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HomeMy WebLinkAbout2231 ~ ;~47;~67 - _ _ ~ ~ ~ - . ~ t~~ - D I~b~+ RE ~c 4041 ' ~ t~~~~~~s (~~rtifir~t~ ~f ~~e~{~ 391 r~~~ 949 s~~QK c~ ~cu~~ c~y~i n~? vF~~~?Ffl~ ~t. ~usr}ul~ ~Iaunt~ ~Iealtl{ ~e}~~crhnpnt s ~ ` ~ ~ ~ / ~ SOUTH BEND. INDIANA L. THIS IS TO CERTIFY, that our records show: °s ~a. ~ 24'7~6'7 Name----------------EDNA_MAE._YF~tGER.-----~----~-----...--------•----------------------a~> v~ c~ ; - died July_.1s..1Q7d at ._11:~QP~at St:---Joseph__Hosp~~.--•---• r*s o ~ manth aap qear hour :treet. hospical a~iII'6~J ~ ~ Aqe at death ------69----..... Se~eanale-_ Color ._~!hite-----•------ •-•married ~ ~ Y~~ m~ried. ~l~o other Primary cause of death given was_.___~monary fibrosis V7 ~i ~ - ~ : Certified by ....Herbert__Frank~..M~-•D'-----•----------•--- ------South Bend:--.Indiana - , - Phpsiaan Addras Place of burial or removal Kingsbur~r Cemetery Kin~sbury~ Indiana ~ Gmetery alddr~ Date of burial..__....7`5'?~ ..Na°erstock I~neral Home Inc. LaPorte, Indiana ; , . Fun~ral DirMos Addrw Rec~d ~ia~; ~1e~ --.-7+b-?0----------~--~------._..._ Book - - P/tqe . R-186D,--- - : ~ , : L _ iaQc•~ /~~L/ 7 ~G~j , /i _ , _ . . _ _ . . • ~ . . • . . _ . _ _ . SE1iL ' ' „ ' . . , . • . • ~ ~r'. ~ Jose County Health Oiscei , , , ' ' " r • " . . ,J-'. . . ' Issued J?~ ?0 ~ ~ on -9~--- ls ~ . , ~ . r ~ - , ' - t j f ~ ' " ' ' ' . _ ~ ~Fi~7M~v~?~~ :.~i:ti, f• ;...,s.. _ 2~O 1.1Z ~ ~ , = _ _ . ,;1 a~