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~ a....~.o..------. . rei w ~ ; ; _ / ~ ~ ~ IENGTrI QF . tglb~C[~a NO l r~'+ ~ NAIA"c Of I ' ~j n\' yQ STAY IN TOWN~ L I~Z.~ •,1e.~ ~ HOSIITA6 OR~~~~~~„A , _ N~ ' . • CI1Y OA~ILIAG. . ~ . L12. % ~ ~ . INSTITUTION ! /K~•~ ~t~e/i u ~iun) ~ 1 `~,a t m h~u~i iwuiu ~ n, ~ / C~~O~ l , ' ' 4~ ~ t~ Uinsl raidea ~ . ~ ; T . . e„~/~/",r~i,ar,rae?:fs,~,-,~C~s,./ ~ of dece~aed: Sa~~ be/~„ h.,.~l~ st~tEr , rpWtace within iu wrponta ~ • ~ ? ~ AODAiSS ` K~ a ,.,~e~,a ~ r.~,r ns p rro ~ - d"',; ~ 1 ~ ~ 1 _ 1~ DAtE ~1 (~+r) ~IYar) , , a~, ' HAME OF outN ~ Q 19 ~'i AECEASED v . ~s,~ , " ' , ' ~ ' l A RACf I ~ SINC WIOOWW, . 1, Nu~bied~l ' WI OA OW ` , N~nN d , ~ .,i~ ; IV ~~1'~ ~ (q) Wih . . ~ i~~~,~?~~~~; ' ~ ' • y ~ ~ It. CITIStN Of FIAT ~"x~ Of IIATN 10, Ait (ie IfUNOIRI At ; IfUNOiR74MAS, II. i twa (ad~n uYl I N lYT/~ I ~ ' ~ ~ ~ ~ ~ ~ Mao~ ~ r~ ~ I .d sF1.i~ . J. ; . aF1 iaS rl~ , , i1~'~ ~ ' 1. . W~~ fe~lnd) ~~b F~ ~Nlff ~R ' . U 3UAL OCC ATION ( 1 in ~I wa don dudat eal ~ ~ , w ; . . i ~ ~ ~ q~ NAMi 1 q, S NAMi ' t i., ` ~ n. socuu ucuRrtr No, ro~ ~w ~ II WAf OICWilI MR jN U~ f~ AA~ I0~1~1 /J ' p (Ye, w, w anYoowo) 1 rp~ t ' ' ~G~Q~.. ~ Q ~ YQ~ 0 ' nrtt~r ~N Q a~ 5~ n. c~?usi or ouTN ~wut ~r ~ ~•w o~r ,ua i ~ ~ ~ g a ~ ~ ~~t~,~,1HW,~~~~: ~ f"i o' ~ ~ d I M M A D U T I G Y S[ ( d • ,r ~ ~ ~dea, u mr, ~ . , .1 a/Lic..~ ~ ~ z ~ ~ ~~a out io ~e~ ~ . ~ ! , ~ p~~ ~ ~ . ~ O z ~ °~ulY I ~ TO (c~µ.,..............-~...-~.,.....~ , a~~~ ~ o . _ ~ y ~ ~ ~ f0. A ~ ~ NO , '~S ~ ~ ~i ~ ~ N~ 0 , ~ MRT 11. OTMiA SIONIiICAN? CONOITIONf COMAIWiING TO OIATM IUi NOT AiLATlD a ~ ~ V ~ TO T 1tAMINAI COMDITION OIYtN tN tAAT IG1 , Q ~;d ~ a r ~ C4"'y'~~'a.r~.ci ~~"~~i 1 ~p.~ ~'r p~~~(~ ' ~ ~ NT SU~CIDI llb. OiSCAII! MOW URY OCCU~iD. (tna fM~ e( !e ~?n~ t K M 1Ms !t~ I w.~ yr `a 31a A IOE , ~ o~ r ~ ~'~i ~ ~ N4MICIDi (Spid(yl ' . e7.,.:asa ~ ~.•I ~ ~ ~v~ "O N~ 'v~0 r~ q 2fa TIMi AF }twr Moot6 D~1 Yo? A~~~~ ±w O ~ ~ » er ~lUUAY w _ ~ ~D7/ a: ~ a 7<?On Y`'~ ~ p~ m~ . !t ~ f u,~ . ~ ~ ~ a ~ ti ~ ~ ~ :~e, fNdUAY OCCUA~@D :i.. /MCi OF IIUUA~ (a4~ in, wNO~e oio an ~ ror• a.~r _ ~ ' ho~, c~m~ r~cwn, w«r~ ad~,~ ~?uutr oauu . , a wu~ n o Na WbiM p, ~ ~ w„~ u woh J9~, tkat ! lart racn tlu 1~ ~II MI Q ~ ` ~ ~ ~ r ~ 1 har~6y certi~Y ihat pt ar~ ded tIu dre~a~ ed Jwm,,,,,, ,,,,,,,,19 , to ..,,L , , ' ~ g, a T . decaased li~e on,.,,,~R „fi,~.,..,,,,1 ~X ~d thae de h occuned aKi.",~.. ~rom e cauus and on t.~e date scatad a6oa~, ~ ~ ~ y'~ a n ~ ~ aoN ~ ~ c~ , d~ ; ~ ~ o~n 19~,, ~ ~ I ~ a ^ ~ ~ rj~~+ ~ ~ Q ~ . ILACi OR IUAUL, CAE TION OR ~IAIOYAL ' ~1l. DATI J ,19 Si4NATU~ / UN . ~ ~ - ~ . ~~g~p~ ~~'a , ' , ~ p. OR UNDt AKlA AE01 fA ION N0; 2~j 1 NLlD IY IOCAL A[0. Y Oi RiGI / i /r ~ ~ ; ~ . , O ~ ~q~ . / ; / • % ~ i 1~ ~ • 1 / %r ~ ~ ~ ~ n ~ ~ ~ ; ~ ~9...1:.~~ ~ ,~,k~`:~.,..... ate E nsue.....,,,.~..~...r..,~.......... ~ ~ ~ T ~ Permit' ued by..,.,,,. ./;:.~.-.G;..::.~, . ~.a.~ ~ ~ o ~ ,~1 ~ ~ C ~ i~~~ ~ ~~f, Q~ , ~ y . _ _ w r.,~ ~ ~ If~ ~~1 ~Tq OO ' ~ yW S . ,~~'.]An a~. ~ ni ~JY~~; ~ ~ . . e ' ~ . ~ . , ~ . , . . . . , , ~ ?~6'rti d . . , ~ . ....•...w.,.,«..,..+....~».n~ . , . . . . ,.n..r.w.rw.ewo-..rwr.M~,a.~nrv~.:.,.w~MwwMwrtawr• r.•• " - . ?Yl~x.i1IW'~`YWnM1l•- • • r~nw~AMfIW~`~'.r~t? II ,.~bN~IU~HWM1~4~u~~.~WYJ.W.•nx ~..~f~:~MW1~F±Mf.'i 1ry