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HomeMy WebLinkAbout0382 . ~ ~ ~ OHIO DEPARTMENT OF 1 ~LTH ~ H"` --?6 DIVISION OF VITAL STATISTICS ' ~ ~~~t ~ ~ tteL• U~a \o O ^ N~Rntrar a No. ~ .f, <t,,,: CERTIFICATE OF DEATH ~ f m~ ~LJdlt 1~~~ SEX DATE OF OEATH !~i~.+d~. 1)+~. Ym/ ~ Wir~ N. BISH z Mals , Jan.24, 1971 • • • • - - '.4a~ ' AGE- l.~r tir+DE! i rE~R uNDER ~ o~r o.,~E oF e~eiM ~ s~-:•+ri~. n..,. COUNTY OF DEATH ~y i.JJ..:~ ~nn.l Yr rl ~ ~ i C~~ ~ j j~ .~Im. 1).+~a Hurn .~I~n. ~U~ ~2 1A~4 j 7o Stark ~ i •3 ~t~` oo f se ' - - . _ _ _ - _ - ' ~ p~ H ~wS~OF Cih UMITS MOS?~lAl OR O~nER iNShTUT~ON-h~ME tlI .rot ia .~~b~~. a+:r ~b(ff JNY wrinbtrl ~ ,.„s~~• ~ F`~,.~ ';A_r~.: ~~pta~~) i~i or woI Massi2lon S~t9 AOSP~~1 = ' NO ~d - - j awrt UTf2EN Of WMAi COUNT~Y M4YRIE0 NEVfR MA~RIED. SURV~V:?:G SPOUSE ~11 ia~ir. Xnf M(JI,fM K.~w~[I ~ iyj{ ~ ~ W~DOvrE G~v RCFD ?pt:~f~~ ~ , , ~ ~ ~ - ' r,.. , USA ~ ~o ~iarried „ _Irene Schall . . - ~ ~ ! ~~A~" -d+- ~ . wa5 QECEwSf~ EvEQ ~N U. S. AQMEO FOKfS' ~ ' 4 i - ~ n. M•.. nr YMtN/iY SI ~ If lr~. Snt u~r o~ J~ln >rruael '4 ~ ~=.,cE ,~a. ~ ~ . IInknoWn - s 1----- ~ ~ , . e1hG USJ~~ OCCI~~T ON E~+J o~ u•.~~ Jout .:rrisc ix~.+t r.r K'^~D Oi 6uS~NESS OR iNOUSiR~ ~ u•rlir~:a~r. t~twil rrr:rrdl ~ . ~ : ~•~E ~~a Re~;red UnknoWn - ~ . 5~fp~E tE1 UE~+CE-~-S~w7E ~COU~+fY ~ IC~H. V~tIAGE Of tOCAiiO~: ~~DE C~t? UN~/S Sf~EEI AND NUMOkR + i p , ~ ~yt.~lt 7a or Ru1 ~ Ohio R~.o Trumbull Warren ~.a Yes 22 S fer .N.E. s g ~ ; ~~~~EV-iv~.et In~r ~IiJ.:.'~ I.+~r MOTHE~-MA~DFN h~:uE l~.~t ALJ.iir LJu ~ Sa~auel B. Bi sh o Iona tiJolfe ,S , << - ~ INFORMANT-NAME MA L~hG •oDeess ~~r~s~t o. h.1.1~. q~., o..r/l..sr. .r..n, zrD~ Porfirio J. Ca11o,M.D. i„o Box $40 Massillon. Ghio 44b46 ~.Q* DEATH WAS CAUSED BY: :EV1E~ ONI~ `JNf UUSF IfR t:Nf iQR ~ol. ib'. AND fc/i A~~~X~NATE INiEWAI ~ ~ _ _ _ _ _ lETwEtN O~+SE1 AKO DEATM w ~ " ti' _ Broncho eumoni8 - ~ - IMMEDIATE CAUSE U'~f TO OY AS A CO`4EOuENCE Oi 1 oeJ.h~.rn. r~t. ~ ~ I~~.t.i~ g.~r! .i~r I.i (o' ~ ~ ~~III~ft.j1.(1t ...uct ~./f. ~ ~t~trn~ fb~ yHJf~• I ~~E 'O OR AS ~ COt+SEOtiEhCE CF 3 ~ ' ~~:rls .JU.f 1 c: ' _ . - _ ~ _ iAi~ . Cittii• S+G~+ f( a~.T <OhD~.ti(~r1 a~,a .untnoy;iwj to .Ir_7b bu~ w..r .ri1~rJ fo .