Loading...
HomeMy WebLinkAbout0065 . 3~1i1~51~ , - . COJM~MONWEALTH OF VIRGINIA - CERTIFICATE OF DEATN DErARiMENT Of 1#AtTM -~WEAII O~ VITAI RECOIDf ANO l~AITN f1ATIfTICf-RICIWOtip ~ ' ' N -.a•w.f 1~~rr. N~1! /Rf . •M~ ~rwN~ IM~Yf' ~ • . . MMYl~ f Nt~~•~ocv+utrrcNr c~~~~~, ~J ' ~ _ ~ • , W~ M~ S. ~ I~~ `r~ _ a...nww AZ~1 HOl~ill $ ? 1 etctontl i~.n a r.~ wnf b«~ a wo~.n ~ ruu ~ ~roa ~ ewr • o~a ua { ~ _ Ausitacl. 'l~ 1l71 dl ~ iihlf~ ' ~ • wu~R1 1v1~0 !A~~!lIINY yO1t M'r~?r++~l 1 COUAt d M w~w~~ ~w M~ ~ ~lA!! O/ ~J~rO~Najl tla~ ssv~~ ~TM 1 ~ t dit O~ IOiM~ M~wL ~.~i ~wr. r.~ i.~f R O~!!T A00~[8 p n. M0. ~ y 0[A/M ~r ~ ~ ? O~ RK~ Or Mwlr • I i ~ ` ; - ~ pA~~ a ~1. ~ MQwf~f p WM~.br ~ Y~w MJf ~ ~ ~ usuat , •a . ~ ~ ~ as~~tNCt i ! t1 OR11 `O~~~~~~ ~rir i~ ~~~.r~l li fi~@~af ~110o0q~06~ O~~~-tR_ Mn =11? ~~OM . ; i M~ECNdQ • p7[]~'!q ~ ' ~ p 1W~T~ ~ ~ ~ = a~o u~uvs ~ ~ ; ~ l< M~Ar~K O~~IN~ ~f. ~uMM M4M! O~ ~ ~ o~ui ~Iy . ~ ~OM~1i01't ~ i i i~~ ~ ~a ~ ~ a ~a r~nn ~~va r~ ~ ~a ~ p s .~o~nw ~ , t ~ ~ows ~ ~ ~ ~iII ~s TO~j - ~ i i N?tw w II. 9. ~ 1~. ~OCYII tlp~Rf 7l • N1~~Ml ~~w.~• ft. M1~1~[t F~r~+wrl~ TL MR Or ~A W 1Iw1 /w~! ~ MO~1Y~ ~ ~F : ~1....w~M~..~w~ b ~1 ~O~ ~ iC ~~-33+fM lion~ rsitda' lby , 2 !L ~Y O~ {~ff ~L W p M1Y0~ 11 NOOMM-O~ WA[! - ! 1~~~ Or a~°"or ~f Frose~ ~ °~"o"" °"'°`"~ra L?7~b O. tollari ~ ; ~ ~ ili iiw~i~ ~ u ~n~r~•• aaww ~ ~ ~ ( i i~ w~sw~ unai W ! _c\~_ ti t - ! ~ ~ ~ M~IYfK1AMa \l ~ ~`~L= \.a~1 C.J~'~'/~'s/~ 1`"?) 1 ~ ~ 2 C~w~1~?Y~qt~,~,yMti~y A ~ i ~ ~ O rw.iwwrW~~M ' . . P ~ pr.. fM .d ` ~•ir1~w~ wr ir. OYt TO M~ ~Y~ r ~ ~ M~W ~ ' Q € ~ ..~...~..r.. ~ r~n a a~n zawwuuw caemas ov+rrwnw w oum ~~n wt ~~m ro tw mr~ra ~ w m s ~ ~ .d,,. ~ , W . _ a ~ ~ " - ~ V f~ ~ N1WL MAf lflA A ~lONNICr N ~~=ribMl CnY!l.1~ VA{ Hi Ol7CM! MOiM NNf?OOCVhlO~ M+r w~ M Wvf r Mw 1 w M A ~ won. r w r ` _ r~,u ~ raw~ nrw~ (1 • tawrM~o ~ j ~ • r+ r ~ p~ ? r? ? ~O C1Y1lt b~-kAM r~w r e:~te.K wosr res. a~ ~a.r 1 7r., e ff. 1rK A NN!? i+1 1~~1 6+1 tM. Nl11~Y OLCMB fy. RAC! O~ NJYff M~? hr~ fM~ 1dr~ ~r w~ hw+lr? Fwq I ~ ~ w~ ~ r++M? ~ 4a~~. ~r~K ~M~ Yl~. MU t ~ AK wr~~i ?Y ~ ~ ~...f ? ~ ) ' ~ l ~ S • • ~ 7r.IQ~Itt r _ 1rlw~aw.Mr NWPr11...~.~.rww~.M• T ~z~a~ssss ~ . ~):s7 ~,t, , t ~ ; T :~~'r ~ , ~ f - = . ~ ' n .~K x ~ f ~ ; ,u,E.u ~I ~7 . ~ ~ ~tonnra]1 Jaokson K~aos~ial CMet~s~? Ls~d~ton. Yi. ~ .~.~o. w.~...d....~.......... ..d+ , :'"°'W. D. flarris~n Co. MorWas7 ~ ; ~ - , - ' . s- c . .°°r'r Y ~ N ' , ewrt rcws ~ j ~ 'lNlfttA~ ~ + ~ L~~L~C-t/L(~-~ J~-~_~9- v ~ - - - ~ ~ •Tk~ ~~~~O~c~'~~y that this is a true and correct reproduction of the ~ `~~~8 lt`~~;~'~¢e led with the Rockbridge-Lexington, Department of Health, ~ •,~~C~iti~~lbQ+l'~.!'$inia. This certification is valid only When it bears the ; : = - . . ; .~j~essed seal'.of ihe County/City, Rockbridge-Lexington. ~.~a • .'t _ . isc~'r : " ~ 7 ~ ~ . ~ ~ ~ f - : ' ~ ,~'J'~'~!•~'•~.1~ ~~0~~• ?~-~IZJi ~lA/ Registrar ~ mm;s ,..r`~ ; ~ .ft~t ~ ~ 1 ~1~t!+~ ~ILEO AMU 8~N7Y fl~• ~ - - - ' it.--~yi~'n ~O1ZA~ _ r~ f C~EAK ~~CUIS C0~ a~~~ao v~~~~~~a...,.~-• ~ ~ ~ ~ 3~ 2 0o PN 15 ~ ~ BDOX~ ~ ~N~II1551 ~j ~ ~z ~ ~ - - - - _ _ _ _ ~ . ~ t,