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HomeMy WebLinkAbout1696 - 288`738 1~ `s""' STATE OF MARYIAND ~ = DEPARTMENT OF HEA?T!1 AND MENTAt HYGIENE < _ a CERTIFICATE Of DEATH ~ 1 GE(EAiED wIME F M~d6e tos~ A ' ~ io uAiE 0~ ^ui~ii ' V: O 't~YFr a Y++~) ~ ~ E' ~~l V i ~P12t~.. ~ ' ~'~D ~ . O ! RA(E S GI11E C4 91itTH ~ R5; ~wrs ~ ~•:t~ . • , _ - - - , 3 SEl( los~ D+n-c~r) rartM i+;: * . ' . . ~ ~~~a ~ Male Caucasian June 21 1911 62 r~~ v ¢ _ _ i.~ ~ lo B~RiHP'J1(E (Sw~a a ta lb t1T1iEN Of NTiAi (GUh1RY? 8~e~i~ ~fYFR Mt~c~ eD~ ~(~n Of D~iN z ~ ~ u, ~ Baltimore City r~ Q S . ~Q . WIOOWE~ D:YOR:fQ i ~ ~ , v.,T:~-: , ~ _ ~ ~ i~S's Ok ;O,1N Jf ;~~Airi il vl.MfOFt!OS~'1TAi0RyVSTtiUit~N;:~~ctmaos~itt ~2u LSU~t C((u?Al{U~ ~K:~~ ~ ti~US't r 9~tit~?~c,~~~dcuas) ~d~'rc,m~ucawsri~ng`;`e,'„a,a•~-.•~:' + _ • p B31t1I1101'@ , ' ' ` " " ~ ;3a ;,`..Rt ~iS~uE~(E tMha~ deceasec Lred. ~i ~r.snror~on Res:d~ne D~ron tk (1 QR 1G:YN ~.,n ~ ~ ~ ~x S~<i4? A`.~ ~_~';Ek t 4CS TS..Q: )~arE Md, t~~a~oll ykesvillej ~5=~ "~G Libert j Lake ur J ~ ~ - - _ > ! t~ i~'~i~i AAl1~ i,rs~ aMQ~e lnsr ,{5 M+iiHERS 1A%.iCth IiAk[ ~wif ~ , ~ _ ~ h'c ~ e =~~'nt C/, 2 r.'r1~~ t~: ~t~h. ~ . . - " = V ~ :~~v.tD ~ozcts? ;e~ ~~-.~a~ , :R-~~M:.tit I , - - - - . r ~w h~.5 ui~FRk t/i'< ~nt J: _ ~ f 1 ~i , ~ . . : {i.~'r1r.~ ~ ' . ~.a~:.. • . i..~. 7~~ ..:.^I~1 _ //1'~~.~ r ~r 3: ? i - ~ . t • f-- - ' ~ i`I~~ -~-~t 1 -14 i : - - ' _ . .1 ,.r~ ` ~ - ~ ~ ~ A~.:c G` GiAtn ( ~ . . : ~ ' ~ ' av . j : ~ : , ~ ~ - - - ~ _ _ ~r _ j:~t~ vlrl~, ~ t~ r th~l; I~t~f=h1~ ~ _ ~ . r~ i , e ~i,;. - - - . _ _ - - . . ~ ~ ~ i 'k;[ i: R . ::;i".~.,: :',i G• ~ ~'~n ~ , • • f _ + ~ a ..,n..':..~,.+n.::~c,c~r ~~,'~~~-'~~'i` /l+`~ "iL~ ~~~'V~Y: ~Ct ~ 1 - - ~ . , ~ ~n~a.cte ~cu:~ f o) ~ `0~ k - r~ ~r.~r.