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STATE OF COLORADO <br />20020 n O u o STATE OF COLORADO STATE FILE NUMBER <br />s7 o CERTIFICATE OF DEATH <br />"06709-4223 x.. -� ..... __.. __. __ i <br />- x na" D4 19 t6 Grand Island, NE <br />IYVw "ry Mww O ER /OUlwnml <br />M m- Y,,.Nmlron. slit wJ. -d.o CIb,TWM,OP LOGTOX OFD GTX MY Cpmn <br />Fitzsimons Army Medical Center �AUrora Adams <br />r �y ron mnoo.eUSwEmlNOUSTRV .1. us R VINE <br />u.Ov'1�:�'wN.IJOnL. Nnrrorm. , amem ROwunwv.a <br />safety Nuclear Officer Department of Oefenae, Married Martha Man <br />x ¢w,4L EEVM.....F <br />aCOlocado A. Arapahoe. oAurora 12054 East Mexico Avenue <br />r>. liv7E ZIVwOE 'Anxew Yw -a wwr <Ye.. 6Elwe,wnn`w,e.uowbn Omoru,e, iamrmM.°, <br />. WHp RMen e4 ra� N tar. 111GXgellall,mr <br />s .:.. Black 16 <br />80012 <br />_AM L. wwn <br />-"NN M..... <br />John M Baker MPearl Jenkins Martha Baker / Wife a <br />rNOD OF DISISINTwX M1.1�E.1 W mnoxp...ernm,.me mrmM1iV. or EO¢LCCA ION GT- I-YYwu <br />ns X.U' r Yrw SHY. <br />om..X.. UUalso.en -_— Fort Logan National Cemetery Denver, Colorado <br />itM31NINATURr OFFINRRALEE ECTOR ME NArma Ae a dROFo�a*t!'.ft'�§e"ICTstuary S Crematory <br />► 1095 Havana Street <br />�ArC Aurora, Colorado BW10 <br />TORE En DArzszeowwm R <br />MA wWR 2 77702 <br />3e. 1311 DoT •D i.::.Cr.m Ne xorlrreoa <br />M March 25 1992 1311 NO <br />t _ E. onTS sw► �aif.+IM' n i1/+i��� I w.Ews o• w..r. o.v...�ww..l.l.rx.....r...ow. <br />x_ E March 26, 1992 <br />SAM L A ADiTi[SSDTGRRIFIERrcwalwRln.n <br />a— G. Stuart Hoeka.M.O.CPT,MC,Fitzsimons Army Medical Center,Aurora,CO 31-80045 -5001 <br />,. xAME Dr.rrEXDINa6NVSmuN 11- �FhTURTSR Nit- InnwrTn <br />a_ u ,",mow o::sv:�R Imam DErcRIe_xoNlrcry .esEo <br />AINNY omp <br />5_ o Ox <br />Y•' SL OFFIINUI1WA HWE W w G,G <br />Wm wNlxRaY,Rww Y LOCATION IANNwENU,MxRUN Raw N. . .1. <br />DN.IMMEONn.1.aTERONL.OxE GUY TEN LINE rOP WWH ANY WI O+aa WIN' M.tl gINI 1RM 1'+tlW TI .ET, u,nrl.xn. 1^r°wsa ^°�W <br />w Metastatic Sitn 11 C 11 C •1 Monjh <br />BLE TOORASAtw?1ANIA I" MIxN., R•r <br />IF ANY WHICH <br />MM <br />E0ItECAVSF <br />DuE raoPAS.c aE—r <br />aw a..m w <br />p <br />w.. <br />ax <br />LANT UEITIVIx Ia <br />`AW xTroxortloxs -mNn .wrN.rrv...a Nr.wr.Nlmr.w„w i. mAUTO.sr »iF VEE..N n„nw.oNAWWW <br />N FAPiIDI:IU aia....W,M..mWrLw IW. nM.mMMNE... <br />Carcinoid Metastatic to Liver Yes NO <br />THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. <br />DATFISSUED .MAR 1 8 200 2 <br />VAt�l 41 ADM-1. s Tit IRw. FStl RONALD S. HV AN - - <br />I STATE REGISTRAR Alt� <br />OWNDo not accept unless prepared u s runty paper with engraved border displaying the Colorao scat al and slghtum of the Registrar. 13ENALIY BY LAW, Section 25.2 -118, Colorado Revlmd Statutes, 1982 if eny person alts s Uses, attern to to use or furnishes to another for deceptive use any vital statistics record NOT VALID IF PHOTOCOPIED.- r, <br />