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Home My WebLink About1993 _ tl 2? ~p a ~lu~ ~ ~1 COl?iMONtWBJLTH OF PSNNSYLVAMA ~ » D~~ ~ TH N° 921919 LQCAL BEGISTBAB'S CSBTIF'ICATION OF DB~1TH ~ No.._.._...7c ~ N~ r ~ ~ - ' w.~t C~ ~c D~.~a . ~ ti vau,a - 1~' t~;.~~ . ~ Gc~`.~t'L ~ Addrees..:~~.. ~ • - • • - . . ~ . NumD~r ~ . .Sw~t C~i~ ~ - • Cart1 . Stao~ ~i08 0~ ~ ~J ~ . rieL~......{~.. ~ ...............•-•...._._............._............••--......_........_...........••-••--....~M~s~4r.~..: p~~ViIIli ~Tr Ba~oes? o~ S~w~A1D d J/i~!~ / q~/ ~ Date oi Death...--•• -•••..~~-•-•1•-~..~?.. ~........3odd SecuriLy No...~._.(....7...~ G..-.~.~_. ~,7 ~~1.It:ae...-•-•-•-••••:• ; - 3v-- /~y3 ~ Muie~l sc.cos. -`~-Z-~=.. .__..sez....7-n~~4: ~--~----.._n:te ot Birw._......~ ~ ~ _ . . ~ 7,, _ / . . ~ p, ~Z~~.._..,~.• - Oecu tion~.~ . irthplaee--••••• ~-'"l ~ U Vete~an, whieL War ........~----•--------------...--•--•----•~---...._......--••----•-•--~---.._..............7etecan's Serid No.-------....------.................................. Lte~at bet~een Onset aod Daat1 Di~e~tse or Condition Leadin8 (,~~~-aC.~' ~_1-cu`ti! . CpROEO .......~..~`..iri''.-`.~-t~ Directly to Death (s) ~ 'C TYFL'a. ' ' R ER PO~iRAS = Dne to (b) ~ . -CLERE._C;;:wlliT..Cv~lRT- t~ 3--...`." RECORA VER~PIED ~ ~ , . ~e ~ c~~ ...............................249~5~:-......_...._.......--~-..~----..~..u9~Ptt.,. 3...._.....---............---..._........ e«;aenk smeia. or •Homic;a. ......................~---~--~------.......................Ho.. a?a in~? ~~j ' Name and Zit3e oi Pe:son ~ G~/}[~~ c Who Certitied Cwse ot Desth (M.D.. B~, Greuer) .................••-••-•-C!(~.:._.._......._..................t~~ ~ Add~+~e .-----i``-c'i .~i~~.~........./......~t:'.•••-•........_......---~-•-- Saeat J~r^'i~ ~ This is to certitY ttu~t the intormstion here givea is oorrecvy oopied. trom an oriQinal certiScste of death dnly filed ~vith me ~ T6e orisinai aatificate wrill be torwarded to the D~vieion ot ~tal 3tat~tica, Harrietwtg, Pmnsyivanis tot ~ ~ ~ / . . ~ ~~,a • ~'j~ l.~.~~~L . IL'~u~L-~-`L'..•--••-C.~.../~... ; ,./..f...~ . - - I.oul B~i~trv d Vltrl Statfwis Dldeset Na ~ s~ //~Q ~ . ~ - - ` ~ _ • ~ < L~L/7.''l/~i-t~/ ~~t..~`G ~ / _ Z . . , . - 7 % . . - - o sa.a saa.~. c.w. a.+.a~. ~v ~ ~ ~ ~ ~~T .~jy f1 ~ . ~ . . ~.Z.urt L~ 19........ Dab Reed~~i Ap loul Re+~trar 1 ~ . ~~-u- . ~ ~9.~: , ~ R 211 .....D.o. d~i..o. ot 300!( PACf ~ , ~ ~ ~ - s.~~~ ~ _ -