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HomeMy WebLinkAbout2306 ~ lssoo~ ! ~ MAQYLAND STAI t 17ti~AK ~ tACra ~ v~ nesa~ ~ r~ ~ DM ION O~ sTAT1STICAL RESEARCM AND RttORDS. 30/ W. tiRES?ON STREET, BALTIMORE 1. NIARYLAND ; g CERTIFICATE OF DEATH ` ~ f) ~ i~ ni ~ ~ r ~ e ~ • or pcwttt • 1~. utt~u assmraiC= lw?r. b..w~ Yw~. r ~.rwr.r a.~.... w«: •~.:rn.!/ ~~?r-+ . :.ntl ' a. SiAiE M CWM~Yf~~ ~ ~r~ ' ' MwnnwNn /'/f~!F ~I~~ ~.fJ~~1lG~.~`r-e~+-IE~ i ~ L~ x ~ . a io~w?~~.«.«r. w.r~ o ue+cn+ o'r stwY N u ar"v oe iow++ ~«~.u. ~«ww r~.:a nrw ••w+~ ~v:7 O y w. t1.7w? ~iw .ww ~n..l ~1 /.d ~I ~ ; ~ t' . Z . ~ `!~/1~C-/• , / Y~ _C1-!! ~ /C C _f.~------ ~~L`_tl ' ~ - ' ` ~ ' i ~ ur[ 01 Npy/fA[ O~ 10M fI rf b ~Mil M*~+w~M SitEEi w~oetss w K•~ESioWtE t j _ p1AFARW, + ~ ~~4~y~d uRS~n l~O_ ~~/o~ ~ ~ /at~~CeNI' l~c~s_~~ ' ,,i~sU-~+o[~ ; _ b...d.?__ - „xt or N g , ~ ~~~~~,,~d~,~ _ ::~m I.. oT~s M.r. . . ~ o x ~/FL E A/ M _ U ~ C i asw~ e • . ~ ~q ~ ,S: ~ , C ~ ~ . s. co~o. oe.wce Nev[! MAt~D owtE o~ WetN - t. wcE r.«. r+R~pt! t tEA~ s uHUtR:• rus.• ( - G r ~ / / f c I woorv~ p onoec~ p ~ e 6 . • / /r ~tZ"°'~ +!+~r+ a~ I w~.. ,u.. . ' 3 ~ ~ ~ o .:.,i occvw ~c... w~.~.«a ~ ww ~wo or ~usu+cu oe rousnr n. pRiw~wCE it.w. i S~w. ~..+r~7• - n. dTR[N OE WMAT COl1NTtfl ;y sw y .w d ...4iy 4h. ~ .w.q ~ /l ~ ~ ~ ~ - ~ _ H, I EA ct`/E~C' ~ ~fl_5~ -J~ ~~1~1- ~ ~ • p~j ' 5 r+M~E ~ 11. MOT '1 MJ110EN MAME - ~ A ~F ~ ~ ' . 1 ' /1 iL' 1 G ~ ~4~?~t!'~`-~ ~~`"*i`^- .ci - i ci r • . ~S [{CEASFD EVEt W U . AWEO fOlCti) tf. SOGAI SEClltllf NO. 17. 1N'F01MJlNT A~~!w~~ ~ a c~~~ ~ ~ ~ i w..: < a..~e..~ ~pr~...:»w«Mr.d ~`~~~cC.I~L / _ ' ~ ` - ' { N C . • ~ c~vu oi niwralEd•• «rr ` ~ r~:. w: cy.1?~ w.j = - C - ~<-C. 4~ uiniri?i ~Eiw~[w - , ~ - ; - - O ~ "=1-- ~ 1 Tau[T r?w ocwni , ~ : , ?AIi l. 0lA1N MiwS C/?11SED tY~ I ` i~ ~ wMED1ATE CAllSE N1 _ _ ?