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. _ _ ~ .L.... , w.~.ry~ • Y _ I ' i~Lt,~•{, ' ~ r . - - . ~94~~, r.i• D._ rrwr: ~oniea or Hr~~x . CERTIFICATE OF DEATH • ' ee~~s • ~YIItAY OR YfTAL QATIff7q - fTATt FIL[ NO FLOHIDR - ei~ BI T N. R RA •S NO. Or•p•et~ t. Mw~r ~t~?TU Cooc N0. t us~ ~wa+s~NC[tnr.«.~rr11w~ ~ ~...r.i.~w..+.~.~.J •:.erc~~ u . awi •ill 1~ ~lae~~ • . . ~ 1• ~~r~ R CIIY. T01/N.OR TION t. IS KACE OF OEA a dTY. TOr11.OR WCATION s. IS IKSi0E11CE ! ~~~~~t IN510E CIfY l1YlT5t IN510E GTY LWIT'S7 t1I YES NO YES MD ? ' ~ M06?rTAI Oll ~yN! b ~N/Yd. ~is a6'Nt Nbfr) lEtkiiX Of t STIIEET AOOKSS OM A fARMf ~ STAY N 1? res D uo 3. N4M[ of ~rit XfIYs Lat 1. DATE a4NL Dq Yar ~ t~'1nr~ 1 o°uFTM f' tE7L i. CpO~ 0~ ~AC[ . MAR111ED Q M[Y[II MA~RtO OATE OF W7X f. ACE (b /w~ 1f 1/OOI / TW Mf. ~ - ~ 1frM Oyr Iww Yi~. ~ ' r 1 t ~ . ~~p r ~ jl.iwlr W~.uwALO0oWR10M `(NN yswttrwe tO~.Kal00FM~ORWOtIST1tY I.wTMtLAQ(~~ts~rJMelptw~rf) c11mD1os~MTOOHrt11T~ i .sea ~•r- ~s.ly.~Ky,a.tiyl~e.~asy,~Knap .....a ' U. S. A. ?l~~t lait 13. fATNEIIS w1YE ~ 1~. M07i1ER'S YAIOED 1M~rE ' •t ~ sn~~rts~r j ' • tS. wns acusco crne w a s ~w[o aoaas~ K_ sacu~ sca~rtr No, n. a~ s s~ownri~c ~ ir.........~....~ w...~......w.,r...:w _ Hine~,l~BIvorv ; wun.. - j hu~r~l t~. CAYK N KATM [bl~fa wt~ wr awr Pb JnNlv (a. A). q1 (c).l i~rTERVAL ~ETYIEtN Alr~at0* /ARTLOfATU~ASCA4SCOiY. ~ ~ . 011SETAIDOEA7N ? s~~t t13~ ~ W ! t~• s~r- ~ t title~t• ~its tl~ r~ ~ 1• e a 1 ~iwr e~s~a ~ r~si~te~r t~ owr pyE Tp (e) •itAis ~3 r ~ ' ti~.r s•[- Nurtr ~n ooa ss~swrt oaanas oo~a~oun~a ~o ouTM ~ur ror ~cu?ho to nc tuwr~ o~ui?sc taonoM cro~ ~ nieT uy . was ~utarsv . rc~o~rtov ~ s.~ a..sr • - ~ er 1~f~r• ~ ~00. oE~ ~wf~+wwtr oopueR[o: (b~?to w~rrre y~ 1~ Pvt t M Art !I yfr~w uJ r~klwj N~ ~ ? a ~y~ ~1~~1- • ~w •t ~ ~ ~ « ~ . ?~1 f• , rtlt~r s. x~. Dq. Y~r a s... . ~ 20r. wwtr ooaua~co ~Os. ruec ae uuuar (e. ta r.e..i asr. ml• utr. roNN. oa ~nuTaM oourmr • st~~c 1iMLt AT ~ uO~T NM~LL ~ IV~.l~?I. adsd. ~jCS N~/.. da) ~X AT w011K , l~eNw~t tlw I~owwl /eo~s (kL ~ h' . to ~ if Nn~.~.~ti~~ndlyt wr h,'~a~ ~lir~ on 1~( ~iOY. by~- DwtA astvre~rrat ai m t)w d~t~ ~t~t~d ~bor~; ~wd to tlr bwt o! r~ bwnJ~dM. lroin tM auw~ ~t~eM. ~31 it~as ?2a NYNA?Y~t (Dr~rartYk) AOOIlE55 ?le. WTESKMED ar• t~ i• . s~~~l~t• i asstrae~. F a - N b~- i t3~. Me~l. CJIEIYnow. Yl~. MTE 2k_ w?rE OF CEwETERr OR GtElu?TOAT ti~. WGTIOM (Cifl. b~s. r owstl) _ (8t~fi) . IIEM011A4 (8/tti/rl . . ~ Y.l. ~O19 jf; suNE11AL 'S S~G~u ' AooltFSS 2S. wT[ ItEta ~tr ~OCAI RcC. . REG~STItM'S SKw? t~~.lYOb - 1 1-' -b ATlriB C DC 1 . ~ _ . , . ,r.~,, _ _ 1~+~f~ ~ffY th~ t~ b~ ~ hue and con+ee~ aopy of fhs Lood 1~~~~'Y~` Reptst~rars r~ocnd on fils In th~ 5L t~ud~ Counry He~hfi DepMi~ , . :f1Mf1! ~ ~'Ort . k.,I>~ i,.. r~~ ~ ~ • Pkros. fbr(d~. , ' 7:,_ . ; - ~lWsr~irq: Not valid untess raised see! of the St. tuct~ FILED AND:~i~_ ` . Counry H~.hh D~psrtme~t is afttxed.) S7. LtlCIE ' _ , • . RECORC'~~`~~~ i ~ 1 ~ ~ N. D. M11LER, M. D ~ , - . ' Health ~ ~ - - . : co~y off~.r a~ t,o~ wQ~~u '70 JU~1 ~~~-~F S. i2' _ . : ~ f _r~' f ~ ` ' wJ~ ~ r . ~ ° ~ - + . • D~ ' D~Pu1Y LoG~ iaplmar :~0 u~#i ~~A c~,~~r a~ CLERK ~Ift~ . ~~~~k.~ F = ~ . - ~ . ~ ' ~ BooK 185 paGE 9~4 ,~z~,~ ~ ~ ~ ~ u : _ : - 5.