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Home My WebLink About0171 ~ • ' ' ~ ~ ~ OH10 DEPARTMENT OF HEALTH l~.s u..~ ~ ) s~.~~ f~k ro ' r~~~,~~ Rn u.~ w isd ~ OIVISION OF VITAL STATISTICS R~{~rqt'~ :b y/ CERTIFtCATE OF DEATH OECEASE~-IYAME I»u .M~/Ilt L~I SEX OATE OF OEATM ~-N•~rL, 0.~, )'iw1 ~ 4~AR~i s~ 7 .2 ~ Cr`) . RAGE s a.r., e.s.•, ....a.• AGE- Lu u»ae~ ~~eu ur+o[t ~ ow~ DwtE W H~tN r V•.,~. l~,. CpUNTY OF DEATN ~~I~s. ih. ~~InR~/ ~wiA/+) hi~q/ .1bt. O~f~ N~rn .W~. 1 i.w1 _ ~ ••-1~ ~ ? ~ S~ Sa • Q ; ` {:tr, nt?~GE. Of tOUt~pra W D[~tN v~S:OI Ciit uriff MOY~I~? Of OiME! ~w~1~TYT~O~a-HawE ~l! .r rrk...~.~~ in~~i raI ~.~?er1 ISN~~II « NI ':~li:.:~~~s •es F3ver~ide Hos .i~al ~ St~fE Gi ~~ftw ~I~ ~~t e+L .5.,1.. ~+~i Uf~!!ti W wN~i COYnih w~t:EO. wlvE~ ra~litD. SUlnv~hG YOUS! ~Ir r.!~. t~~~ ss.dr~ ~+n~1 w~oow o, mro~c o rs~.~,r~i , ~hio . LiSA ~o t~arrie~ Fae~line Br-;ant ~ S~iC~~! SlCV~~1( ML~i[! w~S OltE~SED tv[~ ~w y S 4trfO ~OtClS~ - . w. N rd~vr~/ M, ~e~r l~te~ ~f se~ner~ ycE ii. %i 1tC'-<21?. IJo :f0 VS~e1 OLCU1~t~Orr ~4ni 1~~/ ~1 r•.I 1~N /r.u~ ~~~1 ~l !i?+0 O~ WLN[SS q iMWSlft iM r •..H• L+i. ~~u rn iII G~rf i7~ ~iw'I:PI' ~T,~C Tl~@flt. ~~ESt ::U 1' ~G~E ~~S GEMCE-1(~~t (OHtiT~ ur., nu.cE W~ocs,i~0r+ ~~+SiOE C~i~ lir~lf St~tET ~vD N~r~E~ ' rSlluf) )f! Ir N1 t~• ~'~i ~ ~~s " n I~s ~~n ' I` c1+ n le• FF I;~u1, i~ ~oa3 i ~a•tit~-~.~rl fw.r .Y.tlb I~u r~OtME~--r~~0[M N~MI f.•~~ .Ui~1l~ L~r ~s TY>c-:ss Karr;sor. Farke~ Lella Ir:~e So~,hza ;:issen INFORMANT-NAME •~~tu+G ~00~[Si ~S.ar~ R.f .U. w~., ra~ ~~U+~a i++er. -~I~ '~r~ z„;re F',er 1~F Ll~blin Ror~d. Colutr~bus Ohio "220 i ~~~t ~ OEATM WAf CAUSE~ 41fs :rN?t• wvtr oN u t~r~ E~oR ~~i. ru. ~t?+o rc~• w??eoi:+~~~E ~.r~t~*~; w N t ?N tr~ 's t~ • i 3 IMM~OIAft CAYfE t•1 ~i. ~ ~i~ • f oue to. w ws ~ eo~sEaue~ or ~ ~ l ~~I.r~~~~. il ~ ~ ~i~r~ p~i ru~ N 1~1 ~ r~s~I~ri smi /~I, DuE t0. O~ ~S A CO?~SECUE?rCE p ; - .r..,.~ ~a. •1//I• ; n~.