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.. r. <br />r <br />TYlr�rt�r • <br />a r � <br />PfiNMAMDR <br />BLACK WC <br />FOH <br />BB'lHUCfMH18 <br />seEOn�ms� <br />a�►wroeoox <br />f � 20120i809 <br />' RE�ISTRATION DISTRICT NO. <br />MISSOURI DEPARTMENT OF HEALTH <br />CERTIFICATE OF DEATH <br />REGISTRAR'3 NUMBER <br />sra� � nn,nne� <br />y2a - 98 30� <br />1. GECEDFN�'8 NANE (Href, A46�s laq) 2 S0C & OATB � DPATH �Manttb �K �M <br />NANCY L. RILEY • Female March 29, 1998 <br />{. SOCIAL BEWqITY t�. 6e./10E • LeY i. WID2fl 1 YEAH IIc. IA�IDER 1 GAY 6 NRE Of &RTH (Afa�)4 Ge3:1esH 7. &RTHPLAC�E (CdYml87ah wFCes� CaaWY1 <br />505-48-2703 �" "°""� °"'� '°"° '°"'� Sept. 3, 193 Callaway, Nebraska <br />�� <br />�+omoann+an <br />�O <br />B. �DE � 9lf� Ul ge. PLACE OF DEQH (CJed� adyons: aee 6utrucNoro on oCrrdd�) <br />❑Y« �vo OU�. Hosarnu: � �"� ❑ �ro�"� ❑ �^ or�a: ❑ Nu�n9 Hwne ❑ aesida� ❑ omar (s�rh�1 <br />m.r�naunwuaE rorber�ar,mn.d�*moa�a..�,a�J a�. aTr.iova�.onwrrvror+�o� ed <br />St. John's Mercy Medical Center Creve Coeur <br />�aww►a�soa�s-ea�m.�er ». auawwimsraseawv� �sa o�or�r�suauuoxunawH �rasandd im.�ooF�onurousrar <br />Mvded.WHUre0.0irwoedlSDed� M�.P�B+►a�tler�nm�sJ �vkdansdvl'gmmfdroddgik CMnatusrstlrsG7 <br />13a. HE�DENCE • STATE 13h CWNiY - <br />Missouri St. Louis <br />t3e.8fHEET MID I�NAABHi <br />�a. wns oECmeert o� rpsrarnc otuaw <br />($pB�/�0 p}�8 ��/�(19. �B�J' Q�Wfl. �. fllBlb fll�q. BIQ.� <br />�] No � Yes Spsdfy. <br />17. PATHER'8 NAME{F4aC �ffUmB. lasfl <br />Chester A. Prather <br />�se. u�nau+�rs wu� RYa��U <br />Bob Riley <br />1oe. eywnt. cn�eui�l, <br />dtHe� !s➢e�ai') <br />zt.�� <br />� <br />�I <br />oa <br />412 <br />zi.Awry�ree�.r�a�r�aeeee�sa,��esae�e,�. oonw�n��aaeae�aq.�me�mar�ra�a.r+oacorn�ame�. � a�o� � <br />ustwyome�ma�ire. d .�/� Z n �� . <br />SEE WlfE08QEGW8E ♦ e- � C� �C'�L�7 Z/ Ti� � �C9� SJ S � � <br />on, o,xEr►s� �'�„� ouFro (oa �sA � oFx � $� I� �j S � <br />r�a�m� n I�i4/U[.+ �/ �1%1C�N/ /� � <br />s�'e�' �TOConesn�� ! � {I y rl�[1 <br />ow�, e mpc y �� `� <br />— _ .. mus�e. �� c / // E�� "�L 7l �� ) �.J�7' .�L. I / G I'� <br />tA�mEHlYRiO CN�E � <br />� (dseasssAf�ayOmt tAIETOI�ABA�OFk � . <br />� <br />� . h�aLeAermtatm�rg ' . <br />dnQmNj LL4� Q - <br />PARr p. ONe ��wa antr�ng bdBa9+0ut nW �p in Y1B wda�ln0 CBUae 9h�en In Perl L <br />� wa�g,°°°'[sv°°�i'1 . <br />❑ Homidde <br />?Ss. �SPee$') A9L. ToO�e Omf d qry inoerletlge, tleeA aa�amedalme 8me. dam atd Pb�a aM� b t�e mma(� �aL <br />��� �6 ��, a � <br />❑ �� <br />�+. wu�Nm��+csrr�n e�x�aw���ryyednr�n aav. a�:uc�rnnae�r+ 90. <br />Dr. .7�eonard Whi.te, 621 S. N�w Ballas 14 � y b,� <br />a,. .