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HomeMy WebLinkAbout1921 , ~ 3 I~,~ i~. Tie~w Y~ 91at~ Deparin~cst ~f licat6 _ • , ~ e~?~cr o? wtw~ ~aco~a• ~ "f-fi ~ CERTIE'1CATE OF DEATH R`s~'""~'~°`-~''"~-~=~-~'~"` ~ . 4~ ,•,a - - mi'. . . ~.w't tf ti.c tG~aL L YSV~t tti.~iKl iMIrH ~wW bt~ H~M~Mt 1~~.`.~ ~ w ..r.- 'f ! ~ t 14tt , - ` a r-? ~;1 r r r -_'..t ' _~r, ~ ltlIGSM d ~ C01t+lTT • _ ? T~7Nt~ / " . . ~ ~ 31~/ Ni 1WK . . . ! "r . C11t p ri~LAO! ~y_n t.il[.`~ t~ !S _ ~1 -~-'z ~:~.--r ~ ' i 4I1101YRM.i! . b~o...a~.. .,w<..~ . 1~ . . s TIS ~ s s:: ' i ' _ S'S . b7. ~ _ _ . , ~ 1 . r ' ' . . . n: xr _-e- w..-x~. 9~ ~tiw ~/M~w M • t•~~ 1.~ L . ~ IS i:. ~ . • ~ ~1 . . . ABHkSS - i t 4 i ~ 'i!% , . : . ~ - ~ .-T • . 1"' . L . " ~ . «3'a~ ~ ~ - ~ ?~_~rt ~ ~ f ' r t ~G?, " . ~ ~~t.F'J.M tr..~ti W' ~.a:Ot > ~ / ~ , y t_• :i~o`T~ f1.~.nw-d . f' .7 ^ IMJ.tw ~ l~ ~ _ - 1. i . ~ . . . . f ~ tCll {iv~'f~2J1NS.~Z~~~! ~I.~E ~ ef ~ i..~_~ . C~ N . y L+,~) ti+..f ` ~ j1r ~ . 1 - --f--_ - ,Z~v ~ - _-.~4~-~.;...a~~.,.;.~. -~~~.~~r . z. ~ . - ~ e ..wd! F _ _ - - ~ ~ . \ h _ - V . - 1 xvsrC.~.-.._.<..:~. - ,L Qi . . , . . - ~ Iv ~ •\i . . N1 ~ . ~ ~ . ~ 1) :iAt StC~ltiT ~~Q -~~i'c....M. ; . . _ . ' . . l: - - :'r ~ w. - ~~....._~....s.~.._..., , . . . . ~ n. a : T ~J ~ ~ ' _~f ~ 5~.~_"` _ _ . . ( ` {,j4c ~ ' ~~+e ' 1/ti~~ ~ +.-sj 'f , - . ~ - - ~ " 1~ -tF ~t~~c ?J ..t r r~ ~ ~ ~ 1 g ~ 3 - . / _ . L~,- R~~~ ~..s- ~-f . ;,V . ~~,.~~j~ ' ~ - ' _ t i ~ ~ _ _ . _ _ ~ •';=_`~~~.~t~; ~',,~~i.~y ~v~~;a:, so:,twrn wt not t...uato ~ .~nc. ...iN IAIi?.y ~ .-`~.i~{ 0 ~PI?~~~!' ~ . • _-vJ F : - - - ~ ~ _ _ , ~J . ~ :'a.[i1iCt: 1MMf :f.airas.red.-.++s:•!u.+:s.,~..s .r.__., . ~ • ~ t~i ~ ~ ~ ' y ' ~ j t ' 4 • ~w, • r . .f. • ~ ~ - - _ ' I • ' -T '~7~ • , i t ~ ' ..,-.i - R1.c/C"'__'._' ; i.a~..r.A ~ wr•~fa~9 C~lrKw..i _ i~,T.:~ . .i~s':_ i'~ _ 1 s s ~.i~_•.+..~~1~• . - a•/~i t Iw~.. ir+. ~.~+«r. at.+t ~:..?`4.Mc tra:~at tti~i.at ` .