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HomeMy WebLinkAbout0419 _ - . ~-~~..T~ _ ti_' " ..._~.~it . . ~~a'P~M.~A ~':.•+~yyW75! . ri~~~ ` ~ OHfO D PA - ~x ~ 7702 ~ RTMENT C~ HEALTH 7702 DIVI~bN OF VITAL~ S'~ATISTIGS P~~~ry R"`. a~_ No. CERTIFICATE OF GEATH ~ ~ ~ DECEASED-NAME ti.u .N~I~tte I.nr SEX bATE OR DEATH ~.N•nb, 1~f; rie) ~ Robert Paul Edd male Ma 16 1975 ~ ~ RACE ~'bkr. .ep•, ~~~.:~,pr . AGE- Lnt uN~Ee ~ rE~~ uNO[~ ~ owr pA1E Of ~~RiM ~.~I~wrb, Drr. COUNTY OF t~EATH f i~Iir~. na fS t~N 1 fis161r~ /fe+il M~i. ~i H~nri Mn. , i s.. . une 12 19i0 ~a. ` Summit Cli~, YItIAGE, O~ IOCATION OF pEATH tNSIDE pT11 IIMITS 1105?1fAl OR OTI~E~ INSTITYTION-HAME f// ~sI ia ~ifbtr, sitt f1re~I +rJ sra~j~e?) tsled/ r~, o. we1 ° n. ~d. C' n Ho DOA ; S1ATE Of ~ItTN (l/ aef i~ U.S.A., w~wt C~T12EN Oi WNAT COUNT~4 MJIRR~D, NEVE! MI?!l~EO, SUtY~Y1t1G SIOUSE ~I/ ri/~, siie w~ider wrsj . roandql _ WIDOWEO. DIVOKEG IS~r~i/~) W..~i ~1! 2..• ~ ttc^ iu. ~ -~S ii. ~ ~ n ~iil -~1C fOC1Al SECU~Ii~ NYM{ER WAS OEGEASEC fVER ~H U. S. ARMED fORCES'~ ~1'a. ~r r~I~or~l ' /d xs. R'rr J~Ns o/itn~~r) . ~cr 2 Q~l ~76 - M~ USYAI OCCU?ATIOM f 4ir~ Ii~/ r~r! /oK lrrirt wsit of K~?rD O? Wf~nlSS O~ ~NOYit~t M~ Y~~ y ~ s:` r ~s4iss /i/r, ~rtr iJ nIi?eJ) a E Good ear Aeros ace ~ RESI~ENCE-SiATf COYNTT CIi1, VIIIAGE OR IOCATION IHSIDE [ITY llMliS StfEET AND NYM{E~ t~ fS~tti) n or pJ . ' : Ohio ~.e. Summit Barberton ` ~.d. ~es ~...640 E• Franklin Ave. ~ ~ fATNE!-MAAtE Finl Mi1//e Lrsl MOiNE[-Mw~OfN N~ME f..,r .tibJJ/r I.a~ ; - - James P Edd Alice - Forrester r~ I FORMANT-NAME ru?IUNG ADOeESS ISnet~ ~r R.t.D. ~o., riq ~r ~i/fa~te. u~u. tir t ;re. Mr Erma R Edd »b. 640 E Franklin Ave ~Barberton 8 44203 ~ ~ ~n~r ~EATH WAS CAUSED BY: IENiEt ONI~ OHE GUSE /fR IINE f0~ t~1, fbl, AND fdJ AHROIt~MATE INiERYAt ~ ETwEEN ET AN AiM # t 1~. t _ cwus~ te . ~t .