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Death Certificate - Davis, Terry_11/8/2013 THOR ?Registrar IIf 'Aitai 'tatioticz �yc (gPrtifieb Tapp a 0>. .,. .. ;.; THE FACE OF THIS DOCUMENT HAS A COLORED BACKGROUND - NOT A WHITE BACKGROUND usi;_;;t,b .v cis � /`CST �- t r(- �� •¢',tom �t \ •+ia, • -7 +' -� 1.'EhTUCKY CERTIFICATE OF DEATH 16 £� { ;3.,�, '� F DEUm.-s LEGS N.vE wa m.l.ma� .=n NNNE \'`' ''_:;. D•I 1 Ir `. - +tom—.lc/ -Terry Dennis Davis 7 / Maley' w/ L• s rs • 6. 65 n `I.�I I eb l94�ii deride sr on5... t v / p ?7 I-y 'rzn.CEOFDpEE,,��Ttmeo., 1 , i �, 1 1-u 1'4i l �i ,t3IIE f fI tC Pi- .::: F 4\ .. 1— xovsr.t CFao.Ws..❑omav-n o-N 0,tw F.ah❑.✓w.�s-•J r.m c.-.Fa, ... Gp�.�s•ep 1 @E� J/ O ..f nYWE p \ - Iocrnma noatsumac SPCOOey 4�?/ \■ Jj. *'- J a '.-. - m \"-N rhnd r Po pir 1 l Ernie rsoq n 4,470-'7°1 \-T� \_t5 \ e, 1'SWIM-PLACE -,. c.a.,' x warm snow IL]� nmwl.c swu,E A .r' �/ 3 2 ,1 oea sville IN rje se.,a ap u.. 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TcowLErt nEw a. ❑Na O Unkna 0 Se morn nova. car noon G'I -.tn.n.\ P.- rr . 4 /f ,. .� t -a �ua. x❑ ❑ \ vr41 •Prota..l ❑CP.v.c n.a�.'.uar,l.�un.a., / t¢ n. l- ' _ tr f6. 1r CH N xwtE OF wlwr anoE OF ewRr.r.,' FwEanum urrR.wvaRUn I' v7Crr. p i � \- " n l�. �_ y 1 o i.+em...' I rl ) - oo..Rb.e GPI b ( ( p 1` r4( 4\ 1 f£. > a h:- lK\-fJi -G « ❑ra a». ❑o.ttsc.x � 1' tr iA, " 1s, ' 1 \ E ESCIIBE HON wNR aCCYPPF➢ • 45 LOCATCN OF a ar A•-■U—a,- fin\♦ - ` \: /vii 11 U Ate_//- 1 �. -4:4- —j it?>,. -- I I09ECaFREtY CEa KILT R DAM CENrEED1...0", \ / t tZ ft; � ( gig C.,)‘.:13 Mn. d°u1 , :. rte. musts'remane ct �e 'd�`f lvl le \ E'I11`� �i ❑ L, h �L /k� oLCENSE m.+eEN a.MU OF x+rrs�+ a yy t- �+, 1i. - 4 -e 11, /ate 19314 :YD/ H D�C�'-+yam/ -r £v• 4-7y �fi 4Lis 50 NAME.ACCAEES.MOIDCODE Of PERSON COWLEEJ1-MC CUBE OF CF/.r1111FEY 01 -� Q1CLI"` j '� 2e¢aldatA Naddela M D: .1413/N. Elm" Henderson Ili'42420 .t I �((� ``` =w OR 7 I s REGISTRARS SON..nvE _ sx Are FU .M"riFrp- ,qi1 P `4 .. FF..o h* 42 t. � � h lk/ �6�r y G�c? t .�- GC OCT;0�42D13 r o } yG r� IQ WI IC r i� 0` i yo o cog. �.►� oa f r/ \` ' ;1+Fi+117:- THIS PAPER CONTAINS A GENUINE WATERMARK WHICH CAN BE VIEWED BY TRANSMITTED LIGHT. 4"Z':;;;1 Y I,Paul F.Royce,Registrar of Vital Statistics,hereby certify this to be a true and correct copy of the certificate of birth,death.marriage or divorce of the person therein named,and that the original certificate is registered under the file number shown.In testi y W%apf I have he revise and causRd tJ1e official seal of the Office of Vital Statistics to be affixed at Frankfort,Kentucky this �7 ) day of ( 1 X l{/�L . ,20`�J at 5. Pont._. State Registrar