~r~t gn~w iw p~.l !•.+~TAUIO?Sr If YES ur~r AwJ~wp .ow.iJntd ~ ' _ . _ . . _ _ _ _ . _ ~ 190 • Q !`!9 dtfirwtW~wx ~r~ s~ ./r~f~ ~ e ~ a^ 7ENf C.Df r~Cw.C.:f ~~!L Oi ~ti)~;tr _-TOL•~ riJw ~t~iVir GC:iiRtEO ~f ue~• a~r,.~~ .,.~~r.~ i~ p.r.t l oi (~~.t 11. ~t~w I~I 2 ~ .,~~JEi!VM r.iL 1'•r.~~i 11.a~, . l~..> 1 t~•~ ~ 3! ' _ i ~ ~ ~ ..J ~ ~ .V i' ~ - . ' . _ _ ' _ - ._l.T- ..:ir A! K~;~F• , o;Gif :`.,.,ir I! h.•w~I. r~•ru . i lC:4t L'. ~ 1,~~~. ~.r Il.~.~). ¦,i.. .i• ~~::~fl. ~f.tl~. 2tf•1 _ : \i. , ~r ..r i .rt..r n. , . ~\~~l.~f)1 ~ = ' : •r . ' ' t~, .._a~ tt..... l~., 1._ V-,.. 1~..~ 1 r.r. ~~nG ~aSi ~~a M~[r ~ U~D L'~D r:0/ Dt~`~ OCCU~eED A~ tbt Cl~c~, s¦ i~. ~ ~ A:.vt C"~ ? LX lnE WD/~ IMrUt) tbt 1+(~. •wd. lo t . '~1 ~ ?t?Er.~ED •••c .~I.wth I+~o li... .ACitR DE~Tn ~ 7Ar be~J ~ ~ i.~ . ~ EaouirJ~t. drt to ~~-~~:.:ot~.... 1-24-7~ - 1- 24~ 71 1- 24- 71 i.,s Did ~~;12S06PM :h~.~~..~~~.~.«~. _ . ~i' • ? -r =r: •.iY ~ . . N ~ ...I.i~1..'~ .4 ~ N~.ur l .~.~u. Ti 1~ a . u..~ ...,ra.r.l Ju~ _ ' _ . . ~ _ n . . w . ~ . . _r~ ~ .n~ :•,r~ w. J..N• . { ~I:,wr,~ r)J~ ) t.~. tr..N . ~ r . . ~ ;z " :1~. ..r.~ r.~ , . , .,1.~A. :Je M~::h _ ~ _ _~c' <<f-~.~wE l~p~ I,•r~r,--- ~GMAiU~f lS~~rfr vr irN~ DATE S~GwiO _ Porfirio J. Ce11o.M.D. Porfirio J. ~a11o,M.D. ?;~ian.24~ 19?1 - . ?;;;;~f~i-:F=' SiREEi Of ! f D NO ~~~T Ot v~I~~GE SiAiE Z~? ; ~ Masaillon State 8oapiLal Box 540 Maasillon Ghio 446t+h i - . ~ ~ ~ N~YF :lMETER~ (J~ CREi+~ipa• ~ :~~~/~~~.(iN ~ ~f~, ~/i/J~I, .ornt?1 'St.stf) . • ~+~rial .~sTan. 2~- l.dwn Haven Ceeeete ~:•a Arm t on Ct Penns va ia . ~i.~ - - - - - ~ - g - -_X~ .~ve . ~ ~~d-:+':• ~ ~ . ~ •~G ~ T~~'.i~~~ G~IfCT~e 5 S~GNAlUfE ILC NO i ' J. Ray Lynch E 2?40 J. Ra~t~nch F 1116 _ - - - - .<<'`y c„~..~a, ~ ~v ?vD AAOeESS ~ ~ - ~ ~ jt+Eff h0' ~C-~1~) il741f1 i21?) ~ ` . Arneld LYnch Fun~ral Hao~ Lincolh W Fnst 1'Vssi~lonl_ Ohio 4~+645 ~:,-r sE _ T~,•, :*•a: s S 4n.~tlilE OI?~E ?E~M11 iSiYEO ~S:GNA'~~t Ji rStap~• ~SSU;~+G ?ERM~t - O~ST. NO. 3 ~~S=`~~-71 Lloyd L. D s 1 1-2 1 Phvllis E. Frew ?602 _ - bOWI PA~ . . - ~ : _