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HomeMy WebLinkAbout2084 ~ ~c: ~;cAl.~u. e. c. _ - - . - - ~ . l - ~ ~r~'Pl~t~ ;~:L ~ _ - - - - - - - - - - - - . ~ - - i,vlT,1 ~ u. c. . 1. S1AT~STICS ti . , ~ nisrucr or coLn~su aar~t~~ or rvss.tc x~t.st~ . c~rmc~?za or a~?ri; i ~ ~ ~~~ti ~ t~ ~o 6 5 ?96 ' ~ ~ N~ua or o~cs~ ~ ~rw+. ~.a ur?re u..ea ~ r... ~ s. n..~.r n.N? - ;"y°~ r"~`~ MARY E MORGAN n°sr'?~re JAN. 29 1965~ 4: SQ .m.~~ ~ L~X Q(11.OR OR RACe ~ ~l~r~i~i. Y'~'' DA7Z O~ D1RTH l. A01l~/_ Jiw~ ~ M ~ ~ ¦ ~ 4-8-16 AN~~) emale White rr ed '7;g ~ ? PLACd QF D6ATH IN w~~~~ D. ~ UallAL I1681DS.~lCC (IIAar ~rwwl ti~M. Il NMifNiM. nwr~wre M1~ \Al16 U~ NUArITAIw I~1UR'i1NQ HOa1S OR OTHBR 1N81711JTION er~ra p,~RYLIIND °OO~MONTGOMER''!'"""~ w (fl ~ M iWitwiw. NN MnM ~nu) e. CtTY e. INAIDR CITY LIYITA ¦ ~1ASHI I~GTON HOS PI TAL CENTER KENSI NGTON l~!lCC:IYY YES OR NO) BTRh'hT AUURbK6 l~l ?r~l. r» l.nt:.w) ¦ 3550 RAYMOOR . Nw l':~l'AL OC~CI'PATIAY (RiM !i~ wr~ J~ IIb. 1(tND AT >Utl1NY~ OR tt. BIRTHM ~CB U. CMiSN OF NIIAT OOUYTRYt ~ ~ ~cfiool''T'eac"~i'er :rtont "'~o S hoo s USA i t1a FATH6R~ ~IAl~lS I~b. ~tOTHilI'8 ltAlD~i NAl[~ 1~ I~/A~1~ 0/ EURYIVINa t!'OUB~ ! Rufu~ I[on cutt Sliubeth Sintsl G.W. :KORGAN t ~S. ! rer iw li. R 1~. 80CIAL 8BCURIIY NO. 1h. IYFORI/ANT RtLAlI01VS1Ylt TO DsC~AdiD 1?b. ADDRS98 Stnet Ctitr 6qt~ : a^-^' F°~' G.W.MGRGAN, Husband 3550 Raymoor Kens. Nd. ' 7 It. CAQS Or D=JlT1[~ (L~fw Mlr ~we nwr ~e? liM.IM ~wJ (e). , 1~l~nd Hel~ree~ Qret PART I. DSA1'll rVAB CAUBSd DY: ( ~d ~1 / ~ llIM6DIA7'E C1U8B (y _``?1171L!/C~ t z ~~~1~~~1~*~~ ~ _ ~j~i~~4~~ : I r?i~A Nae ~ i MN 'y}~ ~ ~ DUS TO (b) 1 . ~~e nws u~f- ~ . ~ W tAt pJfll/Y~~ t~UM ~ ' ~ ~ 'k t~.r. ~ t~ ~ DUS 1~0 e y f' TART Il. OTHBR 81aNIFICANi7' QOND11'lO~IB: a~o~uibNie~ to de~t~ brt ~ot tf~. AVTOPBY t Hb. If Y~a, Keee Firli~pCoridend f t~ U ni~tad w t~e ters~! d~ew eo~diuo~ prs i~ put 1(~) X68 OR NO i~ Ueter~.