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HomeMy WebLinkAbout1289 n 7,.l RHOD'c ISLANV DEPARTKEN7 OF NEAITH r C' i A` CERTIFICATE OF DEATH r ' TrfE. Ot 12~Ni IN ~p~•~ ~Ki ~v~~~r tr~n W w~.~n ~ Pi~xtstv:r:T tNK OKE~SEO-?wwt •~n~ • .w~u usi ~lt GwtE Of OEwTti ~+o~s., s.r, S:F x:~;S~J[ fOt ~sn,;~t~~s , • ~+ZLLI~..: H:~VF.~IS ;~OOD ~-^~ile ~ Jul~r 27 ~ 19 ;9 RwCE vwtt. w~vq. ~.an:~r .w~.w, AGE-~p w~o~~ ~~i.~ u+o~~ ~ e~~ OATE OF ~4tM ~~D~.r~, s~~, (COUNi11 Oi OfAT~1 ~ t1G. 1 MICM? ~ M~u~O~~ 1 R~~11 ~Of. M~f ~OYp rM. tl~~ 1 ~inite 72 A ~ ,w ~ July 30,1899,.=:ont ~c CRV, tOvvn. Ot IOCAtiON Oi OEATN t1pS/iiAt O~ OTMEt 1NSi1iYAO+u- ~r .o~ .w n~ww, wvs s?nt~ .,o ..,.?i~ ~ s'~';~ , t. ~~ar~~ c K . •r t-• t~l r~ ~ S?~iE O? ~iiM ~u we~ w ~.a.~.. w..i GiIIEN Of Ww?T C01JNM11 MI?RflEO. NErER MAtRtEO. SWVIVQ~G StOJSE ~r .rue. ann .r.o~w ...rt ~ ~ fitzode I s].an~~ II S 1 ""D°Wt°. t ti t.oe~.p ~ t. • i • ~ N 11, i~l i 4}~ Y ' ~~.ia< o~~ oua~ SOCw SEGw~n HuwER uSw?t OCCU~wnOn ~c..i aws a•o.a eo.w w.wd •ou w occ~suo wo~aro ?w. atw a anu~ ~ R1ND O~ WSwEii OR v:CUSTRr ~~'.,'~„°~.°m ~:2"" q ,s~aricultural as~ent ~A II. S. Gonei-:1^~znt ~lf.~lM:t M~ON ~ +"~ss t~' ~ GiY OR TOwN Of tEilOENCE WUUN6 AOO~IESS Oi ItES10ENC6-STIIEET.OR ILF.O. wN0 HUM~ER GTY OU TOwt1. STAiE, 21? CO~i f ~y'~ ,.,N.Kin~stoir•n ,.,35 Libert Rd. SlocuM, R. I. 0~8?? fAiME!-N~wf ~u~ r~oo~e usr ~rOTME~- Meu ..~x~ MA~Jfnt ~:wv.E - ~`J . . • . , - ~irtnur Americus :youu ~ ~+a~•;~ ~.u~i•~- IqfORMANT-NnME MAIrH(~ ~ODtfSS~ ~lnfp O~~ u0.. t/~ W qvrr, t*~rl. t~r~ ~T Elizabeth Y. ~•Jood ~n 35 Lib;~rty t~d.> ~Sloeu~, R. I. 0~~7 r.ur oEwT+~ wwS C~wSED ~r: (E?+iEr O~r ONE GusE rE~ iwE fo+ ~•L fil ~wD ~~l) ••,•a.._. ~~ev(~M Ow1tf ~r! Ot~~w li a ~ f~~' <<t~~a~~ ' ti. ' • ~ `C:~~~l!l~L.~~ /~l~ ~ (i~ j , /-:.C s c.i:tt: t ~ :j/~ - f4~~- ~ ~ . ~ . . ~ ~ COMOR~Ow3, ~~n, y''' ~1 l~ f - ~r L~ vrw~Cr O~v~ ~~t~ f0 (?1 C: C t,./L -1 C\.l't~"`~ /`'~c ~"L•~ .!(,~1-~ - ~rrlOrat~ CaW! N~. W! p. p~f ~(MltOrlrG W. . lt~flNO /M! Yu~tF lt~w0 C~111~ l~lt ~ - ~ k~ ( . MtT'~. OTMER SIGNIfIGWi CW1WT10NS: tb+~na.s CO.swNMp ro e~.w ~ wpa qure~ p c~yye cartw »n i p~ ~1ROtiy tf YES rt~~ .