~t~r , `I i , O (r Q J( OIJE t0 - - ~ - - ~ ~ , - - - ~ _ :i "l~w. ~ ~\ic\ lb1-- - - - - ~ - - - } ~ ~ ; : ' - ~w. 1 t~M ~sd«ltnM ~ TO ~jA , ( , _ li~~~ ' , ^ - ~ • se RI ~,L~_'~% = yv~~. ~ i ~ ~ 1 i . ~~~t u. Ot1~! SIGNfICANt ~OtOIiIONS CONi~fWiWG t0 DEI?iH {Ui NOT lttAiED 10 iNE TEWRIAI O~StAS! COIO1110N GIVW r! ~/1~T l~y 1f. WAS AUTOtST C - 1 ! ~EtFORMEDI j r- " ~ I~s 0 i ~ Z. ~ • ~CC~DENt wws uNOtatrw U 20~. DESCt1~E !WW W1Ul1 OCCUtED. lEwe w~.~ d u~wrf 1~r fM ~ d i»~ tt.) :s; ~ j .r =.vTiilUtlNG U Gl1/Sf OF DtA)H + , Y ?Z ' ?~O1Ur rEpC/?l EIIIwY+[t1I ! _ ` , ; r,r , :wE Of W1NlT MWL M?. Vw 201. N1UtT OCCURt[O 20~. fIACE W MlMY (M~r.1ra. ' Ip. lC~r ~r w.~l fCMW) l~1 N Y I wr7. Dw ww.Q l ww.r. r~.«..~. wrs_+w ~ o L~ ' 11~ IM vr~~ Y w? ! ~ ~ 'C~ • : i' ' 19_ . to.... 19_..,... ~hst I last r c ~ certlfy ths? (q (t ' sndsl) anended 1M ~d~~csas~d han - ( ) fr"~ 3-~ t: : ~`~e c~cas~d aliw on... l~~. .141t.~., and ~Fw1 dsalh occurrsd ~A..?~an ~M causas on ~M dat~ s~aTed abow. ~ y~_ - o~n .1, r ARElOMK; M[D. STAFf ~ : Sp;."!0 ! ~ • r~ 'L' ~~f~ 1 f " D. MYS. O:tlCiOt ~ Mi1S. . ~ ~ i t~ 1 : w_ ?~1StC1At ~ ~ Y2/. ADOR~ ~ " ~,~.r . ~ ~t Itrr~l ~ `r • - / / ~ . ~ = , t, . • "L-•'t~' T C_ ~-1~t~L•~l~ ~ c. ~.__./,~.LC~`- - - - - - - . ~ r # y . j C~EMAl10N. i I]?.- OATE iNllEOi _~?h. NA1ME Oi CEMEi RT aR Ct[A1AlORT 2~1/. IOCATION [Ciry. 4+ia ~r qw1f1 (Sbh? „ ~ , - u,.~+,~ _ f - ~ S _~J _ ~ ~ J'~~ ~ . ~ , ~ ~-r - ' • : ~ <<~4 Gcl1CT -_S SrGMniUt[ A~ 25~. !I D( ~f~Ri(t~,ISfl/1t, S`. t[GISIRA!'S SK'~NAtl1Rt ' I~ : - ~~..C.!"i~-a~~(l` ir+~~~/ ~tj ~ oAiE ~ V ~ U t1 J y ` ' L_ • 1%r ~ - •l ~ : ~ s _ - ~ - _ . _ _ - • ~ % ~ 7.-~,.~ ~ ....0 ~ _ _ . 3 O ~ R~CZ`~OF p 'F~LF'~C ~ C~U a~F~ . S~' ~"VG ~ ` ~ ~t,3 a : 29 ~c 2~ ~ ,6~ d r . ~~o~R~c :.~K ~~~~C C~-E YICROFILi YF][0 . ` s Legibility oi weitina, typina ~ or printin~ nnsatisiactor3? in Q~i(.ISy this docwrent for sicrofil~ing _ _ ~'ki~~V~