~'si . ' • • _ ' _ ; i:• ``t ~ft t .,i :'rr se.r,:sr1 f• _ ~l9~ ic_ _l. _ ~ ~ y; _,;.'I , . • ' ~ SE~i. r~~ tJ ~ I ? ~ f<- ~ ~ 'l . J!)4''' ~L : o.! tlra~ d~arf crnrJ at _ee , f..-xs tAr . - : c • € f . ' . ~ ~ ~ •'I~~ I ~ I~ °D~~r~. r ~ i )'b' t33 . / ~ 'r ~ . , - . . ~ ,~I~fv ~~~~~~•~~V~ ~~C~~ i~!.~~ . ~ 1 t1 A ~ ~~_l. - g • . @ C.r~~~~,~t~ ~ .~f _ c~-xi.~l IA. ~OC~LiON (C111. iOwh Ot CV.:~fi ~N : w'ti i.4. :;,t! J c~ y ~ ~ ~ US'~1 t~`~ ~ ~~L.• ^ ''T . * ~ : ~ i ~,1.~_.___ 7• ;Y~ . ..:5~~1~~L..,it[.UiIOM MO- !A ADOlLS~~ {MCIiU.i! t ~ . - ~ ' ~ I ' ~ • ,1 ~ ~ ~ ~ . . . .-.i . tiG~Si4.T1ONlIQ ~iaMTlHttO~1lOC~\ W~S.Wir.iytl d i:~.~~;x.~ ~ ~ - r r G-o91 A ~ ~t~" s f ~ ~ 7` - ~a - --l _ _ _ ~ - : , . . _ _ _ ~J ~ ^----4..__~ _ _ o.+.,+:..~.~- _ . . • _ . ~ ~ ~ ' , + ' - - ~~~~r_\,li~~l - i ~ ~ -°ti~~`~ f}~ ~s~i(r~ TH1~ Iti "f0 CH:K"1'IF1 thot t!?e attoched is a true copy of o record on file v~~~..••"''••.~'~~'~~'f= in the ONONDAGA COUNTY DEPARTMENT OF- HEALTH. Volid " i ~ I only wFcn impressed w~th the OHicio) Seol of the Health Depurtment. : ~ ~i ~ • ~i--"' : +!i In issuing this Transcript of Record the Deportment of Heolth does not ~ ~ t _ _ K. • • ~ - ' ~ • • ' become ?es nsible for the tement con ined therein. i ~ , , . ? ; ~ tii p° - . ~ . ~ . - . ~ : . . - ~ : r.. J ~ c ~ • . ~ ; . ,~.."r: ~ ` . p " ....~~197,~~ ~+rrr., ~ - • c L • . Thi s Tronscn t was i ssue . . .~::r.c. . J ` t o c , ' : - ~ / / c: c~ ° t:.; . ' . f..._... . ,e*-,:,> . . - No. of Tra~sc?~pt . . % m'- z ) 1 y~~~~• ~ " - ~;j /A • ~:.~,~~r ~'T 'r~ ' i' t.J~=-JC.T. • ~ _ ' ' ~ • . . . . - ~ ~ ~ ~'CI r~:r .7 ~C. . . ~ a -c ~p Deputy Registw~ of ital $tofi~tics ~~r~ WILLIAM A. NARRIS, M.D., M.P.H. - . Commissioner of Health F 6y ~ ; f ~ ; . ~~ICROFIL'+f ![i~,tJ ty~~in~ Le~ibili tV ~f v?riting, rt ~ 2~1;..f , yf~ctor.- in ~ ~ Z~~ ~~CE1i1~ nr printing un~~t. ~~~~.nfil!nin~• ~,s tl?i y document~ f or . _ . F~~` - a~ =h g: '~y^ ~t.. y^~~;~ ~'^~~`2 _ _ . . _ _ . . ~ " " " ~ _ + :~'-s`e`. ~ W~~'<