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HomeMy WebLinkAbout0807 - 1QC~TLIIt~[0 Le~ibility oi wr~tini. ~7Pins er ~ ' printiat una~tisiootory in f?his i doa~nt !or ticroiilains. - - - - - _ _ - - _ . - - - 7'"f CERTIFICATE OF DEATH 18~4 . y'~ ~ Mk?ipc~ D~v~e•a el P•6Ce NeoK ~ lOt~l /N! NYr~~• - ~T~R /W wWN~ DECEwSEO-NAME ~us~ ••~ae ua~ SE]t DwiE Of OEAM ~ roMCw, wr, reu ~ ~ ' ~ I=a~uL~Z : ? !'a<.[~ ~'2Le ~~-3-/Q64 F R~CE .•wn, ..ec ~.un[.w uroww, AGE-us~ ww~ ~.e~a w:ve~ ~ w~ OwTE OF NY1N ~.o.nM. wr. COUtitY OF DfJ?111 ! nc. ~sr[cr~~~~~~e a~ow.* ~re.n~ ..os. wn w~ws ,w. ~ . . k ~ 1 Q3 r. ~~`1ac~xn6 , Cti~f, iOWN, OR tOCAT10N OF OEwM w.sot cw~ i.rws HOSMAI O[ OTMEt NST{Tt1T10N-HAAtE ~ r«a r~ em4~, a~re sr~en ~ro w.~ i snc ~ ns o~ wo ~ e.~ M. /'~'i l~,a,~e i1'cur.~in~, l~car.~e STATE]t OF {iRjf} ~ r~~'°r w ~.s.... ww.e dTIZEN WH~?T COl~litlf MtARRiED. NEVER MARi{EO. SURVIHNG SPOUSE ~ r~+rt. awe ru~~ ~w~e ~ ~ ! t P.lU ~~O/[/~ cow~~ ~ wDOwEQ. ONOKE~~j~ sKCrs ~ ~L ~ . s.,u nsot~a f. ~ p. I'.'Q/U'a.C.QICL 1/. L~U/1lI.TR!( j~ f"R,Q/Zl;elLd~ellL ».rrt oEU~sEO CURIiT MI~~ER USUAI OCCWAiIOM IWrt c~M O/ rW[ o0at owwG roit M 1(1NG OF MJSNESS OR R~lISItY ...D. V OIAM ~ ~ °iCLfte•• lL~~?/wl:XL wacrytw. ErlNl{.tlMSI % O(t/Jf~.U.f:Q~~ ~4 CO~ "re ~t. ~s. f' f'O/LP1rDC1R ti; r1 ' ~[s-_ir.C[ uW~! .:.~ssaw. RESIDfNCE-S1w1E COIJNTY QfY. TOM?l. OR LOCATION ~asw tro ~ws STRfEi AMD M11M@ ~ ueunjj s w w ~a I~iLC~LI!>~fZ/t ~s /„iC1GUl:26 ~k. t jQ/LBPJL ~K 7P~J ~a. t VP~! fAt~R~NAME ~KSt rwa[ twsi IAOiHER-AM70fN NMIf ~ru woa[ usr C`~ ~s. Fir.arrft Cai,~~ f"ait~ tsitee~eit it~Ww~Wi-~+NwE w?IU?~G ~oO~E55 ~sma w ~r,..o., an w w,.r, s+.a, ~ l-'ri.~. L'jva~~.f1r.~~ L?n.i.Le~~ ve.CJ i~lich. 4~L~93 ~wn oiwni w~t C~useo ~r: ~wr[e o~r a~rt uusE rE~ u~ ro~ i~L ~ kA ~ n,r~w wun . o our I ~ - r,.ea.a uusE I . . ~ " Nl . ~~~/~TD_SC~. ~ ~7CG~i} J~ /~SC'QSL° ~E'.~i~S ~ l ~ . cowsear..tt - ( \ • y/ d- ~r . f ` COMOrt~OMi. 1/ aMI. / ,lJ C/~~~~~~ ~ ~ i I•iultp t[ C~YS!'~OI, OY!' 10. Ot .