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HomeMy WebLinkAbout0688 . • . ~ . ~ - , ~ ~.9~9 ~ ~ . MARYLAI~iD STATE DEPARTMENT OF HEAITM ~ A !i' p~y~S1pN Of 1111A1 RECOROS. ~Ol W. rRESiON SiREET, ~AL111AOR~. MARYtA1M !1l~1 ~ - - CERTIFiCATE OF D~ATN ~ ~ t i. actutc wu~ ~m aa 1. o+?n a a~n~ t~ Nouep ; " Rw~ « r"'y Iiobsrt alen Werner ~ l~b ~d ~~'Yl 1: 90 M 5 ~ ~ • ~ i ~ s. a?~ a Men~ - ~ .cc M . ~ , . ~ ` 4 ~ ~ s~c ~e 3 February 1904 '°6 ~ m + ~ u V )a fltf WlA(E (S~M~ a hr~ A(111ZfM OF MRI~1(OUIIRri ~ MI1RtlE0 N[YEt M~tt1EDQ L~AIM1Y Of OEw1N i ~ ~ ~~rf Iowe USA w~oowEn p onoecco p Mont6ome='Y ut r. a ~ a ~o an a Twu~ a~~n~ n wu~t a ~ou+~Ka ranrunoM~n.a. ~ i~. uwu acw~rww ~c~ .«k eo~. ~~ma ~ssa ~ ~ T Bethesda ~'~Clinicsl Center ~!~'~"(~'~i'~~) , ~ ; ~ ~ J S Ik USIW R[yOfM?t (Wlw~ bcas~d Md a~M~Mk t~s~n Mlow Ik Ult OR i01MM u1 dot tr+ur~ 1~. SitE[i Alp NUMEfR E-• • ~ ~s carm r~sQ MoO 12119 It~dian Ritrer Drivs ~n~ ~ _ °~1610"~ ~'bride? ettsea Be 1~. fA1HEtS MAl1E Fnt M8M (d li YOi1~RS IIMOEN NAME Frd RO~r ` ~n o _ r ~ ~ ~ ~ ° Ks1+t1QT ~Q ~--s ~ c... - ~ , : ' 'i ` ~~-~s~~o cv~e s. u~o Foec~s~ ~168-0? T~33 1z ~ e c o l1IS Bet?hesda? Irdid. 2001 ~e Clinicsl Oeater ~ v ~ 1' .~arsr+knQ!wn1 . ~ f 1 - ~ o -r,~ - - _ - - i - ~ . ~ - oey «r w,. ~ ie. f« (ol.1d1. .~1 t~l) ~ . . ~ y a y . r . ' ~ ~ N) ~SB~YB tr2~O~IIt.E8t.~11d1. ~ld'~OZ'! . , •Y ' _ _ , - ou[ ro a u ~ co~cu~ a • . _ ,.~.t.~_~.~-.ni. ~ a~e1-°~en"~~° _ ubemis . : t, :,i ~ ouE ro. a u ~ co~uu~ a ~ e, c . _ , s d / x - E-, - co~neiaitw~ To o~TM ~ur ~ auTm ro n~ t~rw~w oe~ ottaa~aM 6nei w ru~t i~.~ : m , ~ r~ ~ , x . . y ~ .F ~ . . . ' `a - ~+kcaaraNFawwa+o~?nawa~ce~aer~c ~ ~urorsrt ~oe. ~ ra~ w~ w~nnws co~a~oc~o ~.ce~rrwc t ` ~ - ~ ~ 0 w~s a ou?nr~ Yes ~ ; ` : t~ H . ; _ ~ - N~. .«.~.cp tu. nr~ ~ wun t~c „ow rwR+r acu~eED tb+w wM..f :~r ~ ra+ t a ran t, ~~u ! ~ r' : " O~ c~s[ M ou~ i+out nr~ w.r~ oor r«r 4.`. { "ct~ ~ s ' w1u. ~N+fp..Md a~i.~) t!L M . a Mort. rrl s~tL r+nan. 1 211. l0(At10N Sr~M a R.F.O. Ma (~r a Tow~ ~~h ~ N ~~f~-~~ H ~?N ~liot.~4r4 1 1~. M A~ O f N 1 1 1 R T ~art~ w~c~. tu 1 ~ t ~ e ~ - FO~O OI~MO~k ~ - o~~ no_ 1 catifr thol ~Q (this hospd~°1„~~1~° dcceosed f~ . , to 19 , rhor jQ (we) b:t ~'r saw the deceased ~ive on 19_, aod tlwt in~(ow) opinia~ deoth acurred on the dote and hour ond from the • ~ causes stoteA obore, (vre) (did) Q~ v~ew 1he aher deo?h- ~ 72b 5~i•hAfiJ~E 22, DAiE SIG~~ H ~_~~~,,,,,,,s Q M~ DEGtfE pHn1END~ p~aa ~ Snsn ~ Me?='cb lO, 1973. . ~ ' ~ ~ ~ ~ m. ~ooe~ss e c n r e s z Q ~~i ~t ~1 x. Bobrox l~. D. Institutes o! Heelth Bet.~iesda, Md. aD011~-~~-- tb s~uu. c~[rur~oM, b?. a?t~ ~c. ~ o~ c~~r~r oR c~w?tarr Zx tounor ~c~r « to~l (co~.~M . t~) a H~~ v ~iewe Geor e Co. Ma. ~ ~ c~~~ i 1"~91 '~Lo~•;(~~ ° ~ 9'l'fM~ ~l~s Flfiss+ul Bcie-i33~D0~cinril la Pika a~ Rockvills Irld ~ . , ~ FlLE~ lll1D RECURQEO f~" ~ 51.41iCIE COUNTY flA. ~ ROCEP. PAITRAS ( CLE?K .^.i'GUIT COURt ~ RFC0~0 VE"~r~~0 ~ OcT 19 3 iz PH'1~1 ~ . t ~ 29~289 ~ ~ ~ . , - BOOK ~ PA6E ~ ~ ~ ~ ~ ~ ~ ,~,.~~ji ; ~s..~ . J ~ ~ ,~a _._.~:'~`~~'~s~?~s_._,,':a~¢--,r~.~_._