~ I.~r ~ D /~~t OINE~ S1GNIi1CANI CGhO~T1~NS! r~/~f/o~l a6~fli~utqt q/f/!~ Ir/ i0: ?t/tlfI N(YJf ~Itf~ M j/~! (!IJ •Ut0?Sf tf tES r~rt R+./.+p ic~~,l~rr/ ~i~ri ~r u w t•~r.nw.r~ r.nr ~l 1r.rL t 5 ' u. ~v~ t:C'OENi. S::~UDE. MOr~UDE D~iE O~ ~r~rilT nOY~ MOMr ~HW~~ pCC~~~EO /Eun ~+trr~ ~l ~qrr~ ~rr / ~r ~.ot oi~ /rI O~ u~+DE/tW~r.tO ~SNrr)~~ ~.NeWi. t~~, 1'iwI } 74~ ?W 70~ 7M - t ~NICf~ nf wOf[ 1l~CE O? ~Mlutt .4i 4i~~. /wn. u~iu. Nn~.~. ?OC~t~Qw ~Sr.~n ~r K.! A. r,~r adl~~a ua~. s.~f t • ~lDudf In ~r ~yI ~~J..r 111~.. ~u. ~f1r.~J~I ~a ~ i :E~t~l~C~t~pa- .M~.~rl. D.~ Yri. .M~.~rh p•r )~a': ~wr.D l.?St S~W M~M/MEf i O~DlDip nOt DE~?w OCCW~E~ .1~ r~v ?Lra _ ; IN~y~CtlM . AI~vE ON V~lW TNE ~Opt iMOtt~l taI d~t~. r~J. f~ ~ ~ wrr[w0E0 ~ME ~ 1 ~ /tO ~ ~ Mouf D~f 1~a uit~ OF~iH iA~ ?nr ol i _ n n ~ l ' / ~ ~ , / i ~MOY.iJ~a /re u " , - 7~• 0(CE~StD /~Or L1~ ~ J ~ Z~I. 1~• y elr ~.ra~~~J iutt/. ~F: - ~ - CE~r~NGh~,n-CC~ONE~ (I~ rbr ii~n ~f IL~ ri~~~Mn~• H1r. ~t :..fr !N /n~/iM ro pr~o~~u1 /r+J ' o~ bJl •d- ~r ~bi .~~t~l.~.nu~. of•u~~. N~~~ .Ns~Ii U~~ Y~•. f/arr - 3 r~.rnr/ e1i /~te r~I /ri I~ ~l~ ~.~v~~1 ~t~fd. ~ ?7~ 7? > Ctf(+f~!/--++~M[ ~1?N~•I•~u/ S~G?~~IWE ~yJ ~rr~rra/e D~tE S.GnE ~ y/// ~ n ~ ~ 7S• ~ ~ J7~ F~ ~ / ' / ,N ~ 77r / ~ - + ~u~?~?~G ~LG~tSi--{r/~f+r?~ J St~fEt~ ~ i . W ri ~GE yt~_t 2~~ 27~ C~ /-~fL n ( ~~t j .A/ ~ ~ ~ J `l/'~j / .~i ~,S W~~~1. C1f~~~~QN D~i[ NwE Oi CfM Of C~(YAlO~I IOCAt~ON ~I.Ir. u!/isi. qr .rr~h~ ~SfXN .1: ~..~~~Eurfal ~..1f2a/1~''4 ~ur.set Cemete Galloxav Ghio N~rE p Erl~trEf IUC- NOI I~ti[~ tCtOf S S+G?+~i ! fVf h01 ~ :s ~red 1!~'.a4hten <<2F A ~ "/rL ~ 1ywE~M /~ba u+0 ~DO~fSf ~STtEET rq ~ IC~tr~ ~S1~t ~t,~ 1 s „ ~a ~ ~ ~ ~ o•~.i i e° ~r ~c r•~s ~;eM wu re ?t~r~t ~swto s •ru~c a~~~.. r w~r o~sr. ~O. ' -1- ~ . - .-~.w• „ - ~ PncE ~71 i s : ~ ------~_t_--~ ~ _ . _ ~ , . - - - - - . ~ , . - , . . - . . _ . : - . _ _ . , _ ~yen , . F.~.c> . .~..,s...a ~ ~ ~ ~ _ _ , , ~~y-?