~r . t,.i,~. ~ ~'~ti~1i. fJ sR~. DUE TO. O! AS A CONSEOUEH Of: ~ ,O - s~ftb jtit tlif f• 1~f ; ~el~a~i~e s~rst I~J. p~E O! AS /L CpNSEQUENCE Of: > >t~/i~s I~t r~1fs. : l~i~ ~e+~ue l~rt j ? l0 ; tA~i 11. OTNfR SIGNlf1UNT CON i1pNS.Cosfifie~i coiu?iir~i~s t~ l~~tb ~st rrltlel Jt jirt~ i~ ~~r1I 1+1 AUiOISY li tE5 r t~~ N~J~ws~ a~~u1n~J . i 11'n ~r ~e ~r Jrrrr~iw~w~ ~rrit eI /tr(i ~}t I Oe. 19b. - ~ i - ACC~~ENi; SYICIpE, lqMIt~DE DATE Of INlURT MOUR NOW INJUl~ OCNRtEO /E~~tr r.urrt oJ ~wjrs) iw ?.n~ /~r ~,n~ fl. i:rr !tl1 f~ O~ YnOETEtMUNfO lSHci/~/ I.No~tb, 0+~, Ytw1 70~. ?00. ?Oc. ?Od. ~i IN~yt1~ A/ MfOa1C ~IACE OI 1n1u~t .U bo~i. l.nw. ~nr~i. fr.~o.s. tOC~T~ON ISrr~~i si K.l.t). ~s.. ri~r or ~dla~~. usr~. t~?J ~ ISOtsi1~7 ~r ra/ ~~r~ i/J~., p~ruJ~1 ~ ~ 70/. CElTIfICAiION~ .11o~lb D.q Y"e.n .Nowlb D~~ )"t~r AHD IAST SAW MIM/MER 1 O~D/OIO NOi OEAM OCCURtEO .1< <b~ ~l~rt, IM1f1¢AN: AUVE ON ViEw TME {O~T (MOUf) ~be ./.ue, r~I„ f~ e 1 ATTENDEO TNE i0 .Naub I?a~ Y~.n AfTER DEATM. tbr itst ~ p ~4~o~rlrJ~t, dre f '171~. DKEASEO FlOM ~ / ~ J 21~. ~ ~G ?i ]Ic S ~r 21d.~(~~1 ]l~. M. r~rr.rri~liJi/Wd. t CEtilf TiOrt-~pRONE! O. tbe ~rii~ oJ tb~ e~~i~ueos Hor. o/ de+rb Tb~ /trdaN ~1t powr~ced /t+l t ~t~rrr~~w ~lrts.rsl /xs ~be aw~~1i/ ~frtd. 1i~tb .No~ti D.~~ Y~~r Horr ~ ~ i ~ ~i.. ,w~ aie. t - ~ GEtTIF1Et-NA11E !T)Pf M~siA1/ SIGNATU~E Qr rtt or t _ OAiE SI ED ' Haro~ld W. Nolf D.0 ~,b_ „~~~~9/>r ~ g MA1lING AOD~ESS-CERT/flEt Si[EET Ot R.f.O. HO. C~T11 OR Y~t E StwTE, i~~ ~ ~ ~ = 1250 Kenmore BYvd Akron Ohio 443I4 f~, WRIAI, tfEYAT1pN DATE NAME Of CEMEiERT OR CtEMAlOlY tOCAiION I( ~I?, u!l~ss, er ~or~hl ~ ISIrftl IS « ~/1/ . • ; ~ ~.~urial IJ~a 19 197 k. Greenlawn Akron Ohio ~ . ~ NAME Oi EMiAIAIER " (UG NO.) f RA OIR 'S StGlIA1Y`~ II~C Hd ~ f ~ Nilliam D 1 ie 5A ~ 4975 ~ FYNEf/1l FiW AND ADOlESS (STREET NO.) (UTY) (SU~[) (t~?~ r. C ~ 3~ CAiE ~EC'O ~I fEGISTRAR'S f1 fE OAtE IEWIi ISiYEG SIGNAtYfE Oi ?E~fON Ii~Yl1~G ~E~M11 OISi. NO. ~r IOCAI tEG_ - f ' ~ r • ~0 ~I ~p, - - ~j r; II ~ ~ y~=~"i„ ~~5 . ~ ~ - - .