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HomeMy WebLinkAbout0951 ~ 213U12 u~ CERTIFICAYE OF DEATH $OO9 SiIT[ T~[ qi)LBER SiATE Of CALIiOpIrlA--pEPAqIYifiT Oi PliB~iC HEAI:?i ~ ;,~s. s::r:A pSiRKt u.D [of~~•c+~1F wrBE? • YAME Oi OECEASFD-re~s~r NarE i f~ r1pOlE h~YE ~ k US• N~YF 2• D~A~E•Oi ,DEAiH Kiwi+ T:• ~.~~_~~N ~ a ~ ~ ° ~~ardell ; Clara ; A lor F ~ g,~ v~ N - Y tisrch Ai 1971 ~ 1: 20 P r i-s Q~ 3 SEX ~ COIOIi Mt RACE S BIRiHf't~Cf ~!~:••••••G° 6 D41f O~ NIR1N ; AGE .e• ••.i~. --r-- ._:.:~..it~s ~ , ~ a g Female White Iowa Julv 1~ 1~2~ ' ~ ~ v c.~3 -'t.~ L~ S IW1YE ANG 81RTMPlACE O~' ~ATHER y MAiQfh N4YE AND 81RTNDll1CE OF MO/HER d ~ .o Elmer F. Christian--Iowa Blanche Sawyer--~bntana 1~ U 10 ~~lIAT EOUNTRY 11 SOCIAL SECURIfY !4U11BfR 1: r.+..io ~~.lr ~?i~vr rcvr!o 1) HAYE pi SLR:~V~kG SCI.USf ~ e~. nn~.. ~~w t O ~ ~.x.eo .n:.... ~ b ! ,1~:'5.~1. ~ 286-20-9117 h'ido~wed ~ ri ~ O ` ~.C~ATION . ~ . IS ~aa°y.:r' ° fh \+rt ns tAS! fYhO.iYG ~Y7ah. ~o fIRY Klhn Ct ~hDU$iRT LR 84S~~kESS C` Ct . ~ . . : u.•.n ~~~1 : ~ tes''C~oYk S T. G. ~ Y, Comnanv De ar3nent Store ~ t`Q ~ ~CE. OEATIF-~M![ Of N09lf1K ON J1MEN ~~oa*~4\7 ~iC~uTe ~1Bs SfREEI ADCRf55 :srR[n ~~nM~sc• y i.+4r...~ ~'N .~~.:e ~ . . ..r-i ~ ~ N _ ~s~~ : ~ ~ 4951 Greenbrier Avenue ; ~ Yes~ i 1C ~ ~~8t COUNTr 18. . ;,q - . ~i U~ 1~. S • . • ' R ~ f ~ t ~ c~'~ ~ - i San Die o i 15 15 - ~ . _ -iTr[ET WOtEii ~ST~uT u+._~va : ,.~c~~,~.. I,ae .vS:aF C.rt ii:oc:~R~*F l.Wr> .'0 hArr ~k0 VA~~tk~ ~''.^.~TfS~ '_':c !Ki"~vati1 2,t ~ ~ . i ~ .ts .~c ` - ~ o ~ -~^~yr . ~~~~i'~e$nb;''ftr. , ; Yes--- nna '~t. Radocav ~ Y, Lt+tlc dt•row~ ~t9. CouHir staT~ 72T Il~ MZ3 AI~t . K- 2G t ~ g ~~ie o. ; SM DieQo. ; Califo ia an ihe o, CaliFornia 921~9 L'~.~-~1 "S. C:iRCMEF a...~~rc,~.va.. ~ ~21e PH~SIL:AN . . . . _ . _ . . . . . /wI'~ ~ - ~ Lt~~ ,.~.,h[~_ i ~ . ..~a•_~ •v N.~.~ . ; .y ~ • .n.•s.rir.. • . . ..e . ~ i. ~ I~ O RT L CREASON Corone ' 3-9-71 . . - ` _ _ ' - p:~~~r~~Y..~e~~-'• ~1____ / j ~ ' inves[i$ation ~ . `,.:r•~. . ;`'SS~~~SOverland Avenue ~ ~ San Die o California ~ '+•e~.•+ t~*~r~~e*' ~22~ QATE VAV~ Of CEYE'~G1 ~_,p ~REN4TQRl 23 EMQA! Yi = ~~i~.re . - r._. ; F~.E •.~:Y9'P . ~ t~~• ! Bierial ' 3-11-1971 ~ Greenwood 'temorial Park ,~d'~r-~ - - -L - - j - - - - - 'e .a~f O• " ~E~a~ D+RS:' :4 ree~r ~:~e?: ~l _ _ _ . A: _~4A . . . . . . . , . ; ~ . . . ; - ` MAR 1~'0 1971 ~ : ~ ~ Greenwood `•lartuarv ; - ~ _ _ ; _ ':C rlDT 7 :f4~~• _4',;SfC 9~ F\'EP . . :{G ; ~~G ~ ~ s~-.~ , . ~ i ~ ~YYi;:t'~ ;a..ii ' • i ~ i " ~ ~ ~ `ardiac deco ensation ac_u_te _ + _ ~ _ . ~______'_1. _ _ _ ' - . i " ~',D ~S a . ; hc.: E\ = • . ~ y.si~i ~ > .a . i ' -.z ~ . vr[-^ 1 g~ ~ wFfw. _ _ ti.4" __~S.4Z~Q~~~L4C~_h€~I~ ~1$~a~. ; ~ : , . . _ _ - ' . ~ , c.ieo cti . ~ s ~_~c,..., _ . , ~ ~ ~ 9~171T ..HSP S~h.:a ~r. ':.~i.. .y~ . . . . ~ . . . . . . . ~ ~ ' . _ : . - ;t ~ Patty liver mark dj alcoholism chronic (hietory) • ~ ~ • • ' • ~ . RY~~_~D~~.~~~+-s~~±. ~lnutri[~ion ' , , No _ , Yes Yee a - t3. - ~ . . . . _ . . . . . _ ~ : ~ - - - - ~ i . • _ ' • . A'~f . 'ti ~f? . ~tf' ?_~~f- . • w ~ ~ . - . . . . . . . . . . . : ~ ' . . . . , ~ . . - ~ . _ ' _ _ " _ _ _ _ ~ ' ? _ ' _ . ' _ - ~ ' 'L~ ..=5< rEf ..:A -y!:.4. " . . . . . . • , • _ ~ ~ ~ _ - ~ ~ , ~ P ~ " ~ ~ - , r. - - : ~ ~ ~ ~ ` ~ 21~0~,2 ~ f~lEO A!+~ RECOROEO ~ ~ $T. ~UCIE COUNTY FLA. ~ ROCER ~81TRAS ~ CIERK CIRCUIT COUItT ' REC01i9 VERtFIEO~~ ~ ~ Ju~ 28 ~ s3 PH't I ~ ~ ~ ~G,?194 g5~. ~ ~ ~ ~_x . . ~ _