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Home My WebLink About0315 ~ _ _ _ . - - ~ _ti.~ - ' Tsis 1~- fTAT[ .on~eo ar Nsn~„~ CERTIFtCATE OF DEATH J.~~4 ' eo~~• • ~URtl1Y O~ YRAL RATIlT7p t?ATR RILt !10. . ~ l.s.l..~- ~ FL08IDA erd •p~w e1 T N. 11t'OItTRAII•f NO. prsperl7 t YfYAI K11KNC[t~awrr.r.tAw.•)!twi~r.~ fwry~~Mrnw} e:~eat~~ 1. ?lAt[ ~[Aff1 CODt NO. STATE S. OOYMTII •~a ,s~l °0"""' Lake ~f1 G~G Ohio Stark s• ~l.e.~ ! s pTll. T01MM. W1 LOCATiON t. ~S ~tAtt Oi OEATN t. C1T1I. T'ptiM.011 IOCATION ' t. K IIEStOf~t[ r LeesbvYR ~ D ~ ~~r f„!. Canton ° n No f, MAME OF (lJtMt b ~M+iNI. NN 16ref ~fbtM) ST~[ET A00~[SS Leesbur Gen Hos ital 902 Clearmount Ave. a w?.K N ?~..e N+wk Znr a. an x..n ar Y.a ~i,~«`r+.n Mar Belle Rosenber ~?TM Feb.14,1968 . SEX i COLOR OR RACE 7. MAll1UfGD MEYER MAllRIEO . OATE Of M11TN ~ Il~ li..rL, D~w MIFCU Mi . s. Female White .,oo.c,0 o~vo~o 7 03 6~ . i~ a'i r- tes- s~v~'.~i •~w N~~ k,~e•r: ~•'~•r'! ~ ~oe. Kuw os ~ oR w~ousr~r 11. ~Twucc ! w~./~y ow~?r) 1. ar~mo~ Or nw?r oa~rnn { ••p•~~ H fe H me Uhrichsville Ohio U.S.A. ; tl~et fwt ~ sA1ME~~5 ~u?rE . 1 MOt1KR'S rAiOEI~ 1UrE ' ~lyde Wallace , Em~na Affolter ~ . , socu~ sccuatv w w s uo~un~ . ~ earmount VE. ~y5•-~c-•c~h3 ~ N. Canton Ohio. r.a...i 1~. CA11i[ K KI1TN (blYer NI/ ~ c~we per fi~e ~r p). .a~ u~.l ~ ~rrc~rK ~cTncc~ _ ai~•ec~r r~sT i a~n~ wwsuusco ~r: • arscT uo ou •Y~t fll• IMYEOYTE CAYSE - - a~e e~r- • ~ n ^ tltie~t• jlpl. ~ ~ ~ / •it~ tA~ r~iA prt ra~ q - - - - 1 • e a 1 ~ . - r~Ri~tra? My aue lMf. D4'E TO (s1- ~ 6~~~ ~p f' ~ ~MT 11. Oi~411 MIi~CAM~ C0~011~d6 OOK/qJIK /0 OG~ix ~IR Iqt 11M7[O 10 M 1E~wMl 06FASE C~OMdi~O~ CIRn w M1~T 1{~I .~AS A1lTCtSr ![~FORMEO. t~t A~st\ ~ ' ~ •r e~ter• ~3~ ¦ atf.~ .s~ ~ 20e. t tDS. ocsant ~ww ruu~r occwt~[o. (~o ~wre y1~p.~ ia Art !~r Pirt /1 yYn~ 1~J ~otac¦r w~aot ~~c O O O ?.a~. 'f ~~Dt TWE Oi H... x..r~. o.r. ra. uwer a. S s• W . = 20f. MtlY11Y O[WRREO mt. RACE OF MUUIIt (t. ia M MMt wwt. lDI. qTt. TO*N. 011 lOGT10M ODYMTr STA~[ 1~M4.E AT ~ MOT MMIIE ~ /p~. h[iM/. Y?td. ~~tt NI/.. dt.) ~IIOIIK ~T MOIIK ! ~tf~nMf tM d~eNa~d /rom . to ~nd lwt N~ ~ ~~lir~ on D~w~A ooe~rnd ~r ~ m on eM d~t~ ~t~nd ~bo.r, ~nd to tM 6wt o/ en~ ~no~/wih. /~om rM uurs st~red ~11 it~~s ~ ~ (bepn n/Yk) ?t6 A ??t. OATE S~GMfD •r• t• e~~~I~t• a •eer?at~. ~ ~K.~ ~ jk ~yE CErETE~tORC11EYATd1~ j3/. IOCATMNI ~ . na~q) f~:c~~ ~ I '8~'i' ' 2/14/6 Northlawn Cemetezy Ca ton,Ohio ~ j Y. S./Al= j i' CTOR TYRE AOORESS OATE RECO. ~1I IOC~IwEG. I6. RE6KTIIAR'SSIGIUT'.P.F - i ~ a~e-Thev Funeral H ~ ~ ~ ; i~sa esbur 4 . ig. , ~S ~ ~ 7~~~_: . ~ . ; ~ i ; ~ I V ~ CERTIFIED OOP7f n ~ N i ~ ~1 ~ m~ ~ ~~r ! ; I bereby c~rtify the above to be a true and correct copy of tbe~ al ~ n o f ~ Registrar's record on file in the Lake County Healtb Departsent~ tv ~mZ ~ 121 S. Sinclsir Avenun, Tavares, Florida 32778. ~ V ~O ~ v . t i c ~ O~ ;i C ~ ~ (Narning: Not valid unless raised. seal is affiud hereto.) ~ .1~ ~Zm w'~ ~ A ~ ~ . . pD N ~ i t x- C 0 ~ .-r`~ N " L7'~1it1 : ~1 ~ _ _~`'``~~o~.y~~~ ' ~ ~ ~jv ~ • 0: ? ( te) ~s ' ~ ~ % `r = . ~ . • ~D ~ % = ' ~ ~'1 ~ ~ i _i: ; ; - ' ' ' ~ / . . ~ ~ r-- - , e- , . t~..$i E traT O DepL! ~ , - ~~u..~ •r(~~(4•'= ~~~s~~•'~••• ...M O j ~ . . . , > . _ = ~~Tl ~ ~i5 ~ . ~ ~ F~~: ~ . ; . . ~ .'~Y~ _ . _ i ~ _ ~3_'~"f ';3:Y ~.tiv .