��a,e�+c+�a,�a,►�nn+N,c� � �nnws <br />l���3 . <br />9450 Olive Blvd. <br />24. ff DECEABED WA8 26a. WAS AN NJIDPSY 261 <br />FOAILLE 10-�9.1YA6 ffiiE POiFONdeD? <br />PRE6N0.Wi' Ri7HE LAST <br />W MY87 <br />❑ Yes Z ❑ Unk ❑ Yes � No <br />2& Ma�EAOFOEATH 27a OQE�WA3AY 27b.79�OP ?h. WASULURYALf�I- Z!d WNRYFJWORK? T7a D�HOWRJJUAYOCCUAAED <br />�,(� . fMOCtl;,Oe�I�J B�iNHY RQATED7 (�nrrneve . <br />7�X� � �� 1 � 1 2 <br />❑ Aa�md � � ❑ Yes ❑ No ❑ Uek. ❑ Ifes ❑ No ❑ Ik�Y. <br />❑s�ame p mr. vucE�wamr-aro�».+�a�,am�:ame. aw � rsa.��e�m..«rrw�aow.�ctra�.smo� <br />MO 63146 <br />�VEflE AIJ�OPSY Fl/�DUiCiB ' <br />AVA0.ABLE Pi110fl70 <br />CAIc�LETI�'1 OF CAUSE OF <br />DEATR <br />❑ Yee ❑ NO <br />7� pRE &6� aed TnlE � DEATX <br />(AfonN. OYri% fYrr1 <br />�///f.P 9 : 2 7 A . <br />c�sE n�a�oTO u�oicu �� <br />� <br />�. ����� <br />(xamt �A�'fl n n �1AI <br />ST. LOUIS COUNTY DEPARTMENT OF HEALTH <br />ui SovTx �C <br />CI�AYTON,111�LLSSOURI 63106 <br />THIS ISACERTIFIED COPYOFAN ORIGINAL DOCUMENT <br />(Do not accept if reproduced, or seal impnession cannot be felt) <br />T� REPRODUCTION OF THIS DOCUMENT IS PROHIBITED BY LAW <br />(aec. 193 315RSlidol986) <br />wTATE OF MISSOURI <br />SS <br />CQTJTa7'�' QF �'I: LO[I�,S I HEREBY CERTIl�'Y that this is an exact reproduction of the certificate for the pereon named <br />°:.�.�::. �.� aua�ara an t}ae g�araanent r�curds af the Bu�esu of Vital Records of the Misaouri Department ofHealth. �tnese my <br />n��.::,,-� F3t�R»i,',' :►?pgistrar of �ital Statistic€ the il of th ST. LOUIS COUNTY DEPARTMENT �F HEALTH this <br />c'r,rAGtr.`Uf ��� � �• �g��g� � <br />1 � <br />p � prv�r s�t�e�� <br />luto _��nar��4� <br />13E. ZIP � <br />63146 <br />�B�B�i1�` (al'd� I (:O�B�B (1+� 0[ $F� <br />cou�rtr oF near� <br />St. Louis <br />t& MOTMEH'8 NAIdE lA�aG MidrDe�, wieen &rrmn+v) <br />Eva M. Griffith <br />,m. euaumnon�s (�u�e�o.aum,rr��on«ra� <br />1925 Beacon Grove Dr., St. Louis, <br />2oe. PLM� OF OISP�rtION f�� ��M: �Y. w 2od. LOCATION - Cgy aToan, Smie <br />m,erqaaoJ � . <br />t3C. CRY.TOHM�ORLOCA�1 , <br />Unincorporated . <br />13L MSmE CfIY UNRB 13p. YEAR3 d PRFSB�If A�AESB <br />� Q � a s <br />❑ tee rto ❑ Undar 6 ❑ 6-9 [ <br />ts. nu� •� mmen, e�k. w�s..�a. te. � <br />r8pe�yl fapaoBy <br />