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HomeMy WebLinkAbout2052 ' ~O.R'!R' T=-f C~ \~f~~{N14 S-~L ~ f)F z,.^ n.,..i ~.T, ~ F ~ ~r`~17:1 ~ f ~ . . i3l!(iS.,l~J i~i V(T:~L f:C~::ciiiL~ :~iti:; t=•-:/ii.S'H Sir'.l'f5;7fG:i 2'~43 • ~ ~:i-:i~~ fl~~ tEi~ `'Of'Y ~__~~~e~i i~ ~.~:;O2iD J~ `COMMONWEAL?H OF VIRGINIA - CERTIFiCATE OF DEATH DE?A!?M@IT OF MEALTM - WREAU Of VtTAt lKOROS AND MEALiH STATKiKS - RKNIMONO g c,~ MEDftAL EXAMiNER'S ~ n,~oir~ar~r /D ~ / 3 CERTIHCATE ~ ~u~.u~.~c a.w w+y ~.~n se. ..r r...~. d oECEwSEO ~ ~ ~ WTE Oi Ir.? ~~ryl 1M~~ 1 ~Gf Oi ~ 1~rr~i ~ Ot ~ACE ~ OE~M OECEwi[O ~ I I ~ - 54 ~ White • raa~vE Of MOSM1At Ot r f. COIMTT O~ M~l+~~+ Mr. ww M~~?1 ~ ` MSUtUtlp~~ OF Ot~ill OEAM ~ ~ A rlin ton ,~~N ~ Gft d 1pwN 1+ rrw~L r fyr~ dqr r r.~ vw~ f. ST~EEt ~pOtE Ot ~t. np. --7 ' Of OFAM ~ » Of ?IACE Of OfAfN ~ " ? ~ ? ~ 10. SIAIE 10~ i0lEK,N C01JNIt~~ Of 11. C01M+11 Of OECEASEO~IIA wMy~.~w . bew srN~ VSilnl OKfwS[O'S ~ESiOEaCE RES~DE?KE s~ ' rlin tOn un a. ~ c», «.....~..a ix sreEt~ ~ooe o. n. ?+o r. c..a a ~csntucE « w ~s~oFUCt • ~ ~ °"'O°~ O u ~ 2Z20 M~+Mt or rwn+t~ ~s. rw~oEw wwc a p pE~~~{p riOte~Et d OEQwfED ~ = 1~ OKEASFO Ctt12fH Il. MA~R~EO ~ NErF~ ~t0 ~ ~ NiwE p Y045EwDOwEO. _ _ _ w?ur cou.+m w~pOwrEO ~ WrOe~EO ` D~T~ Oi 1•. SOCIµ SECWit~ IO 1f rEtElAN. w~w~ ti.. r i ?I. 4f1eMlKE (+~r aewry) 04IF Of W tM I+w 1 IN~~ frrl ~ > ; ' ~ NuWEf ~.a~.w «y....w. d DECEwsEO O~ DECE~SEO ; E 226•46-8155 W W II Washin on D. C. March 10. 1916 # ~ : ~ i. . aw ws.+eu woR~+~w - - ~ occu~•t~o.+ or r+ousrn o~ ~d~r~+ ~ x~~ Retired U. S. Arna Eli:zbeth J. Bafley ~witej § » •use a w..~,.».«.. r« w ~s~ w L IEtVN ~fhM[(N ~ ~d ~ ~~Ri pf~TM w~S C~vYD t~. . -~I ' OaSEI ~u~p pEwM , ~1 - wwED~~iE C~USE ~w~ / ~ / ) ~ / / ~ ~ . ~ - = y TO ~ ~ F = _ ~FDKA1 Z DUE f0 p CrM~~. A~. ..kA p~e iwe 1~1 EIIAMNH: ti r~Md~04 twM {AL W?