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HomeMy WebLinkAbout0968 ~ ~Q~p~~ ~ . ~ ~ MAtYLAND STATE DE'AtTMENT OF HEA~TM } ~ DIVISION OF STAT11TiCA< REflARCM AND REt~RDS, ~Ot W. ORESTON :TREET. ~ALTIMORt MAl1(lANO ~ ~ N ` " ~ CERTIFICATE OF DEATH ~ U ~ - _t12s?~~_~ - - - - ~ rl.uct or Dur~' _ _ --2, vwu acsmcNCS tw~:» ~.~w~ r..~. II ~wr~.« 4.s..» Mle...~.ir~ o ~ ia,u,rux~ • , ~ ~ ,g ~ ~«~Prince (}eo e _ _ `i~'d" _ P!'fR~' Geotge - p CITr Ol TOWN l~ w~uN c+~rW Mra. e. IINGiN Oi SiAr M~ N CIIT Of tOWN (Y wMV e~rw ~w+A. +.r~ lU~AI W~?.~ sw,M b.w) O ~ ~ ..~w Rut/?1 r1 s~+~ w~++ Laurel V- - - X Laurel r Nwr! Oi IIQSniAI O! NSTITUIION la ~M M 6s~:W. r,•• r..« .e~...~ sra~tr ~noitss - a useii+c[ ; ~ o oH w ~wwt ~ c.~ , cn Q I,aurol General Hospit.al ~ 335 Yontgonery St., I,~:O Nod ~ C~3 ~ NA?cc or /d weeh 4r ~Ti Mwh D~r 1 ~ OtCtA![p n~ 1' 'L , i a 0 ~ O~ro~+q NO~Q C• U~a11~--~r• ptATM Feb~JJ~7~ 1464 ~9 ~ F'~ ~ g S. 1tt , 6 COlO~ Ot lAtt 7. MARl1lD~ l1EVlt MAltllD O+~. OAI! Of N~TM 7. AGE I~M~I M U!n!! 1 Y(A~ N IROEt 1t IKS. P ; •n ~r. ~ 6 1896 ~ _ _ I_"'"") I ~ ! ! S' ~ N ~~@ f ~i~ , W1ppWlD ~ OIVONED ~ ILGC ~ ~ tRa. ~ t 10~: ~USWI OCCVATION lG.~e Vw1 ~~'at I 10?. Rr'O O~ N1SM~SS Ol kDUSil1 i 11. tIIIHMACE ICerM~ l SNN. M Iw~N~ cwwlr~l ~ 12. Cl?IlEM ~i WNAT C~M'f11Y1 ~ ~ • f~d M•~ MM •~eM ~f .rA.W Lh. i r~Ar~Q ~ f : U~$• ! y~ _of Fire Dept., Fort eade_Fira Dept. I Laurel~ Yd.-- _ i - ~ 1l. IAfNII S NANt ~ , f1. MOTMfR'S MApEN NAME ~ ~ ~ (~e •.Vi t I=s H Xm. Grgy Beall Sr.--- I Roeella Fr~thingha~ - i M ~ v is. wws actw:[olvcR w u.s. w~to raus> J>s.-soci~~ s~cu~~n ~o.-~~_ tMro~~wl~! I ~ o ~ a H ( ' s ~ a«. M. i Norria C• Beall Jr. Rt. 3,Eox 252 Edge~water 1[d. ~ ; i~~ `J ~ e~~en YO~CAY~! O? ~CATM~IE~ v~wl~l w cNr CM IW /sr H1. 1?1. ~wJ it).~ ' ' ~ I ONSET At0 DEA1N' ~ H O M~1 L OfAM WAS CAUSlD ~r. • A t ~ 4wF01ATt CAfJSE (~1 4° " ~ ~ y3 X ~~o - - - ~ . 'c ~ c..~r~..... r ..n _ - E-+ y - - t - - - N M Mw ww ~.r~rM a.r DuE 10 - ~ >a 1~). ws*~ [ ~4 ~i~y ~ u.+r Y/~- ' ' ^ ' , y+• .t ~i - ~-y1 ~ ~ ' ~ Id--` _ - - F-. ~ ~ r ~I1~L~l~q~~'d~CA(11 COlpI10l~1S CONTWUTING 10 OEAiN Wi NOT ~fIATfD TO T!# ilRMS1Al qSEASE COlDITIOtI GIViN M~ART 11~) N. WAS AUTOKY ~ H t _Y~ ~ ~a {'S•"L ~EtfORMEDI ~z ,r,r < 3 ,.f''`* i ~ ~ r j r . ~ , ~ 'rts [j ? ; 1' 1 ~ c JG. ~i~M WA!'{~itl,~ 20R .DESCfME NOW riMJIY OCCUI~ID. IEwr Wrn d i.~.rr i~ ?M 1 w hn 11 d iw~ q.) ~ , ~ F Rcow~p. ia+r~`ca~c~wi u,~+i~ - - - N , ~ p on.~ 1~ YIJIlIY OCCULtEO ~ 2M. ~IACE Of O~AIRr (ibw~. Ir~. ~ ip. (GM ~r a~wi - (C~v.h! ts~,~.i . ' ' • ~ • ~ f" , Y~IYI~•. . M.~ waiy ba«r. w.w..Kc~ Ma.. Mc.) ~ W ; Nr.r. ~~f~*'~ , . - a a . - ~.~n~:, «~..p M.~.~ p ` ~ ~-t O . ~ cii11h1`tl+M- t r,: . ws om 19....... a...........•-•-..........---.., f9.....~, tAa+ _ N+. d« .d (r . ' 'h ~ . . E'.,• = , ~s'~•~~ ......14........., and ~hat d~,~h «ar~d M.........11~ kan tA~ cauws ar,d on tl» dw ~ts~~d ~bova ..,4.... ( Q ~0 ~ ~ w~,d a.~ ~.ol~..:!AF: - 2 i ~7~ }~IWIA/W • • • r. DAIi ~ E~ ~ ` , S~~'.IiO ~ a . ~ ~ ATTEf4R1G MED. SiAfi i ~ ~r ' ~.0. h111. ~ 01lECtOR ~ IMtS. ~ 7J~SiC~wM'S • . ,:'T ~~t ~ 1i ~ ~ ~ - . t21. ACOltS3 - ;_T, [s] ~ NAM~ 111/~I~i.~-~ ~ ; ~ - ~ - - - - „ _.c-- . . . _ ~ ~ G r4-_~-_lr~~--~ - _ . - ~ )l~,lY ) Al ~TIOl~ ~3~:' OALE~~O~ 27s. NAIKE Oi CEMIfER~ O~ CtEMAT~OQ ~ 21~. IOCAt10N (Cwr. N+w M w~M) 13M~1 H ~ ~ ~ Bu _ _ ~.Feb. -1~l19b~1~-a~rlingto~~aLions~ irl~t~a~Va- r. ' r a•s ~ooeESS t ro n~crsrw :s~. uc~sTUU•s s~wu?tuec _ e'~+~ OA t ~ ~3~~~ Lau:el~_ Yd• ~ R 2 1 ~ , Y ~ 1 • zoss72 ~ FILEO AN4 RECOROE~ ~ tT.IUCiE COUMTY fLA. ROCER P41TaAS ~ CLEaK C?~CU~T COUIIt ! RECORO YEkIF1fD.,..~..~.~ MlWr 30 2~.3 PM' T I _ °~~`Cl aooK 1~ 9s7 _ v. _ _ _ . ~ _