Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0437
~s.ao~as-„~...a,s, ~~,o <.r. ~ m.~ i~ - - ~ . ~ o ~ - - 569070 ~ m~tn ~ ~ rdlow}I~l:`~ji~ae::a:ipl~c cestisa~te o1 a~ath ` b! M•t ~Q o~ tL~ 8ealtb. as i {y- . -~.l:~~.~{,.., L JAN ~'9~~~f - - _ ~ : ~ f ~ ~ ~ . ~i'~~i~1~ ` ~•j ~ ~ . l ..y,. . ` . . r t f . ' ~ M . jj ~ ~ ^~MI ~ ~r+~ t ~IL~~ • . `t • j - ~_w- ` ~~z~~l! ~ • ^t • _ ' Y' ~ r . _ ~ ' - ;,uu~> , OF rE11Mi1fLVAN1A ~ •~t•f+`- OF HEALTM FlM IM. .~C~~.L! ~ ,'i c~ iTATiiTICi . a~ Ob_~:;r`_},r;'~.y - TE OF D$AT8 N;, L PLACE OF OEATH -T • Z UWAL REfIDEpCE ( MewM IM/. M IrtlM11M: nMN~M M~ ~ a1Mb ' ~ ~MIM~M ~ ` _ .,;,,~''~~.,°X;< - a.~ k .~b I~ Cib. MrwrM T I a tayK if ~yr I~ 1~. w Cfb. ~r T ` ~ ~110~r~IT~AL ~M ~ • L 6 ~IrMt /1Nnw K ~ ~ I~r~unoM t , ` ~ ' ~ ~ ' a w.» .e o.~ ~.w. ~wr«..~er u.~a• . M Rrl~w~ l~dM ~iNNNlI LMibt t~. n..u . F...* Y« O N. O Y« p ~N O-) Yw O M. O x~u?~ (FlM) t~aa.~ . c~~ a?t~ c ~ c~r> trw) trn. « r•r.U 9 : ~o°~F?rH - ~ _ ~ S. ~EX f. OR IIARR ~ N IIARRIEp Q R OATE{ ~OF BIRTH A6E (1~ pws N ~wMr 1~r M YMn ArL wiDOWED DIVOROED 0~,~ -Y ~~p ~7trt MRA/ty) I IIMIM ~ Dyr~ lMw~ I YI~. 10. N! lIAYE Oi iP01JtE 11. ~IRTFIrLAC ( ~M ~r 1L CITI2EM OF T ~ • ` `.~.~_.{~~r ~~~i~.~~lc~t~~ _ """`''G7.~u~ ~'"T'~.~~~ ~ FA . ~ 14. ~ W11~Ep E T . ~ - - ~-r :~1~ = Q c1't~ L~~rv ~ ! 1S. OOCtlrAT10N (wM H ) li. Aefal i~wrf41M. 17 '1N A • ~ ~ . Mt~ICJI< C~TI~ICA / / ( ~y~ . ~ ~ l~ CJ1tJSE OF DEATN IE.~Mr wy w ewM Mr IIy t~? (~)7 Orat aM D~ath ~ rART L MtlA w~ ww/ y~: 3 ' ` w IMI~DIATE CAUiE (y ~ a Y r~Mitl~. M~. wAMA DUE TO ` _ ~ dttlM YMMy' ' - ~ ~ ~ ~Q~ 1M Utt. OUE TO (e) " ~ • ~ PART 11. OTNER 316NIFICJINT OONOITWNS I~trIMlM M~atA Mit n~l rN~fM b W taa~l~al ~Nw~ fhrM f~ Part 1(a)~ 1!. WA8 AIROPiY , PERFORMEDf 4 " Y~sp IN? ~ 20~. ACCIDENT fUiC10E CI~DEM ~OY. DE~CRIBE FIOw iMd1lRY OOCUI~lEO I 4Da TIr Mwr. M~M~. D~7. Y~r ' a ~ ~ ~ 4~ E.i Y. ; ~ ~0/. IN.IURY OOf.'URRED I 20~. ~LACE OF INdUR11 (~.f.. - 20f.dTY. BOf10UAN. TOy1INtMIP CdUNTY =TATE WAIM d INt wAtN hM6 ~w11. s1~t. Ms.f I ~ rxk Q at wrt ? ~ r . ~ ~ pl. I 1Lea~eLy eertiJl tJ~t J sttewdsii tis A~osa~ h~ ~ 1! to , ll....... tA~t I I~at aw tJLS fs~ewed ~ .w. ow u. .es u~ a~ ae~,r.~s .c t ~,Q . w., s.a.r, . . - - - • os a.es n.r.a .aoue. ~ n.. s~e~u? - ` ~ ~i.~. -«-aa. I na `Q~ a~eNEo ~ r ~ 4,7a. WRIAL~ CREMATION DATE Z~. T~ OR ~ T10N ( Vi ~n.. T~. i` ) ~ ~ ~uov~ - J - ~ !4. DATE REC'D ~Y !S. 9NA ,.~~i. NATURE FUMERAL ~ AppRE,is ~ "~e'~,--~ ~ ` ' ~ !'~~OGc /i. ~ ~ BOOK ~ 437 ~ . ~ _ . ~ ~ ~ . = ~y~~: : ~ ..a_~~_ . ~ . e _ ~ , -