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HomeMy WebLinkAbout2102 ~ . , • • - - - - 1 - N~R~~~,~ `„_Q~~; Z, OHIQ OEPARTMENT OF HEALTH ~ Certified• DIVISION OF VITAL STATISTICS Yr~mar. ReR. \uG~~,~~i Copy ~ ~ • ' ?~i~ x~, _ t i • CERTIFICATE OF DEATH R`"'"`•'~, ~`S , OECEASE~-tVAME I...~ j .Ne/J/t !wu SEX f Byroa ~ DATE OF DEATH •.u•,,:,, l,~, • RAGE t~"~:~r. Rfj10. Y~ffAfJ~ • ~~chael 7. ~id 24 1 r... j .+.t...R. ~Sr~.,r~i AGE- [.~,r uNDe~ ~ 9N~ uHOC~ ~ 1974 ~ I..tbdr) ~~~rn1 o~r oArF Of ~~ttN r.t - •~o~• Ur+i orrr Mi~. 1 t.n1 laail.. U..~. COUNTY OF DEATF~ Gi1, Y~l1AGE. O «,?a ~ 3~ S~. F O Of OE~/N INS~DE C~Tt U~M~TS NOSI~iAI pR p1MER~u~~T~1- ~~0~ ~O ~shtabu~a ; , Conneaut /SOItI/? Or tOI' ~NAMf /~l qn1 ~h ~~/brr. Yu~ .nirl..rJ rrwbtrl-- StAtf Oi - ~~~y~~ s,~rM ~N ~eot .r 1.S. 1.. e..+~. c~!e2[~v of vVN~t ~.7e ~vl 1 fOUNlfr MA?f~'FO. N r e r• Ohio E E ~~~ED St1tv~ViNG e- v ~WeDOwED. DrvO~CFD ~~p~nJrl S?OUSE r/r ~~r~. i~~r w..~Jer a...,r~_~- SOCtAI ` ~ ~ SECUf.Ir NUM~E~ rdi8 ,r ! •+~.s otcc,sro ErE~ ,H-u s,~«~~~----- " A alling_ _ . ~ S~.'.~t i~FS~OENCE !?0 2~5~03-3919A : ~ } r+i+••u~l FO ORCFS - .`_:a: ~ECEASEO ~le 1• lor.s ~f ,.,i ,ry ~ ,e, ~r DE~/H USu~I OCC~-o~(. - -1-- - p0 a - - ~PFC W u.,.f~ud ~sr~ i1 ~(.~tr Ii.rJ .il u•,.! Jr.~e~ ~o~J o/ ti . , 0Y rrltrt~ll . ~r _ _ . _ =i4~E !E O'RE - Ca~C~iQ ! ~,r+0 O{ {USINfSS Of INOUSTRI - - Gti RES:DE~~~E~S?~If COUnT~ .Urr, v, -----~--..1'~e P-_i~t8bur l! Jt , ~i~cE o. ~our c., ~~HS~~ ~?iD Co e~.. • '~c Ohio ' E c~.. UwRS StlEET ArVp tiU,MSE~ t~e ABEICi~l218 ~ L'OQplaUC '~O~ril? )t~ e. ~e1 ~4t«cR_N~,vE r~.., +~a es - 60 W S r ~s Iane Lqt MOir~ED__M~ Of~i N,«E e t t ~ ~bJJir = INFORMANT-NAME ~~~C~ei ie E ~ ' i Mw„ .,G •.;cs[s~ ~ 7 Mrs. ron Cat~nichael .:.~.r K.~ .~s. a,,.. o. „~~..x.. f., , z € ',°r ' DEATM WAS CAUS D 81~: tti~tt ovt• p6Oi~ se ~t~ ,~N? ro• foi. D AND a~ - 1~ - ~ S . [ _ A??fOI:M~Tt ~~.'Ei.~i etr „ IJNMEDIATE UUSE !ol ~ ~ ! C l L ( : / _ _ wrEv ~~„yft ~~0 L°~•~ DUE i ' - ~ ' ~ . ~ f ~ / t o~J,na O Of ?S ? CG~. E ~ ' • ~ ~ ~ j , / . _ w~. ;l e+~. ~ SEOUEN~ r~ ~ -I _ _ _ ~b~.b sarr io . z . . . . . ~wnn~Ji~t~ .rrir - ~ - - . . ' L ,l~r.w rA DUE t[` _ - ~ j ' ~ ( ( ! ( . _ R ~ ..~J~r--I , DR •S • COwSE0. ErfE C.1 ~ t . .r~~R .~nr !au ~ ~ ~ - - ~ - - _ li~ . _ ~ o~vi G'nEe S~Gtiif,~~wt CO~.Oii:OVg~----- - - - - i S , ~.i. t: . _ - i . . a..~brt.w[ ar~ln brt e..r .~i.d[J t.. ..r~~r ~ _ . _ . _ _ ~ i[~ ~a p~~f I ,.~1 ~~TO?~M . . ' _ : il rF5 rr.~ ;.nd..K ~ •~CiDErti . n ,f ~ • ~ . StnGDt. HOMiC~DE.' C~t - --r-_ ~ ~ • • • °j~a~nr i. OR UhDETEfw,ryEO r ~ E Of .