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y <br />STATE OF MINNESOTA <br />CERTIFICATION OF VITAL RECORD <br />bv.. .P AP:. arrrrv.... t. r. M? NW- vrvr.,..,... r:... v. ...i....-rrrr....rrm..,.lvltry v,,........ ......r.rr.,.....4vPAWA» } i. tti .,,....- ..aa...t...cv..A'AV.... r ........r.s..rr <br />DEATH CERTIFICATE <br />DECEDENT'S NAME <br />ANY ALTERATION OR ERASURE VOIDS THIS CERTIFICATE <br />\ DECEDENTS ALIAS <br />SEX, SOCIAL SECURITY <br />NUMBER <br />RESIDENCE (COUNTY AND <br />CITY, STATE) <br />DATE AND PLACE OF BIRTH <br />PARENT(S) NAME(S) <br />DATE OF DEATH <br />PLACE OF DEATH <br />(COUNTY AND CITY) <br />FUNERAL HOME <br />CAUSE OF DEATH <br />IMMEDIATE <br />UNDERLYING <br />OTHER CONTRIBUTING" <br />CONDITIONS <br />MANNER <br />CORONER, MEDICAL <br />EXAMINER OR PHYSICIAN <br />PLACE ISSUED: HENNEPIN <br />DATE ISSUED`` MAY 01, 2007 <br />PBNCO (Rev) LI <br />DUANE EUGENE SCHUTT <br />MALE 520 -60 -8178 <br />DECEMBER 21, 1951 LUSK, WYOMING <br />MARRIED <br />KATHERINE ELLEN HOWE <br />CARL HENRY $HUTV <br />ETHEL MAY F►ORTE <br />APRIL ,21, 2007 <br />HENNEPIN FORT S +fE LING RESERVATION <br />ry <br />CREMAT1 ,4 SOCIETY OF MINNES 1TA <br />ANOXIC BRAIN INJURY <br />NATURAL <br />HERBERT B WRD, M.D. <br />1 VETERAN'S DRV, MINNEAPOLIS, MINNESOTA 55417 <br />201404080 <br />THIS IS A TRUE AND OFFICIAL RECORD OF THE DEATH REGISTERED IN THE <br />OFFICE OF THE STATE REGISTRAR. DATE FILED: APRIL 24,- 2007 <br />5 <br />State Registrar <br />TRAN$,�N REACTION; AORTIC VALVE REPLACEMENT /CORONARY BYPASS; <br />AO C, STENOSIS/DORONARY DISEASE <br />