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HomeMy WebLinkAbout2301 y 2~5442 ~ ~ sr~TB of N~vwow ~ a~~+G KECO :~IiC1E COUNTY~, DuARTMENT OF HUMAN RESOURC[s ClERK6C7 :GUIT C011RT DIVISiON OF' HEALTH ~RECORp Vg~~F1Ep..,..~~~ 8[CTIOl1 OF V1TAL sTAT11TIG CARSON CITY. N[VADA e~701 ~ I~ ~G Sl PM ~ 295442 - : ;y3 STATE OR NEVAOA--DEPARTM6NT OF HUMAN RESOURCES DIVIiION OI H[A1.TM-iEGT10N OR ViTAL: iTATISTICi r ~ ~ CERTIFICATE OF DEATH a~.,..„..,,..... . i "d!Ni iN tOC~t ~~1t NYr~l~ :;.\T !NK ~af~ • ~•M~l ~ iwlt ~ ~ OATE Of OEwM ~ rour¦, wr, . :i::~ f62 , DKEwSED-?~ ; ;~x; , Louella Pearl Thatcher Coward t F e ,~tober 22, 1974 - . ; xaGE .n.~n. ~ww..+.i~K/w ~euM. wGE-~.~~ vwu ~ n.~ uro~~ ~ w~ - DATE OF MRM i.~o~ww. M~. CO{MiY Oi_OEATM i iu. ~ sncn ~ ~.mo.v ~ re.n ~ .ws. s.n w~ws .r~ ~ + White 71 A _ k ~ „ UTY. TOwrt. OR lOG?E~ON OF OfwM wsw cm ~...n NOSr'Rnl OIMHt TI ~ p wa w~ ~~ae~, a~rt s.ra .w .wK~ ~ snun ,ts w wo ' Carson City ,4 Yes ~ Carsoa Tahoe Hos ital i'~ • SYtrIVNG SI'OYSE ~r wa. owi .uoe~ ww ~ STATE Of WtiM i u Not n. v.s.... N...i QTtZE~1 Of MrMAT C011NT~~ ' w~RafcO. lEVE~ MAtdEO. • wIOOwW.OfVOtGEO~f~eun~ Ptebraska , OSA N. Married Easter Rav Coward - SACIwt SENpiY rr.lr~{Et uwwi octwwrqH +a.e rw w vw~ soNe e~....o .os~ o. of ws~ss oe wo~?st~r ' ~ Cafeteria Director ~s. P u b l ic Sc hoo l D i ~ . ~ ~ 562 14 7383 •p•~~ ~ ~ rifSiDEwCE-SiATf • CDiiNTY G1Y. TOWN. OR IOCAiION Ms»e un ~rw1 STlEET ANG R ~ a ~vecv. ns w w ~ revada ,~arson City Carson City - es ~~J.200 E. Robinso ~ ~,y~ t. MA,DE1,, HAME ~.s. fATME~-NwµE ~~W . ~ Candace Emi h - ,S Charles William Thatcher ~rttOiWUNT-tvrwE KAIWG AOD~ESS ~fnen o~ a.r.~. w., un w w+~. s»a. Easter Ray Coward ~n1200 E. Robinso S ' v~r oewtM ww5 ewusEO ~r: - (trfrE+e a+ir OnE GusE iEe u+[ roR hL fb~, ~?r~ fcA. ..me¦ o sn .w ai.~w . . r...ao..a cwu ~ . ~ ' t° / / ~ - ~ , . .s . • CONOIt10M3. 1~ AM~ " MNtCM G~Y! ~~SE ip ~b~ ~y~ ~rrlO~~7E C~Y3F 103. 