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~ I'~ I~ - - - - - - . - OHIO DEPARTMENT OF HEALTH 1`5~~4 ~ p~ DIViSiON OR VITAL STATISTiCS _ n~•s Ra- ~-,i'r' 04Q-= GERTIFICATE OF DEATH *t~L~ } 1. PLACE OF OEATM 2. S E 1 C aud _tncA.) ~m~ue~: p ~ ~~~IOt~Z1S ~ trAtE ~}l~O aou~n ji~IIOYI~. V w an. w~u~. oe wcwt~oN tawrn w sT~r ~M u an. nu~o[, oe tounoN w s Austintor~a ~rep. ( Austintown ~?sp. ; ~ : ~ ~ N . I p NAME Q/ (Y ~M N`11 M AllMtl/11. t/N lMHt ~t/p/I I. ~ a;... : ? u~s TimnaM 4478 B11rk~y 808d 44'j8 Bli=`l09 809d ~ Y ~ a?u~ af otwrn na~ot an uwnt ~s ~oe~aE arr ~uurs~ .~sSR~oEr~ a+ w r~n ~ : ~.y `~~'f' - rEi L~ 1~0 ~ ~ MO ~ NAME OF wt ~ . i~... , . _ ~ I DEGEASED r.~ o. hwn JA1~3 ~ F. F'I,'~I ~t! `'.~_31 19~• r-----~~-~--_-:~--:_ s. sat s. oaot w ~u?cE ~u?m~ ~ MtvEt w?eiu~ s. a?re of ~tn~ r. rwE;l~~~ ~rr t rNr 11 w~ir Ilw. ; 'I ~ . Y --W---... - ~ 0 aro.a~ 1-23-1901 ~ ~ ~ , ~ . ~ ~ : ~ ~a.. usuiu ooa~wna+ Ica~. r.. ior. wa of arsu~s oe u~ousrer uerw~w~ r ts~ te+ o~ ~ ~.;....w r ..~l~.. r wr~dl r«or.sJ t~ " ~ z S~perintendent U.S. Post OPfiae Ohi6' Lz ~ a~rs wurE u. ~s.wow wwe . - Z Thomas J. Flyrnrt Bridgat Gibboas•_ ` ~ fi. w~?t oEawSEO E~r~ V. i. ~Mto !Ol~tt 1~. fOaAt fENaIY NO. ~8~. F@ t~ • o ~r....~~..t.... ras••.a•••~«~•~,•~•~ 275-3b-6099 8 Bur Rd. Yo. -.Ohio 1 ~ CAUSE OF DEATH 1~~* M M(~)• t~ • ~ p rner oEwn~ wns uuse~ a. ~ ~ r . w~~~ w~ > '7 M c..r.~..., ouE ro A? Q Q~ i. C Y- ~~'~d.~ ft d~. r .s~a . ~ .i..r s.w (il. . ~ ~ OIIE 10 fd J~j s~nr frw. Z ~ r.w N. ww~ rrww.~ t~mw~ unawnw » w+~ ~n sw uura n ns *su~ ~w~ cwwnw swo ~ hn ~f~! t~.fEMO~M~OT < ~ ` ~o ~a ~ ~ ~ ~o.. waaoe+r sMCne ~w.uaoi :a~. o~a~ ~a~w ~wuer oaae~o. ~ ..r... :.i~n r.r i « r~r a :r.. r~.~ O O O ` lOc. TIa~E Of H~w . ~ " . 1NJNlr a o ~ 70/. INIYl/ OOOIf~ 20~. fLA~CE Of iWYlr s i~ d r. I 10i. GiY. YIItAQE. O! IOGTION 00{INiY. fTA1[ 1MIIIlE AT NG~ 1MIN{E ~~1• ~~tf /~llsr IK.J . 1M0~[ ~ AT MIOt 0 tt. / ~pu~Id /ir lermrj Jn t~ 3 ~ /~rt iw ~ ~fi*r ~ Dr~i ~s~w+d t I= • ~ N tIr J~ ~urd i~ 1: t~ ~M Mp ~f l~Nld~e. 1n~ Iit r~wi rarrl. ~ b.. SIGNATNRC f a+~ ~ ~ m. ~ : ~h . f7:. ~ ~ ~ ~/.ir.~~ ~l'n / f~~ a,nr.r~~.~C~ ( 3 F , f n n.. wd~ ceEw?. rn. a?te wwt of c~rtar oe c~u?TOe+r +nr. aunoM cc~. eo•.. «~o.e~r? c 1 t ~Q.v~`' B~u~r~fa~'~ ( 2-2-196 Cal Cemete IYo ~o~wn~-ldahoni o ~ 2~. NAME Of EY~AIIIEt tLK. l10./" S~S y'~EtAI DItECfO!' ~ TY~E tt~t. MO.1 Cp dohn P. Hughes 5~7 a f ~-Qi ~ ~C~QnN 1160 ~ =s. ru~~u nw A~w ~oo~s Iste[ET Moa _ la . 1sv?tEl ~~3~~ ~ ~faVean & Hughes~ Ina. 711 Wiok Avenue Youngstawn~ Ohio ; is. wrE .cco o b. .cc~:..~r .u . ir. a?~ ecco a ~o. ws-eECi:TUr: s+c+utwe ; vi ~ .~Qcw~ .~~~7 ; ' w~-~ca~w ; > F-. ~ - ~ . ~ : - _ _ . - . _ _ _ _ _ - - - _ ~ " , ~ ;3 ~ ~ - ~