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Home My WebLink About0465 - - y---- _ . . ~ ~ . - BA[.?IMORB CITY eEAL'1'~ DLPAR7YL~tVT ' BUREAU OF 1?ITAL RBCORDS~ ~ ~ ~ d DEC 17196^ ~ S69 .~nMO. arr ~uw~ a.~~rvt ~ 1 c~n~?~ o~ o~?tH i.~ M~TM MO ~ O~AI'r Or Itrr~ u ?w~) . ~ ~ ~ ~ ~A~ ~ ~`T~! M~~r`A~ ~ IWtr.~ bsww~ ~1 w~~~.rW.o~ +wlw~~ Mbn •ww ~ • aw ~ couMn ~ ~ «ww.w w ..w ~M1~M~~ ~n ~ 1~'WM (11 ..~,~..~y ~.h~ ~r..~ w~M ~y~N MV ~w~yl .j fAiW4~Y~/AM~M C~ ~ ~O MwI..NNr~ • wc ~ tq~o~ o~ s~MSU: w~R or ~~n~ n..+... N w~.. i.. ?a. w1DO~wO.~~ 1~'M 1~ ~ r.~..~ t4.~ .a.... r.. ~r ~ ~OA. YlMAlOCC1NA~~ON ~fr..~t.~Iof .~A ~M. k~MO Cf MfM~ p~II~IIr ~1. MTI~Atf ~Sav a ~r~•p r+~.~.~~ ~t. Gl'~IOi1 ~0~~~~ ~.1~ wM .1 r~~+~l1 ~ MM~ OOYKfl1//~ ~r~~~/ {AJ ~ ~7. MfNEN'S MAM! N ~M10/1 MAM! SV f/~ii.M~ it w~ 0.~..d iw.: Y i w...~ Fw...1 i? ~f. 1MW~ M1 ~x IY~~ +e ~r ..I~r..~ ~~c ~ w w~ inh. d ~n.K~) MCY~I?~' MO. LLt. . ,~d lye.l.~alout ~~s 1~. ~ CA(I~ES~ OEATM INTERYAL ~ETWEEN ~ ~ ~,.Rr '!1 ONSfT ~yp pEATN ~a~ows ro o~?m l ~r~. e... w ..w .e~.~,~ 'oi,i • 1wo,~ 1.,1..+ ~t ~..w«~~1r~~Ma. • . rnjvry a ~i.wqi?t~w rA~ci ~~w+l Iw1A.~ ~ INi1~Df1~R GAIIlS . OUE O . •-»•IO~~ • DISE/~SES Olt COM0ITIOMS. if w, ~iviy ~ r riw N Mw r4M t~w (A) rMOtiwy IIN IC? ~ ~ uNDEtIriNG CO?1W110N I~.t. ~ t~ N ~ ~ S onN. wwwww, ca.~tN+n COM~I~uT~A ~ 10 TN! pEAYM w? na~ M~~r~o ra w~ Q~ hWM O~ COy~lq~ t~M~MG It. ~ GWfi Or D6wM WYf~ MI 1~'~ fE Of f10M ~~~a/0~ wM~ O~M~TtO?~ AN10rsr1 ~ ' ~ ?ART 1 O~ /Ai1 ¦ ~ a ~ ~ Cr1 21w. AC ID{1f~ WAS tMl(I~lLfIMi ZI~, /~/1CE Q{ ~JyRY +~~wl t~r+- d0 (N wl AMir~ Ciry ~iw w~e~ 1p1iy~) h ~ o~ coqn~wr»K p uVSit os e.~..,,. w/w. .ar. w~ . Muu*r occu~r o ~ DiwIM (.M~i~ ~.k~i«r.~rr~ `r+ ~a.1 i t~o TyM Iw«*1 10.l1 I~s.rl Iwr.l ~~E. ntlY~v OGCUReiO w ~ O~ M1JV~7 w?+ilF rt NOi wti~lF M'O!C D AT WO~r ' n. ( rtify f~ftlt'~) ~ dt}~ ~d t~1~ dlC~Of~ ~/OIN _ t.... ~ 9 M' , tlwf (I) ~ b~ fl» d~t~owd oliw on~~• 4„v~. - ed tlwt ~(n~y~ d~oth c~~.~ et~ e.. fro~+ t1y corw+ oed on fM doh ~~obd abow. TurE ~ ~ootess t . a~w • ~e D • ~tvG S M p~ SfAK h IAl Ai10M. ?M. a11 ?~C MAYf ~1 Cf~ 7 w ~iMAiOtr ?ID. L At10M (C.Ar I~.rw w cww~~ 1 ~ M ~/OYAI 1 ti, ~ ' • ~ • ~ ~w•.WK ~j !Y t'0 ~T MiKM Dflt ifi. WWf OF TtC- ~Oi1tK7'O~t f ~ E c 17 L o~aRd Ruch S~c o fJa~ a~d Rd. ~s_~SO- - - - • 1 , : . . , . ? 7 ~ • ' . ~r 7 rr ~ - . TNIS IS 'I~0 CEATIFY 'iHAT THE ABpVE~~I~JA V~~FAX QOPY OF A CERTIFIGTE ON F"ILE IN 'IHE BALTIIM~RE CITY HEALTH DEPAAT'MF1V~,' B~I.TIMOA~. f1ARYLAND. ~ ' , ~,Qx~~ ,~a.~Qrw~ M.D. . t DIREC'IbH, EAU OF VITAL RECORDB CAMMIS3IONfEH 0~ HEAL'IH AND HT'GISTRAR WARNING: DO NflT ACCEPT 'INIS "IAANSCRIPT UNLESS 'IHL 0~'FICIAL DEPAR"IMENTAL SEAL IS AFFIXED HEREON. ,,;;ti~~~;<<:';;: ~ ~ '~`Ff ~;.+.ild . ::_:~:~:t~ __~~P~~?RO~o ~~~:c~;:~.•~;a~~-•. r„~; ~~~`~~oK . ~ , ••-y~E - ~ . ss 4~~1! zs p , ~r: ;,=;~t~';:;:_ ~ : - . ~ ; os - = :v.-, ,.<<.,; : . ~or~~~ 1~~ ~ ; Sr ~~~1E.«'~~'' ~ ~ ••«.~..r` . ~ % ~ ~ ' C p~N Rf( . F~ORtpq TY., • ~~;,.~;~:;ti+'.~~•'~' ~~Al~.~ • ~ . . _ . • . . ~ .