Annie M. Shipp Von Pertz Flynn

DEATH NOTICE FORM FROM: NEWCOMER FAMILY FUNERAL HOME
TOPEKA, KANSAS

Family contact name and telephone number:

1. Full Name: Annie Shipp Von Pertz Flynn Age: 67 Sex: Female

2. Current address: of Topeka

3. Date of death: March 16, 2004

4. Place of death: Topeka

5. Cause of death:

6. Date of birth: Place of birth:

6. b. Parents:

6. c. Years in current city/town:

7. Background

8. Relatives : married to :

8.b. preceded in death by

8.c. Immediate survivors

9. Service time, day, place : 12:00 Noon, Friday, March 19, 2004 at Newcomer Family Funeral Home.

10. Burial : Topeka Cemetery

11.

10a. Visitation: 11:00-12:00 Noon, Time of Service.

11. Vigil, wake, rosary, other:None



Memorial Contributions: Family In Care of the Funeral Home

Online condolences may be left at www.funeralchoice.com.

Lacee Koway, Director

ACCOUNT# 0030395