01rE 10. O~ wl ~ CON1tO~KE O~: . . . sr~n»a rre u..oi~- ~t~MO C~1rSf i~fl ~C~ . _ M M~u~ ~ w /WTO/ilf ~f YES ~Ml~! ~~M~IN6! COM• VA4i U. OT1iER S:GNYKwN7 CONWTIONS: ~ Cd~MwOw toKw~~o q ouw wt wOt ~euRO ~O 4wft O~rl. ' ~ tp O~ NO~ s~Ot~lo n+ MtluuMwO Gwft a ewM NO iw. ' ~GG~DFNT. SU:GOf. FIOWC~DE. ~ ra.rM. Mr, reu ~ l1011R HOW INIYtr OCCUttED ~ treE~ wew w~Nwn ~w ~rut ~ w rut wer u~ OR W~OfTE?Mi1HEa ~srta~n ! l:a ~70~. 70t. M. ML ; ~ n3uAY AT WOit~t (?IwCE OF W AJRY .i ~o..e. ~~w. sr~n. r•nor.. lOG?flON ~ swen o~ u.~. No.. an w rorM, sue ~ ~ ! t SIEGR TE! O~ MOI `O~Kt MOG..[K. t1M[M71 - . . . { 4 7't . k w~ s.r wo.i~a ,uK w~ o~/a. wr .~e..~e oewrn oeew~co .r we .u~a. a• Da ! . C"[RitFxAT101d- rOatM Nt ~ Rw~ rO~~A~ Wt ~Af ~~M O~~ 1tY ~OR ~I10 0lwR . ~ a OwA. ~r~O. 1D ME r!N ~?MtSK1AN: TO J , j . p~t w0'M~t06l. 01R 37a eectwston~ ~71?. / ~ L' !lc 2'Y ' tt~. t4. ~ M~row~euwsewsuuo. ~r ~ ~ t-- i~£ItTIF1GTiON-MEDK~:e EXwMtrtER OR : a+ n.a w~s a trc .oK w ae. . ~ Ms~ / •w ~ ~V ""'_-~.xr 1 Ea~ruuT~ON Qf M WD~ u.0/O~ TNE 1M/t3i~Wtp~. ~w rf O~WWN. , ~ D[wM OCCIi~7iD OM At O?tE wN0 OYt 10 M! CAYSIi31 3U1E0- , ~ M. i:a q~~ p A SIGt~ED 1 iW1 . ~ CE7TIFIER-iv~f ~nn oa rw.n _ ~ i • ~ f~~~ ~ ~ ?3t t9`" T - Stu! :V ~ tiw:iu~tG ~DOficSS- ru:fR _ s*.~~+ o~ a...o_ ~ CS 910 W. Wash ton . awtiw?. c~tEw?to~, aE~wvw? tFi~EiE~tr ox t~u?tonr-wu~E wunoi+ an w w..+ ~ , ,k. Carson Cit Nevada Burial ~ ~ ~~re ~.a.~T» o... ,f..~~ tu~~..? No,.~-r,~ n,~m ~ootf ~ o o. u-i~i N•~ RoOp n$t. ,Carson City,NV.89701 ~;~e Octobar 26 , 1974 n,. Walton Funeral Home, Inc o.x~neo wu? .EOw o ~i~'~'~,r~~ ~'`'r~.l~ . Q s i~, I~ HEREBY CERTIFY THIS TO BE A TRUE AND CORRECT COPY OF THE ORtGiNAL RECORD ON FILE WITH THE SECTION ' OF, VITAL ST~TISTiCS. ~ ¢ ~ . . _ r, ~ NEVADA DIVISION OF HEALTH. `i~ , s~ ~ ~w L ~ ~ ~ . ' ` ` N ov 1 Q/~ • ~ _ Dote Issued: ~J7`t _ - ~ : ~ .b ' t.' ~'r i . , . J~GlC'~i~MEX&~R ' NOT VALID WITHOUT THE _ .-F • t, . L~ . - ' R1415ED SEAL OF THE NEVADA ~ , q ~ ~ , . K .,~w~..Yjf~ DIVISION OF HEALTH ; ~ ~ ; " • . . . "l9'-.~ . . j'' ~ I ~~j° 'I~D~ ~ " ~ E- : • - ~ : -y ~ ~ . . - •r ; R - ~ O R ~ . ~:r;, ;,r..: d001t PAt,! - , , _ - ~ , ~~~;i1 - ~ v ~ _ ~ ,