~S n CO~aSEOYtiK[ Oh /O /~/~llj~fJ fT~TIMp 11~{ YMOIF i l?1MG fJYfE Wl C1_ ~ ~ ~ ?wRT O ~G+~~IGwT OOND~t10N5: co..ano-a oawaau~»o w oua~ wr «or nu.eo ro uuse a~.. r.,n ~~a A{/tOKr IF rES v.en nwmras ee.? ~/~ei12.¢.G f~.~~c ia Sc:~~.eos'~ a ..,E.~.~ ~ ACUafM. SUK10E. MOMKDE. OA RtN ~ rw*~. o~~, nu~ FIOIx HOW INAIRY OCCURRED ~ wc~ r~rn[ oe n+wa? w titr ~ oa rur ~ w~ t~1 OR IMOETERAIN~ ~Y[cr+~ ' Ua ~c M. l~L IN1UR1/ AT WOR1c RI?Cf OF NJU[Y.+ ww.[. ?~u.. smcn, ucan. LOGDON ~ snen oa u.~_ .a» ca+ w*ow. a~e ~ ~ srta~r ves o~ Mo~ pr~a we., tu. ~ arecrv ~ , 7~. f~L ~ ' CERi1F1GT~ON- .w~w n.r .~ww e.r rua uo usr s?r wr/Mn Kmt ow ~~o/oe nor vw wt oEntN otcuttFe n we sua, aM w .o..w~ ? nr ww ~+m o~~ cwwi 1 AR[MO~~ 1f1~ Q~ ~x y~ p MT ~pQ~. nnrsKkM: ! _-~!`~4S ~.w, io x ~wt tla e[u.seo rwr p ;tH. tlc jl 7M. ~ O Tte. / w nrt ewxai sH+s~ CHtT1f1GT~0ii-MEDI ExaANt~ER Ot CO4J~Et: w nu a ww a ot.w ~we eraoun r.s ?eo..our.as ow . ~wr~.nw or s~ wo....s/w nr .nFSOC..a., w. .n w~~or. .~o.nr ou +w row oe.iw occwr~ o.~ ~ rrn .ue w w rwe c.uww s~.~. ~ n NL 11~. K CEAT~1 mre w , SIGM1?T11~E t r DAiE S ~ t,eW~ ~ , ~ ~ ~ ~~Y~~ C • MARYJG FESS- TIiH , ~ ~ ~ sr~te ~~.i. ~/C/ ~ f `m~ ~ ~ s tfl / - ~uR1Al. CREMAT+ON, RE/AOrILL EV-E7fR1~ OR CYEMAiORY-NAMf tOCAii01i un ot q~r su! • i rt 1 S~KM' • ! ~~ru.i~a C f oae.~.t L~:at. L~z i~ i''~.ai.i.~n. , ;~W(7~ W?TE f •,.w~ iUNEt~I HOME-NAiME ~s~ n ~.s.o..a., un o? to,.,., rr~ / /~~~~i~ -;u. R. acz~,~.~unenn_~ /~vm,e 1!'; ~~i ~i:.cat.i.v.E D~t. ~%~'ffi.t~e. B"~ fu.Er~,, ..ECTdIt-~ .,rc~iuaF ~cis3z?~"s~cH" ~ ! o~uc ucevco sr ~ow ~ccan.a ~-b8 s4.. .:c':C:~'~=' ~ . ~ :+L'C ts,~r ;r-_~t».a ~~,r~~.•'•~=~•'xr.%'! f!t' ° ~°.c°' ~ ~ ~ ~i ~ - ~OOM- - - - - - - - - - - - - - - ~ , . =s, - - - - - - ~ - - ~a .ANp RE _ _ . ' ~ C~TY 0~ i'A~~I - . 1~ ~ ~ _ ~ ~ . ~ t ~ CERTI FIE~J COP'Y _ , s ~ ~ ' l~AV 1219~8 : "y ~ r~` ~ ` ' ~ _ : - ~ 153;~[~: . . ` DA`i'E . ~ ~ 7 ///J ~ T. i i ~j~j;y/~ . . r 'r-,: , ~~~L.L/~f/'~/~'~~~ ~i'i~ ~i ~ - ~~i `t :r ; . s ~ ~ C -sr' ~ Y''C e_ ~ ' - ~~e~r'' - ^ ' - ~ ADA3~I E. t30r•~4KOt:'•SKI, ~CITY C~.R • ~ ; " ~Ot~R~~ ~ ' p • . r~~~~ - :,Tt•' wti'~^„ ~ - . ~ ~ B6oK 10O ~PACE . . . . . . ; _ 805 ` t ~ 4 _ - - - - - ~ - - _