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Home My WebLink About1566 . , . ~~~48~ CERTIFi~ATL OF ~EATH ~ ~~64 ~Q . ~ i~AlE OF CIWFOMIYI-~OE/MTIIENT OF NEAITN MA11E OF OfCEAilO--IwR ~ 1Mnt • k. 1ASt ~M~[ L OAT[ OF OEAiM~-r~.n? Mt. tw ~ta Y011R - • • 1 .~~m88 • 1 1 ! ~ ~ 1 1 Sfll COLOU OR IIAC[ i~ri1~lIlCE . OATE OF ill ' , lIGE ~..r wwrr, r ~ • wa~ ~ ~ Male Whice Ohio Dec. 3. 1893 74 OECEDENT MIIME ~MI1iTM1ACE Cf fA11~R ~ YAbEN NAYE ANO MRTlM.ACE Of YOTIIE~ ~ ~ONA1 Unknown - Unk. ~ Mar Unknown - Unk. OATA 10. CmZEN OF wNAT 001N1T11tt SOtu?l fECYlf11? Mw~ER 1s r...u. ~nu..rra rrw~a q. NAME oF SINNf~vMIG 3rOUSE ~s ~rc a~a.r~a r.~ •~vwv U S. A ~ VaCcn ~arried Vesta McClelland McC stal U1ST OCCUrAT1011 . ,,~wo.rw _ K w~r[ a< <ASt crKO~wc Corrwr a~ iNr IL RMq OF MOUSiRr OR M/WIESS . N Ov NN/M M Nu~~ - Dentiat 12 Self em lo ed Dentietr PutE oi ofATM-?urc ar rolw~K u~ on~u ~Mn[/~r ~~?uun ~t~a Stt1EEi AoDllESS-~m~n ~w wn[a wcaxo.. I~c. .e~c rn. caro..n ur~n . I~s~or~ +as a~ w~ - ~ Golden A e Gonvatescent Hos . ~ 1450 N Fair aks Avenu ~ Y ~ IM qiY OR T01MN ~N[ COU117Y ~qs. ~raw~wM~cwrv~tr. ~1~a wsr~~ru.arn.r ~ ~~TM Pasadena ' i.:oe An eles ' ' ~ i ~ • uw~ n. uwu ~o~a-sncn ~oe.css ~r,w... ~.wo., ~~oro~~~ u.a zo. wu~ nNO .uxr~c ~oortESS a wF°~ ~ , ntain r ~ Betty CmCl+elland Duac~n~ - a"" a` rn" T°'"" sT"~ #4 Via Moncebello t Pasadena ; Los A eles ; Caltfornia 2~ CORONER. • r~~.~w~r 2b MITSICIAN. am.. u 2k ~MW O~ OO~OM[R-.. +a w w:ra a wu 1210 ~A~E SNi1IEO yy i~ a~~~Ypr a1 ~r Wt W A/R~ Y~N~ Mwl PHYSR.~~ S W~ r~~ct YYU MrM ,M7 aa'~w ~ crrf NYM ~M~/ ~~Y ~ YA~~ ~ Ntu+~~ ~y~ fJ w O~~~~ G~ •wa~w.wwwr.r.a~u~ /d M ~ ~ ~ Wy~--~ 1 ~ 1 Vj ~ OR CORONER'S ~ s.w o~..a.r~ r rwr~ r u~ 1 w rr: w.sr sw.r... wr • cEer~~cnnon t . :~ti::r'?~a'tk.. m. ~oo~s ~n, --~.~,~.:-;d • =~~t .8 • n•~i~ 8. ~m-6~ b ~ ~+-K ~L. / ~ FUNERAL crn~oo~ w~~ ana.~nc~r ~t2a OATE 2~. NAYE OF CEl1ETERY CU CREI~AiO1lY 2~. ."0.` . ~r ~a+ r uCE~ MwEt i 01RECTqt 1 ~ 8 14 68 ive Oak Memorial Par - i ~o ~ ~ - L~~ 2S Oi surtlAl ia~ rtaso~ as sou 2i. ~ ~~"'O"'~r 27. C RE ~ 2~ ~~"H ~""11°' ' r~WSrwue "1 urn ~`~'°Revens ~o. "'°~"es .~.~~G ~ ~AU G~4 ~8 ~ . ~,~.u~., - ~p..~~.a~~.~.,~~_ ..~a.n c~ ~,G,,~,;,,~ / (Al ~~v' aaK t~- CAUSE ~s wr- r~~a euc ta a1 ~t ~ tor~EauoicE os +rTUr~ c sAVC ~fE 1o n~c rca~ f~l . ~trrct~~ 01efE~ Q ~ ~i( C~Yft IAI. ffAtlMi . ~ ~ ~~TM TM~ YMOEKTMC CAYSE OYt 10 OA A! A 0016EqIQlC[ O~ . - YE~IM ~ twst. . tCl ~ t • - W ~O t 01Md iwMlGwf OOMORIO~f-~ ~r wr ~~rr w wr ~rw ert ~rlarr ~~I. .°w w~w+. aa~ r~ ~r ww~ 9!~ 3L ~"ia«`"'~ o ~~t ~ ~ ~ ~ ~ _ . wrrrrr«wr. h~ .r~w ~~a~r =++rw.wswr. z ~w~d~?~ ~Y'~~+~w~f~ 1 ~ SPf~Y KdKO. f~! O~ R~tt i I~M~ •vurr r.n~w. ~S ~r11~ AT ~O~ 3~? WTC Oi MIIAt~ ~w~a w wr ~~~l N~IIQ ~ w~aw~w.~s~t~ .a~w..r.r~.s~~~ .wa~ws~.~. ~ < ¦ U O r/~Y 77a RACE OF YIAMY ~sfaat r~ Mi~ M~ot~w~ r~ ol* ~ ~wr~ bI~ :"~..w w w~.a~`~ ~ i wc w~ w~ a~ .~i~ » r~.r.:.~r.~~'a.~ W ~ ~ar..~t w~ ~ ~ uwvr w~ ~ r. ~ Iqi0R11AT1011 . 1 .u~ ~0. MfClM[ M~/ UAIN OCOUria.~w~~~sr~~.aww~~w.rwr~.r~r~w~r~.~w~ww~ ~ Sl'ATE ~ G ~ 0. E . I. . ~z~ . ~ _y . . CExTIFICATION STATEIrD~.NT - ~ . fY ts~te~:~ ~ This is to certi that the above is a i~ ~ rect ~ copy of the death certificete of the a~;:: me~~~ e~~dent as ~I~t[sL~~ ~q~~ office. _ ~ . ~ ~r - : ~ . .1UC1E CO E ` . RECORO VER~EOLA ~ . ; ~ , . ~.9`~'48~r ;~t~,Aea~th O~~i~~r . . a:". • ~W Z ~ ~ ~ i , • • '~.r,cr puty Re trar o _ :..r.~;~.~<-s~-.as`. .r r +1i _ . c ~r~.~ . V~ 1 t. ~ Fy~~E~~E~C~~ ~e of $2.00 ~ :t. ~r . ;~1' • , ~URT~ . Date: ~UN 1 1~70 ~ FqL OF CITY OF PASl~?uBNA~ ~ . a~~~ .