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HomeMy WebLinkAbout1105 ~ ' ~ . . ~ . ~ ^ . . • ' • . ~ • . . , ~ • . . . ~ r, \ . ' ' . • . ~ . . • - ~ . - - _ i - - - - - - • - - - - ` . . - _ . 13zs7o ; i - KORTM CA110LINA STATt ~OARD OF Ni/l6TM , ' of~ e ~ , ~ OIIICt Or V~Tl1< STATIiTIC! . . ' • ~ , CERTI FICAT OF DEATH 3, ~ ~ ~ ~ ; aco~srw~taN 0 ~ Rco~frtww•s a o~ psne~ No._~~----Ccw ~ncwri _ _ ~ ~ rucc a oun~ R T0*YSNI~ e. LE.YlfiN OF L 11lIMl IIWO[MCt (*MK Me~r~ iwi r iAi~lir:_ wi4r ?~w ~ii~) . i .~vc.r~ Fors th Mi~stoa sr•rw.w. ~sT~TS N. C. ~oouxtr ~ . Nash • r n...~ a.u xrr. ~r R crrr ~ ~rr...r aw~. ; ~ ~`v"`~. Yinston•Salea ?.e Ta N Spring Hopa ~''Q ~ T p~"';~ O t ~ QiN1~~TiL (EMI~ lM rt i~ MwiW o i~+uMir. ~iw rwN ~iw~ ~ MeNiMI ^ t lRp~~ _ • : • ~ ~~-rm~ H er-Lee Motet• '~r N_ F. D.1I0. Routa 1 ~ ~ I ' aaEi?s°~co r..~ wrr. , ~.r a w.n w. Y.. ~r,r. ~:.n LINil00D 8. , SARB86 n~,?mOctober 28, 1960 ~ COIAII OR RACC f. N~RtICD ? NE1'a W W LD Q~ W?TC 01 ~IRt11 f. ~Oi (t~ ~wn rt M~ 1 tw r s.Ma Mia ffala I White a~oarm C] a~o~csu ~ 9-5-06 I~"w~ 54 ( C:~CIL OCCI'~AT10N eCm ~ d wt I M_ C!V D Of ~C~I.~il~ Ol 1!IOl Y I 11 _~I~TN/I~R pM~ w 1!. CRI~LlI Of *6AT 001; tRfYf . ~rw rt d~rwt W. ew 1 Mwd~ t_ + N~ah Cp{~~L c ~.S.A. ~ fATHiR~ NA11C N. Ym9ER16 Y~IO[N MAMe N~ML 0/ Mll NlIM D OR wlit ` Geor e Barbee I Susan Flo ~ ' ~ .r~30DCEA.+ED~[RIYI'.3.~RlIF:D I~.~OCUL '1:R1 . If. 't AOOKt{ ' ~ w~r.~r l~~.O~~ro~d~nia) ' . ? ; • . G. A. Barbea, Rock Nouat, tt. C. ~ ~a wac a oun~ -~~a o~~r oMC cnusc ?qi uuc roa w. ~M..1 k~. • ~ IMrsar~l. ~mrcc~. i ~ ~ • ON~C! ~ND Di~ri j N ~ tAllT 1. DE~T9 xAt ('Al'iED ~f: , • ~ IMMLDIATt GY![ b~_ ~ ~ Ap1it~J1? Wq[f-CMlieyu. ~/~s. riirl Mn ~br u dwr ~ MI. arYiY Mr Nbr/yty ta~r la~t. - ~ 3 i ' • 1 . a.~ ~ (W ' ~ . ~ • . : ~ 1 • . t!RTO.~ ~pC$ji1C~MTO0NWT1011lc~.n~a+~ww~wwerw~a.sw+w~a~.rw~ww~~wr~fY • iLwV~ ~ ~ : Amoerr smctoe now~nns I aw oOCRtu uow uuunr poco~utsn- ttrr...w.~ w.s M t. ww n.t w. w ~ w i ? ? ? ~ • . 70~ sa nuu~r oocruw s.. n~us a nuuar a.w cm aa ~ona~r~ oarwnr a~TS ' ` a a L.-~ ....o.Q) w~... r.~ r..ws..r.~~: w~..w , ~ ~ nuuRr . , i 4 !1. l NM~4/ II~r Irthrl/ira_ ~ diw+ II_. ~ Qrr~ r~rrMt ~l fYr ~rYI d+w: pf M Md ~ hwWrr ir twri rMM~. ~ ~ ~ lIOIIAflII~ (p~~ ~r ~ ~D~D~~ 7r. WT~ ~lI~O ~ ~ € - -60 ~ ~ ~ ~ ~1,~4`CRLy~A. y Q~ ' iOtT fli ~ ( ~r ~lt~W ( R - . 7/.c . ~ DAT~ ipC'D ~Y IACAL ~ a~n~srw~~? 'ra aa as ruMSiu aa~cwa ~cc~ . ~ ~ p~1- - ~ D ~ ~ -t , .--~~RAL !:L~:~, •INC. , {tli: .i~., -S: r "~t. ~ ~ .:i~ ~ the lore to bs s oorrsct aop~ o! o~igiaal cn ~ I Lereb~ ces'tSi~ 60~6 ; ~ ~i e file With fic~ of Vital Ststistics, U.C. Stats Hoard o! Nealth ~ ~ . ~J • G ~ . . ~ sr~rs ~c~stca~ ~ - E ' g i32S'70 ~ . . ~ , ' , ` ~t~~:»:~ FILCD A~lD RECORL~C ~ ;{~UE.;~•;~y i~ ~~~y r`~~~`~,x~i?' . • 15b5 J~~tl 20 PM 2: 22 ~ i ~ •-y ~ . ' Z . . l~' x~• ~ , : ~ ~ ~ ~ ' : 1~ ~ • . . - R06CR POITRAS. CIERK = ' ' ~ ' ~ - S1. IUCIE COL':JTY, FIORIDA~~ . ~JC. . . iy~ ~ , J ~ . -~...,,,,,,:.•N~~~' dr~~ 10~ FA~cSQ~ . - ~