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HomeMy WebLinkAbout0306 _ . ` ' ~ t~qRTH UROUNA SUTE BOARO OF HEAITH ~ pipCE pf VITAL STATISTICS 2~~5 ~ S : '3~-9~,,,~,,,,~, as~ CERTIFICATE OF DEATH a ~ a?.M.. ~ al /4 7 7~ ~s11~r. ~v I a+ Q ~ ~ w ~4r r fN~ ~ rW ? ~ ~ ' a. ~ce urt a wm _ wn a wn~ 67 » .w' ~ y/ North Carolina Feb. 16, 1905 `i 1 ~ ~n.. . ..u.~wo~a . .ro. ~ YS1M~ ~ 1Y~p a o~?m tou~tr ~ ~ ~ °t ~iq~.,, ~.n ,c,,~~n,~ ' ~ `d/s i:""' ~n. ~it~ ' t w~o~l ~ ~iS10E QfY UWT it O! ~ A•..~ ~~i+w . st ~~s t~ G~'r.s~i.v 'o~i~~in a,,, uwrs raei woo~tss ce v.a N. a..o, [ w..~o s ~ 9 30 F/ ~<</~ /9rt _ c s ` M 16a n. ' ono a ww+Ess oe n+ousm ~ uS11~1 OCCU?wtqn s[cuen wwta °""""T 0O1"'~"" ° ~ obert E. Lee Hotel ,~II. S. A. „24~5-~772 8etired F~nployee ,R ,.~s wwod+ ..~.~e "'"1°~'~""` Flora Hall : uM. L. Fogleman ~ _ .~.owa+rs wwe w ~oo~ss - - „l~cs, Anne P. Fogleman, 1930 Elizabeth Avenue, Wiaston-Salem, N.C. Y~OfYM A'~w~l ~w au ar tiw ~ w~ r a? r M~l~ O~1R W CYry Mar ~ owrn c~usw n. i~. ~ Z ~ _ ...w¦~ ~ _ 1 ~ a , . ; qp - , . ~1p~ r ~ 10. O~ tl~ OO~OY/K1 4? I ~n0~ MR eY ~O _ t f , ~a~ ~t~.~ ~ 3 T ~..,.R ' ll Y M~0. O~ Y~~1QKf O? ~w M rYt ~ w AYIQ~STT •iM ~+•P 'O~.s7J!) ~ . CO~Ipiqrat C°`Ta~.*..a w wi+ rw .o~ ~w~ w a~ .o ~ r~••~~. u,a a~ MtT L OTME~ ~IGt~~ t rjr~ r- /~i~r Ife. , ~ ~pw ~Y a~~ ~M~ M11~ d MM~ N M1/ 1~ 1~ L~~ 1r ' ~1 ~ ~M~• ~ ~T~ ' _ . ~ ca . un aa v.a ~n ~ : } Ik C~2 1wE Of iOi~ wKE of ruwr ~.w.. ~c arsw ~ ~ ~ . I O. f Q w_~r CBffnC~1~OM-+~OKK Elt~ Oi nC1wG ~•ED~C?l Ex~wf+Et o+ we w+ d"'~ ~ € ~'¢ir1CA1fON~-~SK1A1L ~ •i•row w~ ~cus wo+ (I~ f./ r~:O~rtfDW41 w r O~. rM~ rY p R IN. 4rflf f~~~ w~~-ar~ uu sr w.? ~.uw or ~a____ w~Li~~r o~~s v se ~ ~O ~ S AO~O~KM Mr w ~ « ~ ~ I i : ~ pRwO Y!OC ~ ~l b+ Af MN A~1/O YPf. ~r0 w rr O~~tw. ~~0~ ~I! CMIfR P~~M n' ~ ~ ~q! ~a M~ OAIE SK~iNfO ~A i - ~ i f]k ~ ~ ~r i ` . ~ on. w _a+'^' s"'~ w1ME p CfI+ETE~1? p CtfM~?10~Y 3 '"E' o~n FOTSqth , COUIIty ~ N. C. 2 2 ,.~Fors h Kemorial Park ~ECj~ Bwicial 4- 3-7 ~ p. to. ~ . ~ ~ a ~,,,~t , ~ ~ , . nHayr+orth~4iller, 1~linston-Salem~ N.C. ~ ~E~~ ~ ea.. a ~w.srua sic?uru i . ~w a„~ w.+a a.~e .ecn ~ww ~ ~ 4 ~ ~-~-~'~'i 1~,5 ~ . - - - ~ - - - - . - _ _ . . _ ~ . . - ~ ~ F ~ ~ ?s~' ~ ~ , $ ~ ~ S ~ j ~ ~ r ' ~ ~ ~ ~ _:1 ^ °K~ ~.t~.~+Pt ~~~r' """~h ~ ~ ~ ~ ~ ` 'M~'~'~ A`'+h~ ~ _ . _ %y'kp'~~ '•~~~~~~~w~~~' ' _ . . . . i ~ _ _ . . . . . . , ' ~