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Home My WebLink About0501 :I ~ ij WARNING: It is ~flegal to duplicate this cnpy br pho~cs~ar u? pi~ofogr~p6, _ ~ tt: a„u~~ i~ ;u ~r, 3'~'s15 Gc~MMONWERLTH OF F'ENN5YLYANIA DEPIIRTMEN'f OF #iCALTN , O ~ ~ ~ .`'''.`..':t= f=.`'"~ VITAL STATISTiGS ;E ~ a ~ r ~ ~ v s ~ f.1?('AI. ItE(,I:~`IRAltS Ci~:Rtll~tl.A`IIO~i Ol~ UF;?1TH uf„~~ a ho. _ . ~•~tli iVar.3~ ~ ' .,f i )c.cas.d . . . . - . . . - . _ . _ _ _ _ Fi~ft ~ a M: . . ..e~ , ! I,.;al _ . ~ ~'Gt'~'_ . j ',.I,h~,> _ . . _ - - . . . . . - . . . ~Q~ " abea Slrpl Gy or /ar• ety StoN . ' t'I.~:r u? ' D 'j O,•.uh . _ . . . . _~Pcnnsylvania i ' Cif~ o;ouy? or owctAip :i ` Q , / r Z Q, ~ ~.et.• I).•.,:1~ _ _ . _i . . Suc~.~l 1.::unty iV.,aG? _ - I ~~R.lce- ~ ~ ~v ~ F- , , : . _ ~z~ _ ~3,<<~,. ._i. o - is _ 9~s' ~ ; . ~...,.,..,<<..:~ _ _ ~,~.l~,;,~.,:~ . . ~ ' ~.c~-~r. ~.e~_ C''l ~i „ / ? ~ ~„-~;r.,~i ~..fu,h ~b'.,: ~"'~~J__ . ~ • ~~.•tcr.~n~ ~r~ai ~vo. ~ , _ ` ?.it~l)It'A1. C:iiR"Tii~ICATf: Intcrv,il Sctucc~n {'.u: 1 1),.~ti, ;~:s~ <.~u_<.I 1;?'• ~~:sct ~su~ ~)..~ih ; ~~..~~:;.i~.,~, _ _ _ . - - .-'~.-,~a... . - ~ ~%~~`~~~-a~-~~-~_ ~ _ ~ _ . _ ~ ~r,a , ~ ' i r,:,~ r~, ; :1 _ - - - _ . . . . . _ i~ --!'.~,t O7'i11:t'~~I~~,I•!Il'tCANT CnNDITIONS: wutril+uU~,y to de~ith but tw: r.lated tu Ihe uzuued~.itr cause piven tn 1'.ut ~ i.~j ,~..i.1;:,a :~~,:._~.s~ _ _ . . ~ :,c ?i„.;.~.,.1~ 11,,:~ .1iJ in~ucy oc~ur _ : . . . _ ~ j.~~::r _~.~f ~~,ti,- -{'....n~ 1y~. /f/'~~ . ~ .'1~~.~ ~Lii~.l ~ .,t 1)c.,ll~ ti•~.~:.. t.a:ci,q.(~ . . . . • ~ / . , " •.~/"'.-'~~i- -~+~?'r . ~ ~ ~ ~ . ~ ~ d~ . _ _ _ ~ ~ - - . . ; ~+,n. GH I I., i„ rhf: tL•.~t ~i;r urf. n:..~ti, n h~ n• yir:;~ i~ i.;~r.ctlr .:n~ued f~v~i~ ,,n cngiu.~l ~rt~fic.d~ .if tkath duly fdcd ~+•ith inz i. i i<. . `l t~.• ~:nyir~.+i i: rtrt~,.+t~• u iil 1*~ f~:ru•,irJcd to SGite 1~'ital St.,t~~tiis, 1{.~rrist~ur;~. P~nnaylvani~ for p.•nn~~ncnt , . ~ « ~ ` , ! FILEd ANC RECOROEO /~-~~d ST• WCt~tiE COifMTY FLA. G%~~~~~ d~ ~i RO\rE~ f 1iTRAS to:u~ cea.,r~n. or v;ra~ srnr„ti<, o~st.icl. . ' 1~ ',J s CIERK Ct~GU1T COURT ~ ~ RfCC~C YE=~F!E^.,....~ C`~' / ~ i i _ . _ _ t.Qii' ~ _ - - , i; « ` + ia PN'1Z ~~:~1 aJd.es. tdr oro~~lr, iowm . , ~ / I ~ ! .I ^ ~ ~ H~ I,ti~ ~ ~ UaM fecs~.e- t~ locol iiror . . , ;f J%/f` , j ~v11s , at .r t. .e :t ib,o c~/ ~ , ~s ~ v:_~=_._. ' _ . a»~s , ~ti.~... . I~i~~~ ...~";i*~," ' ,ue -~r'