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c.........____, <br /> " r' (STA_TE OF MINNESOTA 1^'', <br /> CERTIFICATION OF VITAL RECORD <br /> ,�I f; <br /> ,,..;,ems:: ,� :. _. <br /> o . L...� CERTIFICATE OF DEATH tea^ <br /> STATE FILE NUMBER 2017-MN-010816 <br /> DECEDENT CAROLYN KAY AZAD ;. ' <br /> LAST NAME BEFORE FESTE <br /> FIRST MARRIAGE <br /> ALSO KNOWN AS <br /> SOCIAL SECURITY NUMBER 468 -86-2992 <br /> SEX FEMALE <br /> BORN MARCH 20, 1959 <br /> PLACE OF BIRTH SLAYTON MINNESOTA <br /> ;j DATE OF DEATH MARCH 25,2017 <br /> PLACE OF DEATH ORONO HENNEPIN MINNESOTA • <br /> MARITAL STATUS MARRIED <br /> SPOUSE ALISHAH <br /> LAST NAME BEFORE <br /> FIRST MARRIAGE 'AAD <br /> RESIDENCE ORONO HENNEPIN' MINNESOTA <br /> PARENT GLADYS REE <br /> PARENT CLARENCE FESTE <br /> FUNERAL HOME TOTZKE FUNERAL HOME <br /> DISPOSITION BURIAL <br /> CAUSE OF DEATH <br /> IMMEDIATE OVARIAN CANCER" . - ' :.:..'! _ <br /> :� <br /> UNDERLYING �` <br /> OTHER CONTRIBUTING LICHEN PLANUS, HYPERTENSION ,' <br /> CONDITIONS , <br /> . i, MANNER NATURAL <br /> MEDICAL EXAMINER, JENNIFER L WOODLAND, M.D. <br /> CORONER OR PHYSICIAN 9750 ROCKFORD ROAD, PLYMOUTH, MINNESOTA, 55442 <br /> THIS RECORD HAS NOT BEEN AMENDED <br /> THIS IS A TRUE AND CORRECT RECORD OF DEATH REGISTERED IN THE MINNESOTA OFFICE OF VITAL RECORDS. <br /> MR&C Certificate ID <br /> 10549420 <br /> ll II II II III II III I III II FILED: MARCH 27,2017 <br /> 51A-000011623 .,r , <br /> )/f-IPA.4-,Cd. 21,ttoZfra. ,,,,,............::'.,-1:.....-21'......! _:',',.,-.c <br /> n �,�,nmm�........,i f <br /> o" 'tHEg .,,, MollyMulcahy Crawford _;•••'°OF�MIN <br /> D 'o;,� STATE REGISTRAR r�P`� SQA!/ <br /> _# ✓-j - _ :%4 ISSUED: MARCH 28,2017 MURRAY COUNTY TREASURER 0 • • <br /> 4 � <br /> •t•, =A THIS CERTIFICATE IS VALID ONLY WHEN PRINTED ON OFFICIAL WATERMARKED �VGO= <br /> y�, yQ SECURITY PAPER WITH A SECURITY THREAD AND STATE SEAL OF MINNESOTA C',9 <br /> ,,- �Oi�;;18SH�,,a�``°`�:: t ; . ....: . . . . . .: . . .....:: \ ��J °i �N OF �•,,;r?� <br /> ER OR ERASURE VO R t ioM� DS THIS CERTIFICATE �.� ,i `tgA*^ 4u .m... <br /> � Y LT I\ <br />