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HomeMy WebLinkAbout0868 J f ij F " - • - -~--.._.."-.~._.._...y._.... - . - . . _ . ..__..,t_'-_~l . ' ' . - , , ~ / . - i~ OHIO DEPARTMENT OF HEALTH ~ afl DIVISION OF VITAL STATISTICS S"e` t~` N°'_ '~~4'¢ ~ CERTIFICA'i'E OF DEATIi ~ DE E F.,~ .1ii+~Tir ti+t 5EX . OA7E OF ~EATH f.N~+uL. Dir~, Yr« t YILLIA!! f. Sp~Cl~R ~~ale ~December 11, 1973 ~ R/?C£ ~'i~iw ....,ir.. AGE- t~ woE~ ~~we a+oEt ~ w?,r o~tE Cf attx / War~, D~.~ COUNTf OF DEATH ; ~ ~rtit~ ~l,.o., s~ ~ ~..s ;;~f~e ~i, 19Q6 Cuyat~oaa ` ~ GIT. ~lAfrE. O! ~OW~OM Of /fI11~ M3i0E Qit L1~fA 1106f1iAl Ot WMEt tNSTITYTIOt~I--NAYf /I/ sM is tifis?, jirt ~hetf ~r/ ~arsit?) / ~ ~ Cleveland fairviea General Hospital StAiE af Mtl~1 I~l a~r s ~TS +t~ s~r UU2@~ CF ~rW1i OiDit~[!T r~ED. NEVH[ WL!l~ED: SVtv11ItNG S~OIlSE f// riJ~, p~t ~ilts ~rat) 1K~OOM?~ tSltsiJ~) . io , USA a~r"'~ Evelyn (Kolar) 9D[u?t SFCYtltR fw~r~ wws a~ws~ flrEe w tr_ s. w~ rotc~t usu~u e~oe.ae ~a.. 271-07-7119 "r.~.,~..~ r~t s~ . ~ . Wi±ERf OECEASi USt1~i OOC~TAI~OM tG~s ti~i sw! J~~r ii~ ~r ~ tI11D Of WSINESS Ot INOIKTtY ilVED, If DEAAI °N ~~`'lt9et'°~5T"~rd b Ref :-1an ~ ,f. SNift and Co. RE51D8iCf ~!F QTM. ~ ~T~~ ~ ~y~ uy1TS STlEET ANO !!ilM~ER .O~io _ Cuyahoaa Cle+reland .3di 7 NPCt 1 s7 et fAAI[i--NarE fs~ ~f:i~ir • Lt- ~OFN ~uNE Finr !Ni.+~f/r lair - Fr~nk Schiaacher F1ary (Patton) Y z ~F~~ANE ~ ' M~IM~i AOO~SS ~ ~~fftll ~I R.f.~. p.~ ~%fJ M?I~~Ijt~ lfltf~ Il~~ ' Evelyn Sci~aazher „~417 Nest 137 St C1 evel and , Qhi o~ ~ ~ f/l!i ~ ~wT/~ SYC fF1~B drlT QDIE CAYiE ?E! tWf f0! !d. A/. AND /dl AMROIIAtATi tMERVE~ATt U a . z . ~ ~ W ~M 3 t f ~a~wt~ cw~ - ~ c..~:d.e. i•~. ~ g. ae ws w ao.~ o~ t j ~ si:di s.se .su r. r~. _ I ~ sriiat s~r ~d. 6rE 10. C! I1S A Oa6~OdB~ OE= ~ ore l~ ~ h O~IB S1G~iKJ11a ~10~ ob3~4L Ib 4~i f~t /rt st4p~J 1r tslt y~rs it M! l(t) Alf19?Sr IF rE~ ~ctit ~liasr t~wriJne: Z ~ l Gl~~j~ fYa ~r M is t~seriisiss «rse s/ ltrr/r ~ ~ Ih. 1%. Q AGdOiBB. SillOef O~iE p M~ItI IIOt/! IIWlt OCCiI!!~ ~FJMf 1~fs7f ~J ryrrl /s ~f ! II perf l~~ ilf= ~81 oe Yl~Eits~uNE~ If1~i1 a14. l~ar1 ~ L~. 7~1Y. 2~c 7M. Q MIRIlT AI r0~ tAR[f ~ M~! At M~t f~s. ~eel. fr~w~ IOWIO~ (SbIH ~I ~.F.D. N.~ ~lfJ M ttUljl~ Nlff~ L~) ' I33 (Sj[t~j }e~ o r1 ~Ers i~~ ~r IS/~na~j1 ~ ~ ~ - ~ E-- CK~ipGll~pt- ~rlr ~j ./~j Yr AND tAfi 51tw NII!(NFt 1 a0/DIO NOT DEAiM OCCURtEO ~ Ae !bs 'Itre Is M3~QAM: Al/rE p~ VIEMI TlIE ~OOY (f10Ut) Jttl~ ~!1 t t - i witH~O ~ ~ ~'~10 1~ Iq 7=f Xw~li aj Ym AFTEI DEATIL 3i ~~y,/tlp,~~s ~e n... e~,?s~ t.a. s~.. s~. 4 7 3 :~a.N~ ~ 2~.. 6 M w?. ~s< <....r,, ,ue~a. ~ ~CJ?T1o~-aD~: o. ir f~~s ~I ir Hw~ ~J 1ad ris l~c~at ~r~'n.r~cd ler . M~e i+Jf rir i~, ~ s~ ~~wq, i~i Al~ti Du~ Yr~r N~~? " ~sra~ra/ r~iie f/s ir w~ air rie/sJ ~~~L 1~a. 1~ /i. ~ ~ ; ~Et2 t~1 ~ s~ E~ ~3 - ~ b.. - ~ 2a~. ~i 1 D I ~~'IP,dt T ~t ae t~a. un oR n~u?eE STATE z~r ~ R~t ~Y.~~ o ~ttv k~ ~ 0 7 lutin?. [~awT aiuE ~c~E Cs ~irt[B[ O[ C~FSwtOer IOCAT~ON ICif~. ?i!lki, e? [sra?~1 fStdrl ~ ~ .;~~ial „~ecf 14,1973 1lest Park Ce$eter z.._ Clevelan~ Qhio 0 - MAME ~ El1~S1~B ~~C MQi RINEtJLL S SlGNAT i (U4 HO.) ~ L~avid f. "dones 5958 A ' o H1MFawt H~a A~ w1OiE8 ~i M0.! _ (OTr) (Si 1 WF) ~ C~rri~an ~ureeral- eland Ohio 441 n_ ~ ~ ua~~i~`2C ~ oF ~esoN~ eW ~ ' D/0 ~ ~ ~ = 7'.+ ~ 1~ ! ~ ~ - - 7 , - ~ - . '-VY :?F - - - z. • j . i - ~ F ~EO ~?~+U RECOR ~ € ' _ - ' ~ _ ~~.1{3C1ErGPQ,NRAS` t ' • RGC:` ~ ~ Clf~~ ~U~T CGUR ~ ' - - p~n VEF.FiEd~ ' . ~ ~ Rf C ~ pF,c 5 ~ l0 54 ~'Z~1 . ~ o ' - = a: ~ 2966Q8 ~ ~t ~ r. r ...s~,;, ~wt x ~ - ~ ~ ~ `~;.~t ~s~ CF y µ g . ~ 1, ~3 b8 ~ _ - s''~m~ - r - - ~'r~~-~+~' 'x:'^."~r . , ~ _ ~ ~"'~s~~~~~s~._~.-~~~~F^.~~~ ? : L _ _ . ~