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HomeMy WebLinkAbout1947 - Ts_ t ~"1~i~ ~ ' ' C~Ol11~C~1T S'!'A't! DStAR [Ei~t'~' Of HtAL1'N N' . !~r'„° .t vw s~.tl~e~a -~eel~e+~. C~tlary v:` ~ ~C • ~ ~r7 ~ . 1 ~p~s ~ n~rh~ _ .~S ~ f. luc... a....: ' s v.o... a~ a.n..s: . cy a~....r ~ a~ c~ Net~? 8a~ea d~ w.~..~Oan . NeN Ha c~~ ro.. ~ w.. ~ c s•~.~~ ~ l[eriden ; 45 .yeara ~~den ~er~~en .t l~ot n Pn ~t+wt w. or loe~sioy Oh lootio~l ~ ' Na';°`., s~.°~'~p 96 Prett 3t. ~ w~ 96 PratL 9t. ~ ~ i. Nwrs or (Pifst) (Miid4f (WU 4. So~cut. 8~cv~w ,ivrsss ~ ~ D~ciwua I O _~e-~ ~ nuorw. ~lxu rr~nsr~ciu. ~wancui.us rswc.~?L cx~nr~cr?r~on ~r,w .r ~el ` v T. 3t. Cwuss o~ D~wtt (Eater any oat caw~ per lim tor (b) ~od (e) t~ s b. Si: reffij6 Ak 1Gce W~ti@ 31~anw. ~t~we~~ D~fi~is Ot (.CMMTIOM Alt[CiLr LtApNG TO Dy7M ~xiatriu. s. ~ T~is Jn~ ~e/ wrs~ 14 ~o/s n/ 17~Rt. srs4 ~i iurt sst~r~sx u L i? YA~a~~D. ~M~1wt~A~'~ rW~fM~tult Of JNIw eM~r~ia. efr. If v~~i I~r Iiu~x. i~jrp w Ol+sti ~~t~ ~ ; ~~rs7~Husu~s ~ . sow~frs~s ~~i swul4~fi nswTr , s. snr~.~ 1 ~ ~ ~ c c ( L ~ Z ~ . . ~ ~ 9. Dwnor f~ ~ ZH 19~ --3..••• . z~ I ~ ~ . n[ATM ' ~ ' _ - ~f.r-..~...... . j y L~+ ~ 10. D~tE o~ Bure A~t lia~ean ` lL aoder I ye~r ~ li vn~:er ! d~7 ~ 1 ! last E+rt6dar) f t - - ~ ~ ' A ri 1 28 l~/ontss! I~ays k~uts, I~I13s. AMTK[DiKi G ~ ~V bp f p ~ : ~ lIn?,J ~~IitaV. i/ ~~r. tisisz •~s~ ~o ds ~to~r 0~ ~ ~ ~ tsass l~)a/aliy lis •ins~ wax [r.i. ; ~ , - 62 ear , . - - . . t . ~ ' rCit or W~a) ISt+u ..r (.,raY,c~. ww~vf) ~ D~ o tit/Li(.L-dC~f ~ (~C-~( - ' ; - r c_ . i < ~ ~ ~ , - . - ~ ~ ~ ~ s ~L~ ' ~It (G~rt :^d of ~rurk dont.i;inr~; m.,.t u: ~ i~Ui . . ' ~ ' t _ , : . ! , ~otkuy life ersr. if rct:rcd~ ~ .t) 70....... . . . - • • • - . . - . . . . . . . . . . . . . . - - - - - , : ' i _ fl---- - - - ~ - - - - - ~ 4 = ~ ~ , ~ , ~.y« ~~n.,~ ~t ~ ~ - + Co~li(i:u~ [o~f~>>i1~.t Hr t4r Jest~ ~~l r.r .~ia~~: W 14 fiu or [oalUi.r~ t~rii~( Jrut~ _ :s=.:-~ O. ~ ~ ;~i.i~'iiai ,?.~r ti~~.~ x<:-- na- - i , ~ = 6) ~ - ~ ~ - - - ~ . ~i. OrtuTtoH. Dwa waro 11w~oe P~.~~~~cs AVTOtSI' ~ ` _ ~ or !30 II r ~ (Yes ) . „ s~>~~~. ` ",h H~~ier ; y~,~ ~ ~ ~ ~ ~ y; Y 11 tr co.n) (Ssate t~rajn conothr) i . ~ ~ y 23. b Dtwta wAf PL'[ i0 S%iit!(AL CAL7[f, rILC IY TN~ FOLIARIYG: t=" =~:4~1t~.N..,~~ ~ rman _ ~j - ~ ~e? D.u r,t «ra.:ence ~ J ~ !l~incx S~p, ~e 11~Tler ti,o,;~;a.<.v~edt.o~sl ~ . ~ ~ Id. ~A~IE_ ~ ~ lCit> to~a) (SUts w forci¢n .-ounerf) W Citf a To~n and State ~ - ? a bet~ injnr~r oaur~t ~ i 17. BltiNt~ ArF. ~r~n+ (dl Did iajut~ ooerr ia or about hoae. f~etor~. +(e) ~tih~le at work7 I8. I.suarw~r's ~w~ ~ [ars. oQia. ~tr~et. ste.T ~J ~ _Frank L. nrioh m xo..~~a~~~.3 _ _ ~ T S/~ ~ 26. I R B B Y` C S R T I l Y. That I attended the detcased fror IY. BCRIAL. Ct~flO'~~~AT ~1l.~i ~n ~ ~ ~9~/~i~i ~ ~7 c~~u.,.~o.~.~l~ 38 cre d He art ~ ~ ~o_ - ~ s"' Pls~e t t I last sa~ tlw deocased alire aa l9 S~+ • ~ - v • Zu. ~wrc w rwwaa ir v~~?a anarw I L~csnse nomb~r i ~ t and tL~t deat6 is nid to ha~e occarred on Thomes L.'~ Ferr~ { 660 ' • ! - o~ ? S~~.w~~it L~ca~oSr~wuuao~ ccrsaoPucaesiDiuciot ~~j'f. $~GNAT tE W PIIiSIClA7i ) , IJ J ' I- ~J ~ ° i ~ d ~ - - - - - ~-~Lr~'1 - . ~ ~L t o¢ - ~st n St.,LLier iden, Cou~_ - ' v2r?-p ~r` d.l.a'<y r pate f 5~• f 4~~~~41 'IH(S CERTI~ICA7 ECS ~EL F'UN REC~~Kll UX ' ~ `_G~C~Uy_ C~ 4Hf4t i . Ut~ ti rC - I Hi ~ i ~V!Wt~y~ Vv~y - - _ ` yJ J~ W Q f~a ` f0~ Vs•~ !{-~{I - 1 ' J~ ~O ~ ~ ~ ~ sooK ~01 ~cE ~g4J ~ _ ~ ~ x E s„>~ - ~