~.a..aa :a.- ~ ~ , ~ni w .a~ s~xaa xra.•~.•.c c.vs~ W Ol~tr f~ IA wCGDfNt OwTE Of INIIltlt ~ MOU~ MOw wX1~lY OCCYUfO ~ iwu ...r„u a u..r~. ~w r.n . u r.ar o, .n~ ~ ~vttr. t~s w .a~ ~.o..rw, e.~, nu~ . ~ ~ 7~c M. !M • 1NlYt~ AT wp~K /IACE Of WIURr •r .a~e. ~.r., snur, ~,cron. IOC~T~ON ~srwu o~ .q., cm w w~.~.. i*.re ~ ~3~ ~ s~acu. ns o~ .o ~ w..ct wo.. nc ~ sncrr i ]9~ IM. ly- CERtIf1CwTIQH- ~TM M~~ qY POMA M~ f!~ ~~Ip y~si fAW N7M ME~ ~IWE ~ Gw7 O~D NOi VIIM . ~i~ IM~I~~Il1Y. ~E~TN «~Y~(~ ~~Rtnote ert ON rowm Nr ~uu IMt WOr wRtt Ot~iw:~ ww~ ~ . t'..'. o~ al . Ntl•fa0 ~~O+a ~i 7 ~ ~ ~ I ) C / ~ ~[tt pr ..i rwOr.. ~ ~ I ~ ~ i;: ! I ~ ioa~, a..e ~o r..~ ' th fte ~ tq n• f r+?. ~ us::u• u.na. ?MTSKWi-x.uwf ~rm w n..~~ OwiE S~GwEO ~+o..n.. w. •w~ ~ . ! > > . ~ / SKMARJtE~ woa~ o~ nru m / /i/~11{~~ ~ 11i1:4~ ~v~ ~ ~ .~c--ISt 1.Cf•) / ;~,:.i~i.~ ~m l -i_+~~i C ~ ~wtu+6 wOORFSS-hnSKi~uV snu~ •.r_ . w. o~ ~o~+.. s.+t i: n ~7~- % ~ ~ ~ ~=~A% E i) ~Z'~1~'r~•, c ~ ; ~ ~ .~-~-G ~uc,~,i. aF.~,?r~+. awo~~ E!T OR CREMAIORY-NaµE ~ou?no+~ o. p... iy. 1~?. ~ •'1 j' t~t- ! : .~'1 ^ ~ : z~~ O T r .i _ i- DwTE ~.wrw. wr, .w~ fUNER~u MOME-n~ •~ne0 ~DOaFSS ~ suiu w~.r.e. wo.. em oa rp.•, s*.rr. t•. Julv 30 1969 L~ ~:c^ra a~ sc, k~~~,+a, t. c~~ ~ fIM'1EiAl O~~KTOi-LGNAfU7E REGISTRAR~- lF f Oa.TE iEtt~rt2 ~Y ?QC:.t lEG~STL~ ~ =...•n x! i/ ~_._i._~i- S~ "r..Y~ ~ ~~~tJl!'~/ SY ~!'~I ~f r 1 ~ / ~I 1 - - - - - - - - - - - - - - - - ~ - - ~ - - - - _ . . _ - ~ - - ~ ~ = 31~s,~~~ T • ~itr i. a wealt tp~ tlN ta~A s . - - !sM a~ eoes.oe so~ at . wrt - w-- ~ ' • : s'^i rt- ltZr !.a tMt Ofti _ 01' tiM 1~s~'Z C].~rit"~ , • ' . . ' • ~ : . ~ LM''!~6'~r~i`'st l~l~ . R I • , " • ; • - ~ ~ . _ - ~:i_ . ' . ~ _ 1 . ' . , ,z' ~ ' ,i• • . . _ _ f1~E0 AND.RECORDEQ ~ _ _ ; - . _ . Llll.lAN HihCK ~ . ~ , sT.~uc~E couMtr F~A. ~ - . ~ - ~ towN ctbnc - ' RO(if R POItAAS . , ' , ! CIERK CIRCUIt C01fRT e~ , - , . i RECOROVERiF1ED~~*' - : ~ ~ 1~7 S~ ~'~Z : . . ~ ~ _ - ~ ' ~ . - 22961'7 ~ . ~ ~ ~ - . . ~ . • . 600x ~?V~~ ~E~,~~ _ - . , . . , . , . ti - . ~ - ~ ~ ~ - - - _ .:s~