~.::1• . _.~f_.-_---- i9o ~ ~ ...r.r J f i . o SQt.~l~i j - ll~:arh. /'a). )e.lrl I ~MOW ~~3y1~ fD ~/.un__' .p__-,~___ t ~ f :~CC•~iR u~trr~ ! ~ _ ..Ge. . ~ ! n! rM~r.t :n; / ~.i~. : Il~ . ~ ~^.e(~l wi wG~r ~ G 70~ - . :n . ' ~i CE F :~~~~s. b %>e._ ,5.. + ~ ~ mt •w. ~ .rN. •~~IOr).~ l~C~t~'.N _ ~.~!1•r ~i:./r. fta. '1(,ti~•J/ _ ~ ~ ! ~ - . ~~:~.~t F./.l). e.... r.r u::.~g. ....t~. :D1.s.C4: ON- .~~..r•.: : .i/ vti•S C~~v f>.ri . th.an t ~ . : 4+-_~.JE~ iwE l..:.-~~y0 i~Sr g~w M V tif~ ~ : ~ j • . , •l .E ON i ~ O~0 DaQ„M~i LEAtr. •7CC~~iED ~ l ~ - ' 7 . . ~f..n,/~ /)..i "~W iHF e~~.trMCUt~ :v : e DECF~SEG ~~pv~ ~ ~ . / / ~ ~~fiEt OtATn t^~ Jl:• ..sl ~E~T~f!C4•~.~ ti--~ +~~~Ea Un.n. A...,, I ~-i vk ~:I (7~~,~ i ~ , ' ] ' ; r~., ~ - b~.Ji ~ ' ~ ` ...r•.r..•..a . ~ IL.~~-' - T - ' - ~ - • ji M ~'11Y.I~IFf ~:rf , ~ ..nrr~.l.in .~!~K/ ~sr •'Jr..~I. li.e~e. ....:l:.~ , !._r r . •:7r.1. ' ~ ~71 JA~ifY~~~TY~,.~L/~,~~ ~ ~ I'r%.N.~~~J.~~l.lr.(/~ _ , . 177 WEST ! n.,, ~ , ~ na _ . - - - . a~,~. ~ F°T r ti ~~~~~j- vn~Q ~~a ~ n 1 i Jor ,:~,~...~:.r 7 - - e A. Rica t M D ~ j.~ n.~... • M. i I i , : <i, s,,.•,, , w4.~.r~G aDt at5t- C(1~~~:f~- tJe . 5'~f~ r ..I f 1 ,l ' . . ~ ~ . f1 ~.f. v1~~~~~}_.__ .1. ~ ~ 177 W tt.i~ . ~,~i ~.T~ est Street c:onnesut / ~~l•..i~i/ ~ ~.lYl ~.tVf1~f? p1 (fFYA10Q~ ~~~1~ 440 U Burial ; ~.~5/16/74 ~~.,r::,•. _ ,f, : ~~.6reealawa Meaio . ~ ~~4~~ ~~r F~r6~_wFi - - Gardeas `.,_Harth , . ~ ~ ~s C. Willi8~1 • ' .~c, r ruNE~ - ~ ECtOt ~ S Gti ' - _ ,~yE„ son 5100-A ! : ~ " ~ v i 11g, _ o~ _ - o , _ S,.F`• ry~ . 1 ~ . / ~ F ~nL •JDfESS v Gordon Tho son 6 ~ - 3b_4.~_ -_~_~___Sons~ Inc,~_ ~ c o e• ~ou:4R~~ s*~u. s s;oy~,~E 5----~1[1 Stree[. Conne~ut D v; l;~T-/~..-iV :'.a ~ \ • ~~wtE rERr f ~SSUEn TG~~~t;Rl U ?E~S ~SS~:,y~h~~,~~~----- - - -44 ~0 ~ ~ l~V' _ ~li/', ~ DIST h0 x ~ 7~ ° ' ~ ~ <:~c=.. . fILEU t?'+.' !iECORDED _ ST.IUC'E ~OUtiTY FLA. ~ ~ ROG = .~:'RAS ~!f ~ .e Penfie~d, loca! RF~ ~~t of ~i; ~:s; Glcwr, c~~ ~~:~t7 C'vURT . . s ~ _ .y: 'a:' . ~ ~Uf_.3U O{ ~f~~d~ :)i3~ - ~ ~PC~~''e~y!. R jt~ i : ~ tnat the to~egoing is a tru~ ~opy of t7e ~~ath ef q ! ~ ~ Byron.O. Cas~chael ~ I izPH'1.,~ - _ . F~Q.~.... ; - . ~ i ~ - __1 ed on „ ~ • ' - - ~ - as vv:;h t~,•~ ~ , .......May_.14,...1~7.4 _ . _ ' . ~ ~ ~ of Vita, c,t,3tist~-s. St~te of Oh~o. . ~~y'~. ~.y ~ ~i . - - ""'y V I . t ~ . ~~~i'.~c...~i.. . . . . . ~ f. ' , ~ : ~ . ~ue enf~P'ct, 2-n~strar - - .I~°-~-.-•-~;~: - ~ ~ '".ay 17~ 1974 0 R -'~r ~ ~ a~~36 PA~f~l„1~ . _ , . ~ - . . ~ - - - ~ - _ : ; ~ ; : . _ _ : W