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R.\\i YAW <br />J1)YSI , <br />r <br />A'I <br /> <br />STATE OF COLORADO <br />Alrl" • { EI. NJ.1.1! I f:. 4.tl <br /> <br />I O.. L. A, <br />,UMCen 1.,•rrlrl ..-v?-?... ..__--.... ._..- _ --_ _--. <br />1, •JUE r(-W 4-M. 1.11 <br />t+ <br />? <br />?? t{ Pearl-Helzer Susan Shinn / DaLQh <br />ola <br />i <br />?? <br />?? 1 - <br />. <br />W ulsl•OS1 tIoN INa•+•• o• f.^•^refr ?.Ml+rmr o. <br />Mb r 20c IUCAt10NGr,a tlTrn, SUt. <br /> „« p <br /> <br />N•,a• Gnn•m•cn Pe• <br />X <br />rw.A?r•.?4:re <br />Keeling Cemetery <br />La Veta, Colorado <br />D <br />on,.nn oln.-•Is.-?rr, _ <br /> niniin .lP rfFVN A C. tING A9 SJCM ?to NAUEANOAODAESSOr IAOW T <br />10. <br />0405 <br />Funeral Home <br />Pueblo, CO Llo 81004 <br /> - - - - ^ Bryn. •., <br /> .r.. ? <br />'OA <br />t yy y1 (, <br />N <br /> t <br />k <br />0 ln 14 <br />I <br />4 <br />r..rl <br /> <br />I )A UaIE 1N.`YEU•I•n rn 11,1 •n19 <br />? <br />Nn <br />l D•IL jiGN <br />.U I <br />1. <br />z , Februar 2 1999 <br /> )O I.WL WLE- •••+.?NV•UUNE ISW ?LNUI I.N{, r311UNE der. Pn••fl <br />3_ <br />RivSar? ^1 ?q't7 1?_y <br />Richa Ftl00% <br /> )1 t1AlAf V1 AtiE NJVU •'• !. LfAh II lr ?••l lllr N(.11.111 SIN ••nr? <br />S ]? N, ER Of DE At•• ]]. DAZE of NJURI 3]o t,4t VI 3k 'NJVRY At <br />RY WDPRI <br />N <br />' 330 DESCRMLNo.YtNJUPYOt;CURAEO <br /> l <br />J <br />14Cnr• C.Y ?..'I I <br /> x h.llur.f ft-3--9 Cn <br />r U. <br />.r 4 CI Y.. 7 No <br />5 _ y <br /> 'J••M•in•mu.N 1."Gly oRIC. <br />'•A.1•Mt <br />P <br />tl <br />rn <br />A <br />1 <br />< 3D LDCATICM/ISIn.t.nO NVr'D.rONV\111o41•Nulllbw.(/M.C?••IY.9W.1 <br /> 1.,+:•n. <br />Mn+ne• . <br />.. <br />Y <br />l <br />0 <br />0 <br />INJU <br />33. OL•CEE) <br />hu•IOny, HC IsveC*o <br /> <br />.nt- <br />. <br />D <br />-d-10dV•41.y C.NWCaA.w•r.lary NrNll.gM brl.•..I lrlwtM M•..i <br />n <br /> 3A 14MFOIAiECAUSE ILN)L O <br />W <br />POM(.ONE CA45LPLA10-LrOR(e, Tot AND1CI.I .nO n..l <br /> <br />Pn <br />I Y.. o• <br />No <br />THIS IS TO CERTIFY THAT THIS IS A TRUE AND CORRECT COPY OF THE OFFICIAL RECORD WHICH IS IN MY CUSTODY. <br />MAR 01 1999 <br />CAROL J. GARRE'T'! r PH.D. = O <br />s L l Z, STATE RECLSTRAR <br />Do Hilt ;Ir:ept unless prepared on security paler with engrased border displaying the Colorado state <br />n1069599 seal and signature of the Registrar. PENAL hl' BY L.-%W. Section 25-2-118. Colorado Res ISCJ <br />Statutes. 1982, ifany person alters, uses, attempts to use or furnishes to another for deccpu,,e use <br />i m} s11,11 statisti.s Ic•1(•rd \OT VA1 11) IF I'llttT0('OP11 1) <br />ct) ? qll 4k'.td i.....??.brf,:14:bEx:.?atP1.Cd.8.dkd.Wll ?ib.BS?rd?1 ` Sai .!J.+t ?ldko1AatiA. ? r , III?I <br />w -. ,?INI............?.gt .,. . - ?. ?. :.. -. _ . ,I t _-,.J?.w. r_. ?.1(t .,-?.d:`? •.'sLryX,'.' .1'I? ti?s?l?