~i~ Carr of De~U! _ i~ t\ p ~ ' IF OrERATtOY ~AS r6RFORI~I6D f1~. DATB OR OP6RATION fb. C~ONDITIOU FOR ~YHICH OPSRATIOY • ~ 1~ CO)fPl.~TB /7'S~i3 i ud ~Ib WAtl PS[tlORli6D f. j ~;(~j ri~_ Rpeeitp it ~cridest, w~ieide, lo~i- flb. HOUR AND DATS OF INIJUAY: 1[oM?. Dyi, Ye~r lle. D68CRIB8 H01M IAiII/RY OCCURR6D ~ + a ~wfe. or ar~aet rdetee~i~ed (~wls Ntws h/w~r iw ht A~f /f) ~(y ll.i. I~JL'RY AT ~YOAY: 71e. M.ACS QP INJUAY: (At BNS, /os, /~cfMl, !!f. I.OCATIOY CITY OOI:lY'1'Y 87'A7'E ~ : ~ ~ ~ ~ Q iss«~r r.... v.~ erro.e o1k. ~~+w. sr~.> ~ ~ , u ' , utl ` ~ ; ~ n. ~ ~r~„ m t+r.+...+w a«....a y: ~ ----~--1---__. S___. ~ m t~.~+..~ - # . s. a.c....a a.... _ ~ ,t.ti._ . 1/---.... 1~ ~ .:.a Mt .e.....~ 6+. .[a ~.r ..a a... .bra .1.~.. ~ i ~ I:o. {IG11J~ ~ tf~. I~ATK~NIUN?:11 ~ ~ 1 A7`17Y1)INA 31M:1~1('AI. frPAYY ~ < YllYtl I~IHF:[:7'l/N PIIYx ~l .i1~ S ~ ~ ~ 7.'~r RlY~tC1AK'N lfl. ()!)Il?1Y ~ • ~ • ~ ~~»~~Tr~~HB N~ Carlton, M~D, 9~0 25th St. n.w. ~ ` t 14 Itl'RIAL l~I.. DA'!8 t7r. ~A~E UF CElIh7E:RY OR CHElSA'I~OP.Y lid. I.O(,A'iIOY (Ciry, rrv~, w iw~r~) (3qtr) ~ ~ CRi:~fAT10Y ^ ~ ItE1tU~'/1I. - • • 1 • . _ r . l ~ ~ ~ , ~ ~~hl~~ lS~. U\UEN'fAiCElt'tl.~Sl4NATURR l3.6. l;~iDFR1'AK6N'A ~ ~ ~ 1~ R'\EAAL UUlJB I\G~~ i' • ~~s ~ AbURE~Y ~ ` C~ . I ~ ~ ~ NkLt~tl'11ATIUY . ~ ,1. , ~1'a1H~:tl ~ o~ F- . : WJ L ~AH N~ ~ ~ ; ; , ) 4 ~ ~ ~ ??~-a~cP ,T1~:-i! . ' r u ~ ~ F ~ , ~ ~ i~~~~ ~ Yc7Q~- _ ~ I ~~~i~.~+.,~' ~+C' _ ? :~~r~~ . r: i i a t l , a i t~. . y~0~~ ° •t J J ~ . ~ <-~vW , .~I~ ~ ~ ~ ..~-~r' r'- - , . -'-~1'~:,~~~:~.•~ ' ~1S t~f;~,~-'~ _tf~ : ~ ` O ~S~ . ~ MARCH .26,1971 ' f' SEA l ~ ~ ssusd ~t ' NOT= Y , ~ . ~ Oate , . . . - t. > s. . ~ ' Y THAT THE ABOVE IS A TR~~/~, ~ ;'Tr ~R` ODUCT ION ~ i ~ 7HIS IS TO CERT~f + 1 N OROER ?~~t~ ; .1~ ~A1~~~ORDS _ ~ OF THE OR I G 1 NAL CERT 1 F I CATE F I LED eF COLl1M61 ~ D t V 1 S I ON OF TNE DEPARTMIENT Of HUMAN RESOURCES.~ { • . . ~ . ~ ~s~ ~ ' ~ ~o~ i9Z 20?9 y~ ~ ~h ; ef ~ ~ ohn H. Crandall. ~ V i ta 1 Records D i ti' ~ G~ ~ ' ~ ~ ~ ' . , ~ • - ~ ~ F~~ . ~ y : : ~ ~ ; ~ ~ ~~A _ ~ ~