• tcutit( ~J.lf it7 04 RS R(Q45f~Uf6C: Ct _ f ~ , v• ,yl? . _ f ~ ~ t ~ - p _ - - - - 1 _ ~ r ~ . xr, 1~:in1R ~ltiN~FNANI (3NL' 11uh1 lCN{RipUl!A~ iu GiA~H 6U1 NG, k!i~'iD i0 IHE T[~MIMI Ui~tASf ORCONO~iiuN ~:YcN :ti iAYI je1 ~ Y ' - ~ . ~ W ~ : r • - - . - - - - ~'7 ~ - .vc U1itPF 0'vaiAt } Wli`F('iR wh~(NE_jE~~,i01~ iS M~ 1S~ 20o AUiQPS'Y~ T:b if 1'ES. KIRE t~~l N„t Cii11::'NO;~ • "f_~ ~ a ~j,~ O CAIISES Of OfAiH~ - : . ~ J ~ ~ ~ i S '7f iC~ rES MO _ ? _ W ~ „ jt~ ~[<10iN11Y~S .•e!a~:+c~, ! ir?E. GY tic FIOW ~~)U~~ 0(( RiE~ (Enter m~un ol ryury rrFan ~ or ?ort 1. uem ti) '~1 V`~tat~w~~k~: (~USEOf OEATM, f~A'~. l~fon•Yf Ooji ~eor ~ ~ - s ,K,1uid.••ne~ «e~•l•~w~.k : ~ ~ ~ii~-~ r t , ~v " Z ~'?1/ W11tR( OUIiRREO 21i ~ r R_~~ cw~ srtttt. ~xr~i ~?If IOCAi~OM S~~N a R i.0. No C~h a l~r Co_^•" '•-'r . . - 'Z' ~ Q ~ : ;~.T~~s! Ne! wRiir(-j • ! ' • . ~.1twD~4 tiC - wpi c'~.c ~'s' t~ ~ _ ~i v ~ ; s 19 . to 19 _ ;ticr (It t.,._; `czt - ~ f a;i~ ' '1 d eased from , ' - 19_, ond t ot ~n (my) ur opinion deoth oc urred on the dota ond ho~r ano :rJlh ih6 - , i~ SG~;~~. Mi: - _ tduse~stbte O~dtt d~d t} riew the body after death. _ , 1-' ' t~ I11fEND~MG M(D 51A~F ~.~~'R~~~•..•L~i(,L+t~' Ir~•~DEGREE v~,rs ? a~ECTOrt ? r~,rs o~/ S 1~-~~ 1d_ ~~S•~IA S~ f i i. ' • ADORFSS ' ~'~`!'~~v • rt. Uri stt_ M.A._ ~'~'~~_~o~ins _Hopkin_s_HQSR~ta~ _ ~ - - - - - - - - - - - - ~ • tA~~:yy :a.: . I ~ti ~ 4Na W tIR/ Di lkiMA{I1RY -t 13d ItxA1NIN ((dr a {~wn) ,~o.m!y; ~t).~ . ? ~ ~ ~ , ~ ~ ~ ~ rt < _ . _ . ' ~'..L.:2L~_~f" - / ~ - t~_~ ~r,~' ~ a ~t1 Y:~ ~L - , # ' • ' f ~ :3 •./.A; : ~i~~,IQ4 - _ i ~ i~U.!'.•- g~R'~i~~~f ~ ~ •i11CAi ) L(~N~lUI~ . _ i M ~ J l/.~ ~I ` ~ 7 ~ - - . - ' : --1. • ~ ~ - - f - `'~f t - - =-s- . J - f _ ~ - nc,~......~ ~ 1a3~ . ~ ~ ~ f1ifC r.4 ^R~cD ~ •_~_ir; ~ to- sr. w. :,~~~krY Fu. 6'' ~ ' ~-s i avi~~ :2iet~en F~; . =s~~;~as ~~~f.! ;Ult COURT 2':.i. r' oresta ~r. ~ ~_ort I.~scie - -:a. 33452 Auc 1 12 39 PM'T~i } ~ ~ _ ~~1695 ~ ~oaK~3~ $ ~ _ _ _ _ _ . _ - _ _ " " ~ - ' ~'a ~ L= ..y..: