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Home My WebLink About2086 . . . , f / . CERTIFICATE OF DEATN ~ 2~~~ - i'~Tf?A~ kt,YBEk S1ATE OF CALIfORNIA-OEPARTMENT OF PuBLIC HFA. icC~; TfE'F~~~TiaN Ol$TM~:T~ZERR~C~ fl 1? NAHE Oi DEC~D- ~~DST NAl1F +1: Y;OpIE'1AME ~ I( ~AST NAYE 2a D~iE OF DEATM-rwrt~ D~1~~ RV 'Z~ M~1M ~ C cilia ~ ; Russell ~ Le~ Au9ust 3~ 1971 ~ t 3~EX ' '~.OR JR R~CF S B:4TNPLACE ~o :::w:`•<"••• 6 UATE OF BWTN------ 7 A6E w~~.:.• w[~ ~~L~~ v V~0[~ ~ n I FtIRalE Czucasia ,E„R~ ± l--- I _ fi Peiuisylrania 3ur e 1 1 r . •'FN~ ir !.AME aND B•H.TNPLACE OF FA7HFR 9 MA:DEH HAYE AN~ BiRTMPIA~:E O~ MG7HER i~ . . . ',tip+ - _ • ~ orgrt f~,.~s~ - pe ' - - .:O ':~UIEti Gi WNAT C~ ~NTRY it SCCIAL SECURITY kUYBER 12• fl?RMED ~CYI~ ~1\lM{G rrt:,wic 1? NAME Oi SURVIVHiG SPOUSE : r rrt txn~ ruc[w s~rn ~ ervo*cco ~ s.cc~+.~ ~_U~~7~~ ~ 1 ' _~~'2]AI`t 1~1c ~tt i 45T OCCUPACO\ '!5 " 16 hAYE Oi iAST EYPlOti1nG CoYi~sr 7R .•'AY iT KIY4 OF lNDUSTRY OR BUS4NE55 ' w.. ~.nc.~a u s.o~. I I ~ 15. FLACE OF DEATH \~ME (a"~yM~,w~iA~JR QiHFN PA^FN7 ~~Ctl~ry ~tE~ STREET ~DD4E55--~sr~[n 4~: wur~c• o~ ~ocat~~ 1Bc ~wscc ur. c:~ro~~n iwn ~ f.svcor..u o~ w~ y llaniel Freemaln li~spital ; 333 N. Prairie Ave. ; yes yj~j y C • •IM~.O~ t~~~ y.:V~'~ :I p~•• ,~BG .IKt. V N~~ ~ i• .Ob • f _,N tBr r"7 OR TGWN ~IB[ COUNTI' ' ~t8` ? Inglewood ; LosNn eles i 26 ~ ~ ~6 ~ ~ ~,q~ ~19~ l1SUA: RESlDENCE--Sr4Ef~ ADDpE55 ~-•etr ~~c ~~r~[~ o+:x~r.ew+ 19s ihSiDE :~Tr ior+We~TE i:rrtS 20 NAME AND NAIUNG ADDRE55 OF INPORYINT ~ ~ soturr ~[s c~ w_~ "cE ~ g231 Crensh~w Hlvd. ; Yes Herbert Lee . . . - ~:.EO ir ; ~ + EM7'• +9: C~TY 7R iOW~ ~T COUNTY ~~9t STAIE ~l Ci`~a~1$K ~v(~~ ;S - '9r - a ~ In-~l~wood ; Los ~eles ; California ln le~rood California ~ o~+ r:iRONEe - ~21• VMYSiGAN • • r,•-• 21c ~~i:: t~M (~t CORO R-vcu-.u urrcw~ a... ~ lylc OA~E SIGNED - . . . ~ ~ c.•~~ n.<~ ~ •`r .w.e ~ - .+.~s> ~»~w • ..~~u~:' . ~acl~Ln . ~ 1 T . .:l ~Ati ~ .~ePr.••~..