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HomeMy WebLinkAbout1923 i1~E~ AM~ KEC~+~g~~ ~ ~ =T. ~uC~E cOU11 Y l • ~ ItOCE~ °~~TaAS CtE~~ C: ;i' C~l!IT RFf~~" nrD...~..~-~+ S~ I+1 12 ~4PM'13 ~ • ~s~9~ 263691 MARYtANO STATE DE~ARTMENT Oi MEAtTM 13 2 3~ ~~saM o~ v~ru ~coROS, ~e~ w. n~sTa+ m~t, aunMO~. ~rw~o:i~~ ~ ' CERTIFICATE OF DEATN 1 3 2 3 S ~ i~=::• ~ '.t:E~uawu~E Fnr rrel~. tm~ te. a?1E OF oU?tx n. Nottk ;r o; a LEILA iytYRL WILLIAM ~ r • ~ ¢ E' ~ ; ='v.~ l RACE S OA~f OF {IRiM ~ AGf (N ~Y~dt:•iu s tet * Int brtt~j ~atws un Q ~~E?~;ALE CAUCASIAN 14 NOV nrs ~ - ~•~=;ACE (Srore a lanyn /e (ITtIEN OF NrWIT (Ollpi[R t IµtRtEO 11fY(tMARR~fD~ ~OIM1Y Of OEAiN + ~ ~ ~regon U w~oov+En~ pYOR(FD~ MONTGOb~RY ; . ~ w ~ ~ ~ ~ 1 Ci '~~v0~ DfAtN II NAMfOf1105PIlAlORY1SillUilON(HrwinAospnd I~e USUAI 0((UPAl10M (K:nd ot .ak don~;> 170~( '~F 4TSOR ' ~ ^HESDA '1~~~~~~iOSPITAL a,~~~°~S~.Y`s"~`t~i~3°~`e~~.~~i~.~}.~~~~~ _~+~muat~r,•~'"~ : " ~ ~ ~ t ' , ...t,:. . ~ ~ i . < ' ~ z ;.1; 24S•JiKf (wiw~ dK~os~d 1n~d, ~f ,mphA,oR tnidwKa leloa 13c (lilf OR 10WN Ur ~ep wt tr~s+ I~t StREET ANp ~ ~1z:~"-•j ;i ~ i= , sr~r ~ ~~e ca,wnMortt omer -Kensin t'fE~~ ? Y i ~ N0 350? tj;S~r~e'~• ~ ~ ~ _ - zr ~ • - S'~AAk Frst Md~~ lost li. MOTHfRS MAIOfN NAME frsf . ~ ~'.~r'' ~ ' = y _ / . . . a : ~ r;•_' • .~lr ' Charles C. Miller Myrtle ~„Daw. _ r_ ~ v~AS DF(tAStO EYER w US ARIrED fOR(fS? ~~e socws~cuurrNo u~oc~~ ens n on ,~a.~, . Y..•:; 'n ro ywirwrn) :•r.sw...iw.~+r..~l g s ~ h . ....ar. C Col. Adrian H. Wil~i~s' :-~~~:'St ~ ~ _ ~ , ! uuu oF oEntM sE~k. a~r~ a~. ca„s. pM tne ta fu~. (ei o~e icl) '~.i'-~lii'.. : t-- ~.z~ t DUIN NAS (AUSEO !`I ~ ~z ~ - c:: Bilateral neumonia ~ f/ ~ / •V ~MIMiDUtE UIUSE , ~r r. . ~ C « ; C~' ! 1~) ~ : qJE 10. Ot AS A (OMSEOUENCE Of ~ '.~•,ons. d On?. wAKA gor~ ' ( F-. . ~ ; (/;.•~~nmed,ar~wr:~~a~~ a C 'i1 ~ ~ - i ~ r DUE 10. OR AS A(ONSfOl1EAKE Of ` r-~ - .:rg the under.pr.g tau:c~ ' C C F3 ~ = i~l - : ;~ii t OfnER S~Gh~fKANi (O~t1pNS CONTRtBUf~NG TO DUi?t iUl NpT REWEp TO TFIE IERAIINA! DISEASE OR(ONDIiIOM GIYEM pl VARI 1(0) ~ O i~: ~ F . ~ - # ~ r ;.:ATEpipp(RAIqN Hb (ONp1TqNfORMMKHOPERAl10i1WASPftfpRMEB 20o AUTOPSR 20b ~ rES.rifRf fu1D~NGS (ONS~4^ERfO (ER1;F~:A~ - F~-~j; " ~ 'I tES ~ MO ~ (AUSES OF OEAiM C : ; t.` C:~ e ~ ' ?f 1 M. IJM~.(plYl C"' : t~~ t~~E 4~ u+~r 21c NOw wxtRr Oc(uRRED (En~M eotv~ of ryw~r M Pon 1 a Pon 2. 1~«n It? w cwri.~.i+~ Qiwv ca u~rr MWR A M Mo~~ Oo~ t'wr . ~ ~ '^e• nw,f ined,cd e,oeww) FM T` ~ i C ? •,~,~:R10((t,~kED 21• RA(f Of IIUURr ~w rMr unu. ?rwn ~ tll. 10U11pN Sr,~ a R~ D. No Gh a Tow~n Cow+h Sw•e " O i : 4:.? -~--~.-...~..-1Q~:11-~u+4_ FK ~ > ~....f_..., ~ ~ ' M rorY <<o I certify th~t ~ (th~s hosp~talj onended the deceas fr , !9 , to 19 , thot ~ (v?e) !ost ? ~ saw the decer, : ol,ve on-._SP~ 1~ I~, ond t ot i~(d~~j(our) opm~on death occwred on ths date and hour ond trom the ~ .;c causes stuted bo e (we) (d~d) (d~d new the bodr after deoth. ~ : , ~:i,!a~~rE = , I ?R DA1F S i•ttC? . - . . AItiNDING MfD SfAFf J ' ~ / i ~~~E vNrs ~ aecaa ~~n Sept . 15, 1969 c~ , i .ra r~trl~tiu~s n. ADt,atu : v ~ : ` ? ~ '''a""'~'! Larry . Stalcer~M. _D. _ Naval Hospital, Bethesda, ~;d. - ~ ~ ..i:}~ i_LiYAltpM. "l]D UA1f NAME Of (EMFilkl OR (R[AAAIUkt-- ]3d IOIA`iUV ~GtY p Tuwn) ~1iu•,'rl ~ ~5~.~!t? I ~ t 4~.~Y~1''~'Y''~ 9-18-1969 Parklawn Cemeter,y Rockvi lle , '~id . - , . i. .,:rl: ;,,R Jos . Gawler Son:~ ..,~w~,s 1w R!(U BI Rl::n~~,~~ ~ - ' , . • ~ ~~'C _ 1 .~n:, nt~ . , , . . ~ "l ,rJl~-~ in Ave.N.k'.Wa::t~i ton~U.C na~~~~~ ? t' ` - - . . - - ~ - - - - _ ~ - - - - - - - - - aeoK 2~8 1~2~ ~ : ~ ~-~~w _ , a ~ ~M~~n