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HomeMy WebLinkAbout1775 ~J~:~2G ~ - ~1~3U~s ~ OH10 DEPARTMENT OF HEA~TH R.s. oa.. s~..~ rs. ; DIVISION OF VITAL STATISTICS ~ w~~5~8 t °a`' r''' CE~2TIF'ICATE OF DEATH • DEGEA8E0-NAME M:I~t~ Lu SEX DATE OF DEATH ~~N+~~. ~s. Y~w/ ~s - T s T- ~o R~ ~ ~p....«is.. A~i fs~L.a.,l wa~e i rw ~e ~ a?~ O~ATE OF M! ~H..rs. D~.~. COUNTY OF DEATH : s Y~ul 9, 1918 ~yahoga ; s. t s.. 5 sw s~. : 1w - an. wiu?ae. oe tour~a+ or oewTM ~n tu Mosntu w or~e ~NSnnrrwK--NUr[ ~N w;..w. , s~••,a..r..t wMJ ; ~ es Euclid General ~tos ital ~ st~rE of um~ ftl.a ie Us.A...re dnta+ w ww?t ~m ~uenFO. N[vH run~. wenv~~ S~ovsE. ~U r+l•. s~ w•1 ~ ~..~1 wwow~o. avo~cco ~s?•rifs~ { eo. Married ,,.lia aret Hamiltoa ; g son~t s[cve~n NuwEe wws oECEwsEO ~e ~N u. s. ~ roacu~ss : ~ IYn. N. Yes ~ ~ ~ Z~ ~ w /sa H ~nwinl : ;y ~K.276-18-8630 ~ ~nwu ocow~iw~+ rc:...rr N....•.....~:.s N RINO Of MIS~NESS O~ INOYSit1 ~ ""b's H Hhite Motor Co . _ Track Driver ~ ~ ~ESIOElKE-StA?E couNtt an, VtIIAGE Ot lOCJ1ilON un~oE an iuun st~E[t nea NuwE~ . , (SNs~> >ea w NJ ~ . ~a?. Lake ~.~.Mentor yes ~6 Spruce I.ene ~a- = Q, ~ fAtllEt-~IAME Fint lIW/II /IIl YOT11Et-~IAIOfN NAYE Fi?M 1~WJ1~ 1~W i C: : z* ti~,:.. r~nk I~iade Josephine Salamon ~ t~ j MANT-NAME r~uue+c wootESS ~Sn•rr.. t.F.D. r., c:rl w.iu.ta u.rr. Wl ! l' . ~ ' ~ ~ ae 196 Spruce Laae, Mentor, Ohio 4- oEwn+ wr?s cnusEn ar: rEKrte a+ir o~ uusE ?c~ u~+[ roe w. ~w w~ AMM]t~rA~E 1NTElvAt r ~ ~ ~ V ~ ~dVI° - i ' `~Mi~IA~ ZAd![ • ~s_~~V C.• LM d h ~Y Q ~ ' m o~ m. w ws ~ os. ~ p : ~ . r c.~r ~a~ _ . l~-~a ~ c "J - Z "S . ~ x ~ .r < 4'~ . -~'~~f ~~JIr~ OYE i0. Ot ~i A OONSEOYEMCE O~. ~ y S ~ ~ ~ c~ ~ ~ ~ < Q. ' t- • • i~. ~ • 11.'OTME! s~ON~f~W~t DoNO~T~ON~C~./ir:~.. sabi~ri.t a J.rli W..r..1rN a r..r. a~+¦ b~wr 1 I•J wuto~ST ~r 1ES ..w• ~J:.p oMr:J..~/ a_ J~~ " /1'a w r ir lete?~si~t r~ut /tit~ c~ t : ~ ' '~t•~~ 1 w i~._ ~h_ S C~ O~ 11noEtEVrtNEO~/Skc~ 1E Mti~1i, W~. Yt~l MouR nOw I~uultr OOWt~~ 16~1s ara~ i~q~ef i.r ?+r I«~.rt JI. Ue~ I~I ~ ~ ~ . ]Os. 70?. 70~• ~Of. ' ' 1NlYlT Ai MIO~R /I`AC_E yp~,_INIIIlt At M~e. j~s. lMt~t. I~wf. LOCATIOM, . ISrM ~r R.F.D. s~.. siM ~ill~t+. Wd~ :yl = ~ a) ISI~nI~ ~ M N~ ~~s~ w~1~n Mt. ~S~K7t1~ s ~ ~ CElilftGT10li- 1N..r~ Dus •Yrr Al.rri Di.l Y.r ~ usr snw xu~/NE~ t MO/Wrf10T oEwrN ooaie~~ w. ~i• ~l.c• = ~,rs~a~n- / wurE a+ VIEMI TME WOY IM01R1 ra. tn.. N : . e ~ 1 AfTEttOED 7itE L /~TO .-S ~d 7~ JY~ri D~ef Y~r AFTE! ~OEAIM. ~~.~rl~lN.~Lr N ~ ~ ; ~ , c : ,(J ~ - ~r(j Ii~ sard~l i~Ir~. c: n._ occEwsEO.aar z~~ 3~, ?3 << eEmr~unaa-toqNet~ o. w i~.rir N ~i. x~r..l Jwa Yw Iese/e.r~r~r+~~.~s .I~/ • t r ri~ irl~ d/~r ri. i~Fauju:~w„ i~ yi~iM.~ 1srY~ D~ 1'wr H.r : ~ .rn.rrl tM LM ~r/1ar a t1e s~re(fl a1~. ' • 27~. K 27l. ~ ._.~j CEtTI?IE~--NAME IT7M ~r~(sf1 S~GNATtRE DtpN ~?tiHt OwtE SIGNED , a' 1 ~,-~~,7 r . l ~ ~-rf-e.r /~t C.' z~.. - - -~c_~-'~ n~. ~ ~3 : a~ a ~ `r ~ rU11lING ADOlESS--CE~tIf/E~ STtEET Ot !F_~' NO. O! YIItAGE STATE EI/ - ~ [5100 Euclid Ave.,a Euclid, Ohio 44117 ~ ~tltlAl C~EJMATIOM DATESep t 3 NAME Of CEMETERr Of Qf1Y1TOt~ tOCAi10N fCM~. ~iIl~t~. M~~~af)I fSINJ ~~s~`~~rial Cleveland, Ohio Z973 ~s~. Calva l1M4E p E1NAlME! (lIC NO.) fllNEW p1 O!' ~ - ItIG MO.) ~i ~~s_ E.C.Brickman .3798 A K. t~!.%, ~ .~r~: , r . , i1MFtAl ffRM ANO AOOtEiS (SitEEi NO.) ~ (G (STATEI (~1 _ BRIC[Q~(AN SONS INC 21900 Euclid Ave., Euclid, Ohio 44117 } OATf lECp ~T t S 'i fE WITE /Ef~IT IStYEO T~E O~ ~E~SON _ING rEtlll? , OtiT. NO. ~ ~ ]0:? ~ " 1 _ ! ~e / " i' . 2~82fi s~i ~o ~ ~c~c~"`s - AECORO rE~K~p ~ ~ "..~w ~ ~ 9 ii ~It ~r~ ~t'~ ` FEE. PARKER & FEE. P. A_ ATTORHEYS AT LAW POST OFFIGE BOX 1000 O~~ ~ FORT PIERCE. FLORIDA 33a50 oarv~? T[lE?MONG UO81 ~61'EO?O - ~ ~ - = ~ a~~~ s~~ _