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219132 MAKYLANU ~1A1t uct'A~tIMtNI OF HEAITH • . DIVISION Of VITAI RECOROS, 301 W. PRESTON STREET, BAITIMORE. MARrtANO 21201 t ~ ; . CERTIfICATE OF DEAT j ~.r ~ " ~:.'~i F~nt M~ddN Lus~ 2o DA~E Of DEATN ~ 1D N.ivR . _ ~ . ,~sr ~ G V%~nl ~ ~t~' "~"~~.:'e a°'' J"'1~.~ /.2 ~ ~ jt~ ` ~ l icA(f 4 DAIk OF di~TH 0~~E ~tn ~tors 1'_ti •tu s t~E+:. ~ ! iott D.+" • r~rv ;~~5 u,G u . ~ . ~ ~ ~ ~ :'~~,H;C (rF_ \~i~ ~ ~~'y~ t) ~s t . ~ ; J . ;S•_•e u~ ~ae•~ ~ C~1~IfM 0( wnAt (OUi+Ttr~ i M,~~RiED r?EVE! RciE~~ ~ tWlMiY Of OEATN ~ 5 ' .i ~ ~ NI~JNED i ~ WYOKtD Q ~I~-~iF~ / /1~~ i C .1i ~ L _r;.• ~ T~ „r :.i~;~ II AAMi OFl+OSP1TAIOt~NSi~1U1nN1(dn• ^,s,,~d 17a USI:AI 0( DA1~J!~ j~rs o' wa? :,ne ~ i:D ~.~3~ dJS~~:~SOR a • ~ ,e~~ee t No.;1?~vG , ' ~ ; , . - 9I~' t ~'f' / dunn9moi n~n W~e .e, ' e•, e~! i ~A:WTQT : ~ . , c li~ _ l C', t~ r1) . !'1`7~~~ /~`i .3 ?-J~;+.?1~ ~~1~ f / 1 ~ a f i- - - - ° :e.wuo ~.eC ~n ~.tut.on fetd~+tt~W6in t} ('T OR~MA ~L a4~.aiurN 13~ SiREtI AW A.MS'.~ `.r i , _ ~ i . , f;J1N~ tle (OuAi %3 a(/G :~Y ~ ~ `/YS. i~.,~' YES~ tW? ~ ~ ` ~ - . ~ - ' , ' 4. ' i . t~W. ~r MI„id~ lmt IS M31r~ERi AAAlOfN MAM~ f+sl M~:~ .~u : _ ~ ~ ~ • - >1i r~L-~~N ~ ~ , ~ ~ , ~ t~~ ~N~ ~(rr~=~c~ jZ ~ c.~ ~ " ~ e: ~ti_. ~ t.v.i~EG~iEi~ 16SSJ~iw;i:~tlTtlr3 'il 1?..;~~Ai As~v~,~ . 1 ~ . ~ / . va ~ '1 , ~ - ' . . •L - = t~' C•~ !Yt cI UI~LEL~aN ~Y , J - ~ - y1=-. ~ ~ " ~ . ._,Si G ~c.?7n , . , a~ cars~ pe~ Iw ia iol ~r p+d ~ - ~~r;.~ ~ ~ ~ V~ r,~~ \ , ~J~;~ i ~ ~ ~ - . ~tti a~ ~ ~1 1 ~ - ~ J ^ , ~'Mcv'4(f (AG'SE ,a) 1. / ~ t , -a.i ~ ~-+~f tti• ~ t i . _ 0~?E t0 Ot AS A OMSEQ~iEN(f OF c • y~~~~i ~a~y~](~'~I;.r q~.• ~ - ~ . i Mf ~ ~#'w'°' . ~ ~pl _ a~, -,~.~.~,~tl~, N~ Ol?E T0. Oit AS A(OASEOufN(f OE . ~ - ~ L - _ _ - - - ! ~ - ~.f- ca+~ i cc~?r~:a~:;s~ ro a.r B,,t JI t:.att0 1( rteM~~; ,.~E,?~ war+c~ ~n,~ ~ ~~.T ~ ~ : , ~ - , ~,~.~c~ G~~ c~'. . . • ~ _ : , ~,L. I ~ 'cOFOPlAii101t ~b.( i1CMFGit i~tuinpYtRAT~ONWAir'tQfJtl+iD ! Nu AUIIK'Slr! " 1.110 ~t /tS. '/?:~t r A. ~ i~.'-:CtJ \ ~:?i.11~Au ~ s:1{ y 1 , , 1fS ~ NO ~iWSi1 Ot ai~iM ~ i v L' ~ ~.r. ~fc~ _ 2ip i~K! 0F .f~,:iRY :ii ~~~cti~,~;r tX~u..cE1 (inhr rorun o1 ry.ry m DM 1 a Ps^ . :1'. • - c i~ hAii~ AM YIOnM poy fpr - r ' rM Ip ~ fY~ F OF ~h,U:1 ra ,w , ~e~~ ~uc~~ ~ i It il' 1 k•~el a t f D Mo ~v Ior, , ~ V " ~ * Ry! ~~.~.1 wq:r, ~tt j ~ [s~~ ~ i ~ L~ l' - i wE~1• -ti~ ~s . i ~A: • (2:....~r~~ati~ Uit(f~:.^~ tR@ ~~P~ ~'~ISP~; li. ' - • ~ VII ~J~ ~,ll_Gi _ h ~ l . ::S ~li ,~.T _ : ~ - : ~ ` c.:d o:n'~ ori78lCh '9 cnG .:t ~n ("W~ 1~ ~ , , . 1~71 o mun deatA o~~u:reo - ~~`J( a•. .am ~r,o ~ ~ ; • IO~S~: :~C~.inOV ;+sr.ii }d-jjd.dn/;1~ ""i . !Pf ~ ! ~ . . ~ tr ' ' ~ .i ' ~ic ~ .Y ~I~~~:AG YE~ \'a+f ~ . ; " ~ ::R~iiJR ? Pr.1~ ~ ~ `1` l.1LL_ l . . _ L--~- - -f- - I`~.iL.~L ~ • ~ ' i , ' , ~ , - - ,.:e ~ititilSS ~ ~ . . ~ ; ; /l.,c-:!j'~i j1 f~ii?i, ~"-I1~ il!'3~_.l~'it~?'r': " ;t. . . . . n ~ ? • _ _ - _ = - - - -TT ~ - _ i ~ ~ a l.•~mi ,v,'•'.~~m S : . .i.: .J:f : h0.Mk (M ttk. :l' h : NA~JfI ~ :fJ ~ ~ A _ § ~ ~ _ / , ~ ~1~~~~ / ~ :~%yI!` .~L + ~11'- ~ , ~ ~ , ~ ` ~ [ . ; ri : ~•e ~ ~ , / ~ /~U:~ht'iS , I~~{ I~D !j~1t NGn'Cli ?S?'1t~1~C4t~?y~~) ~~ic ' ~ , ~'r,~/'r ~ ' ~_~f`'~ T!I f-~ I~~!/~V ~ /t•l JC:.N ~!v i .u.~~~~? 5 j97 ~~+~"~~~'T•r'~~L~ a • - - ~.f- _ ~-a_.~~ - _ , , i ~ ¢ ~ 3 ~ { ^a i iy > ss -s ' /t~EC ~h: ~~C9iiDf0 f1 IUCi~ CouMtr F~A. ' AUCE ~ r~'Tft~; ~ ctE~~ . ~cu~r couRT ~t ~ECOR'- vf= ~FtE~.~,,.~~L ? 1~li ~ ~ 36 7 ~ = 219132 _ BoRK 197 r~~E 891 _