~y Mf ~ ` Mde•Irw ~wv ~eN py! 10 ~.np.M wr ~M V Ki i~`~ u AM t~WI 1 AM W NOI lAlEO O ME EIIMwAI )b AUtO~Sf+ ~ M V ~ P~ ~ F O~SEASf COHpiiON WVEN W ~AfT 1 IA~ ` ~ ~1 w Mwr ~UT~AtI D~ LJ D E - a~.:~r w w. w s ~ - r~..w 1M. yr? ~ v JM !fFEM1lE-NASTME~EAMEGNANCt )6~ EIfEMAIC~USEO~OfAfMWAS 2ed OESC~Nf?rOWw?tt+iOG~WRtO ~e•.e..w~..~e~~qws..~oo.~~«o.n~~ i f ~ ~ ~ w••sr ).~a+~Ns+ - ~ t ~e. ~ ro ~ .+~?ww ~ Mwwltr ? ~r CONtlyU(qaG ~ E ~ y~ v 7er r~~E O~ w~u~~ ~+w i ~I?~~ irew~ tM. x~NXr OCt1MRED tep ?i~eE or a~nKr ~~.+~e. Iw~. ~ 7a. t~~r w w~.~ ~.e,.,ry~ ~.~w~ ~ ~ j ~ '~~c ~ p • wi ~w.i nw ~w4 lecwry. w~. WI.~~ Mdy .~t 1 ~ . J ~ ~•`M ~ ?M M~w~ ~ a~w.~ ~ t F ~ ( j•aaN ` ~'~aV e~v.s ~I V/ ~ 76 ~ CElll~if f~o~ 1 wW cM.~r s~ Ae re+~e+~~ M+c..bed sAew. .~t~ed MMe AeA~. ~+edr w.a.rw~ eM w w~ sp...en deoN~ .ewbeA M a eAw~ M~ .r F ~ ~r~ws ~ W~ « H~iWAI CAUSES ~ ACCIDEN~ O Q lIQM/~10( a IMapflf~wE~ ~ ~fNpIH(' Q ~ ~ ~ ~..,,w ' . . ~ . ~ ~ ~ ~ . . . ' ' ~ ' ' ' ' ' ' ' ' ' ' . . . . . ' ' ' ' ' . . . ~Crw~ ' r~EDK~t ~ ~ w+N Nr. •~r+N E ~ 3 S~Gr~~rutf ~ M.O. ' Ewu.wE~ i0~ / - ~ . ~ 1~. W~~~i rf Or~~ C~t~.ut ]t. ~I~CE le..~. c«..~eq r a~.r~~ Ich a•.wry~ . brrl 6a ~ ? ~`E~c Arlin on National Cemeter Ariingtoa~ Va. ~ _ DMEGTM 7~ pMM~ N I.y.~1 ~nAr v~' ~w.~ w wc?~ N~E ~ ~Al * ~ ~ ~ Ive~ Funeral Home. Iac. t rlin oa Ya ; , ~ ~ . - ' ~w~~ .n o~n aw ; r ~[asr~~t ~ ra~o, i > v?-/7- D ~'~.i This is ro certify that this is a true ~and correet reproduction of the original record 61ed with the . llepa~tment oE Health, ..._LZ. r~ ~~1 n~~ r Virginia. - ' DatQ, issts~d .~t ~ t~~UC? y:~c,ukiu'~ E~~: A,t- ~ " ` --ff~'~l,1'i: i n ~S ; , ~ ' OUBf ~ ~ : . $ _ . - CIERK ~ '(SEAL) QEC~~r 'Jfi- `FJ ~L. ANt ~ Registrar ~ ~ : : . • . , : , ~ f_r. . f..' . _ _ i- . ; i ~ r~ ~f ait Y- . ~ ~~A T 1'' 1"1 2`743~0 , . • ~ < : VOlD IF ALTERED OR DOES NOT ~ ~ - . . ~ . ~ ~•s~}ai~-t~er~~~: • BEAR IMPRESSED SEAL OF REGISTRAR ~r~~ ~3 p~~~1~ ' _ - - - ~.k..-~~~.,,~.~..,.s,,..,~.v..s~...,...~l...,,, ----;"-~Z,.~,'k'..q.f _ _ '.'r~rd -~s:~~-=.++'._ ' _ -