f�qw p M S V I'✓1 4 �5 � covn� ro+s w oK• 4�v! v. o �v ID��I! C�VS! y��rvL �w( ow�cv�+c UVS! 1�5� � � . `_.;� ,. {��. v .. �, : J µSn.rot_ � �.�..-.:�, t��' ., � :: .� STATE OF MICHIGAN DEPARTMENT OF PUBIIC HEALTH CERTIFICATE UF DEATH SLAIE FILE NUMBER �OECEOENI NRME �MSi � wWM� ui� SE% OAIE O� DU1N IMO.. Day. Y./ ,. Harr Caldwell Penuincitou _ :. Piale �.h�rch 5, 1987 M1dCE-i.�. �++� e�,�, ��.•0 11GE-bn bma.. UNDER 1 VEAR U!�OEP 1 DAY DRiE O� BINIM (MO..OsG ��I COUNIY Of DERIN � 1'iliit.`lS•�lSOrc,h/ 5i. �v.s�t ..os� "o::s -wwns rw��s - --- ------ tll se. s�. c htarcfi 4, 1906 �. St. Jos2 t�_ ____ IC�IOn�OFDE�iH ���1�yyptOnuwrtSa StUry15 HOSPIU.IOROfNERINSIIIUIION-x •nraMri. o..r�r,...,.e......�.., Ld � SLurgis Hospital ne�oeary! �,ryoe vu.e� u���s a ]E. _� �wr o. I )c ' � ' —'---_ Si�11 W pr�u n...r..v5• Cp1IIN0f WM1t CWNIRV �� IYt� V�wu1D SURVIVING SPOVSE (l/�vd[.9neme�Oennlmel .'eN1�In��tvi.�x WTOw10 OrvMf10 r,5p�.lvl ,�V t 1� IVwCI$' e llliuuis Is. U.S.A. ��o^p Piarried ���. Geraldiue hloore �z��'���es 5p�laL SECUHIIY NUMBEfl � �. fAINEP-NAME ncs� ,e. Hart ING01UA4NT I SC. :i t VPnf10N (Givt b.ryp! wo.l Omr Jvuni m03! ol KINO O� BUSINE55 OR MOUSIRY qod�ng IAe. even d relved/ Physician �.,. Health Care lOC4UlY myp� pv pvu5 M SIPEE� ANU NUMBEH rcn��� o,,. �---- e�re�oec,h/�rwvoEVn�•eeu4��sa ���11�:2 �1C�20! 2�� �. �COcI(�W�7j� �5c u^"' a lsa. wroo« us �e..�s,��=��.�� G�raldine Pe�uii�i�to� I9 IMMEDInI GAUSF,' �EtRfRONY( PANT I,al � l' �� itlYu�Qr�i� OUE t0 OF AS <[0�15EOUE�N/CE Oi_JJ/L p//0 ` 101 �, � ��.�'i � � ! / � I^ 1"� ; UVE T0. Ofl AS � CONSEOUENCE OF: l Icl PAPt 1 OIHER SIGNIIICAN �OND C��o�L,c u1rn�r RACE OF OEAIN �.e�-., rv...,� .a.v, zz..M ffiis�ii�Ea�"' 21�. �e n. en� e r.......ui mue'•• p t IS�yne(we �n� Ltfel � 4 � DntE S�GNED lAfo, Osy. YrJ �> zJePlarcit 7, 1987 V� NAME Of �TfE�101NG PNY51C w rtno �s� r 26i fSatura NNRY Al WOPR lSOm�h Yer oi fbl DniF /M1�o.Oe%YrJ tla.r�`liC�l i)�i�)(i� B�7fib �UNE� l 5 R CE lICj/^ry� f% lS,qna "- - -"'I/ ( Iai�81 ,o. ► ' r; 1 s�m�im�ro rro �li�'NCY�/U •r� �/O SC/l�(i�.�� 11R5� MIOOI! l�S� C�ir pn Ipwrv S��R bo qeon, hlicl�i au 49099 �...n n.�.-. o�..�.w a.n• ' Syl i—s � i r...M e.��... e...� .a e..m 11 __ i...s w�.... e�..� ..a a..� )N$-CO�a+m� ar�•cc�� �a �e a•��+ an -w �•��.a �e .I v•^ ^ nnt � AUi0P5Y !$pa�N Ybi YlAS C/.Si nEfEARED ip MI F� �/,1�, /�. l�^�+'4 ��!� � A �/� or Nol EYAIAIr1EP� l5nec�h Yri or i� �� � :o Ido n IJU v Hosv. on inst . oo.. 1aa- 11 �.....�...e .m a.,......e .<� �e e. . m.a.n .....�.... �.�. 110T�I1 �f ��A� NOUN Of OE4tH zJC 10:10 li OIHER INRN CERII :{ili ,.,, u�„ �.� � Iv�.l r1l1 P 1n� O��n O�.�•••n�lcn �M'v n f�y��M. � c0^a� C���� e[[u�ri �1 M �+J Wn� �M Ju� �o IJ r..q mu WrY�o �M M ro m� ounl�� nnw �� a lS�gne�vi<�nd Lilel � . a i On1E S�GnEO /Ma.. Day. Yel NOUR 0� OE4tH �_ P• rn °i zne. �ac r.! lEH (lVOf w �nnlJ 4 W ppONOU��CEO OEPO (hfo.Ory. Y/.1 �RO��OU��CED UEAD lHOV�) � lAC ON �ie� A1 A�� IIfIEH ��wrsrc��N M vforc4 F.nvnpq /lyPe oi Rrnll _ �uh h1.D. lli :i. htouroe :ib. Sturyis, Plicliiya�i .99091 DAiE O� INJUPY (M1IO.O�Y. ✓��l HOUR 0� ��UUPY OESCA�BE HU"d �NJURx OCCUNPEO 76E. 76c.�36d _ . �.ao.. a�.. e.e.�•.n. ISnrc,hl OINER CEMEIERT pq �REM4IOHY NnME ��e ��I�ite Pi.�eon Cemete�__ NAME O! fACllli� _ Far,�anci/b'uneral Hotne va�t� w ��o +o o� ..ni.c�. w.v�•s��, n.�� IOCAIION OI.. mt�.G O� �Q.wS�n 51��1 n�. Wl�ite Piyeon,_t_ficlii4an iF55 OF fAOU�� I3ox 611 tJliite Piyeun, Ptich. 49U9° OAIE PFCEWEO B� R(G�$�AAA �M1�O.. OaV. d��}9p �larcli 12, 1987 �`� "•_�� mo... a.e� In Testimony Whereof, I have hcreunto Set my liand nnd afEixed the senl of said Circuit Court of St. Joseph County, Michigan, the 12th day of March A.D. 19 87 . � [iF.Vf:RLY J. BliRfi}IAPi, Clerk [3 �l 6�j%r'+i� -� � puty