• ~ ,~w• ~~h}~ •f0 y lMD 1 v r.:~~ER 5 . . . i...... ~!'+~ti~~~I::i.. 21E A E ~21~ ~ ~ x.c~ii~o~ ft ~AT!QN ;1~k ~Y ~ / / t<'l.T ~i~/~~ G/l21-j ; + 2.'~ s~~'r• ewa..: f.rr~~rerc~* 2 E 2 NAME OF CEM ERr OR CREMATp~ 2 MBALMER--S~~tuRE ~~r wo~ tr ~rca~ t~tEhSE !uweER a :.;yERAL :r _~ewT:~.w ~ t j3~ . 7 ~ ~ °F~'oR Burial ' ~ b 1971 St. ~~onica Celnet -Perm ~ - i; cr~ ~u n o. o. rca•~•• a n :5 ti4r[ r~i~[a~t ;HqEtr: ~ oa rcosau ~cnrc ~s su: M~ 26 "p1 tO""' ' 27 LOCAL tt ISTR TuRE 20 a~. .o:a..,.. ,:~....F~•... ~ - ~ aR iNGLEW00D CEMETERY MORTQI~RY ~13~ ' , ~ j 29 VART 1 Dcarr~ ~e~s i~uSEO 6r ~ ENT:R OpIY ONE UUSE YfR UIiE C ~ ~ ~ rwFD~.~'E C~:75F n Y` ~ ~ AMAOt4 ' A ~ '1 Y~IE ~r aY. ~UE •O ;ut AS a CCYSfWENCE Os iNTE~VAL .i ~ ~:7E ~•QVD.T~..;`~, . wt+~.,H eCTYfEEM ,;LE -~E MYl:~ ~~e~ ~Q~'~i~ e ~s~?:t ~ °"s~ ; '~1~ f iTf C~US4 f~~ 71J1T!hG ~ ~O , _ ~ DI~E TO OF tS • COtiSEOUENCE Oi ~~T~ . nF~TH 'MEV\:;4i"\G:'~'.;GE f l~c? 'L~ ~r f - I~~ .i ~~f y(4!.ow ~_v ~f~ RMO~~fi ~O~ v`Mtr •r M{ NN ~.~hKf t0~ ~ 30 ?ART ? OTRfA S~GAIi1CAMT CONWTbtiS- •o n.r~~u* w. nu.r. •o ~w ~..~ar~•~ nsss :.~.:•.u. .31 u• cyM••:•:~ naq ts o~ +o~ ~vuu. 32• ~ 32t s~Yw~ s Knr~rs ~nurt~wwwrsr~ •~to~.o: ~<~u~tuM~•w~~fRC~.nso~~C~ 1~ ~ a ~ 33 .,^EC~F~ ~~,r.,~t~T ~~E .:4 ~.,r.c~D( 34 K~`.E LS M14A~ i•nii`~ 35 tNJUAi AT 1110RK 36~ D~TE OF 1NJUN~- •~u ~ 36t NOUR . ..n....no~.c . ( ti J:1f2Y , ~ i•~r-~ . v r_.« .v ~w :~w~~•a. •~s:a swe •c+ ~.rn ( ~ar .arw~~an nsn r i~ j1~ P~~CE OF IN1UftY •sr~t~t lMC M(,Y![~ J~ 10C?~`GM ~MD C1A O~ TOAM~ '37• 2J vfii 38 9•~tK [W~K4f. WC~~ tif W H~ 39 CO~11,1/ M[O~i• j '.:lKf Y~Cw~Hiy~p• {s ~ • • :'~MATION ~ r,i~s ~ ~i ~O DE7( RiPE WlW :\J4R\ OCCURRf C. ~e.~~. se.~i._e n~.~va w... n~w•r.-..+._• •~*..,n u.,.. v.e~c M ~••~wo ~•.n~ r~ r ~ A B C D E F ` .,TRAR ~C.' ~i U d .i Ny ~.~H~e~~K~~ ~ FILEY Al1Q RECD ~ iT LfaE CO{I~TY ; ROCEF. ~f1lT4Af ~ CLER![ Ct~WIT CO~M~ ~ ~ ~E60RD YFA.lFl[0 ~ S~t 11 11 lc~ IM'~t ~ ~~'34 _ j: t ~ ~ ~ ; . . ~ ~ ~ . _ ` ~ ~ Y = `~r~~ .