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HomeMy WebLinkAbout1841 ?t~rnl~t~~~t ?rGa~n - - : :uciatv LegiLility of writing, typing or printing unst~ti~factor~• in tt?is document for microfilming. - _ _ _ . , - r~t~~ t~t~i DFFPARTMEIVT OR H1~A~.TH . II~~ . ~ ~ ~ 1 _ - ~ ~ ~ ~ ~ - - ~lYIfIOW L7f VITAL STATiiTi6i - n'".'"°. CERTtF1CATE OR DBATl~t ` : UEC~ASED---NAM[ t:..e .+t~Ar~ !.u f~X dATr Or O[ATi~ t.wsrj. ia++, 1«" ; ' - MaXtOfl t. ~ j ; RACE M'~is~. rrjrn. ewr~u~~ AGE--- I.+~~ tl?~Ji~ t iUf UNO(~ 1~JA~ DAiC 01 ~NM ~.~la~fb, C UNTY O~ DlATH ~ ~r~i~r. ~rc. ~ i.iri!I! ~ t6,i~ J,yri?r~ '.~ii, wfi~ir S s~rf a~~pb • 1 6 ~0 7~. / L ~ . . _ _N'_ _ _.1_ ___'__T _ ~ - u,E J• ~O(~; ~U?+ tH C~f~ih I iNS~DE t~lr t~iw~iS `hOS?iiai O! OiNf! ~?hStifUllQw-N.WE ~Ir N! M!H`I/. /Itf .a~n ewe w~+~u~+ rS?ti~fi we/ ~ ' '~_~1~YelS.tld-- - --_~~_Y.~3_~ ~'QxP~Rt C.it:~ eauital _ i ;KIF ilf ~~Ilfn +f! ro l~.1 -1 v~+~r T~T 2FN O! WNe?T COLNItt MA?t~ED. NEVER MAfliEO i SJtV~V~N Zi0U1E ~~l riJl, ~r~f ~.tHbw ,.=r.rn • ; i w~00w D DivOt ED pr~,i~ r: ' ^ ~ ~'arr~ec`~ ` „ Arneatta ~ol~man e Flori~~?a ~ U, ~.A. ,o . ~ ~ -L------ Sis+.~~: sfiJl~ir r.u.~ikt ~'+vrS u~CEl~ifO Ev[i ;r~ U S ~trf0 tOKES~ : } , s... r ~lrux w; ~ +l! ~n. Sr.r ao ~s .cu~. nl mn~ri ~ -..N« 2p5-OS-3°48 .10 ? ~A4i0 .aL~: O(<U~~~~i.~!: ~4r~. ~r~~,...~ .t~,s~.:y 4, j ~___.__._._,.__-~-;..;G O~ luS~rFSS Ot iNOYit\t^ s . .~tM ~ :e.r r.~e .r .~t .ir ; . a>>s 7r~VP:~ l:~s Cleveland Trans~t 3oard ..~ve a _ - - - - i - _ - - - - . r'~C~f tt~~Dtr.CE ir~rr :.nt. ~C.t~ r,.:a~E c,t t~Ut:or. ~NS~BE UTy t~Mi1i St~tfi AND NUK~E! G~hio .~,='~yahaqa Cle~=eland ~;~?~•+~~~a°'•~~ j,.. 4948 ~m ire Ave. fA~nt1--N~MF Jn.+ .UiJ..lt l.+N ~HOiMil-M~iUEH !1~Mi lmt .~lidJ/f I.tr1 =y- ,t - - Jameg . Marion ~:attie Jenk~na ! INFORMAl•iT~-NAME i~.~~uNG ?t'~9fE5S ~11•~u R.!.U. ne., os r~it.j~. ~~~u. W1 ' - ~ ..1 _ _ t ~ _a !~L. i !1 1 ~R ~ i'~r^. :'~rnPatta ~~~r1C7~ ~i~r ~~ff'`S !~3(~UZZE..'' HV!':• ..1~KC1QilU~ v+1iv • _ ~;ac• DEATN WAS CAUSED BY: ~tirfr eve- .~xt t~usc :+re ro: :a: . ar.D rc, wsl~Ori~iwl.7E +w~i~~~: - ~ rw ~K on~tt ?~ip~~'!i~ - - ~ , - ~ ~ tMMEQiATE CAUSE _~i_----- - - U~~f tC. CR ~15 A CO~~SfOI~ENCE Of. ~ = ~ ( a~d~t~awi. it a~f. . . . _ ~~W_~,N.t.t, ~ .~b~cb s~rr ri~• i~ ` ~E! _ ~~Olat,~. T~-~- ~ :rwe~.isa/t :.tait ~1+. ~uE TO. 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