Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0241
f;!f~i,~' ~ ~fy~ ~€~~N ~':.1~'% ~~,:'~r...~~. . I'';': f ~ . . ~r~~.~"~" .~...~`w~~.run"n~~ . ~~f._. ~^w . _ , M{itthti011 W~t No~----°`CQ SU'fE Of SOUTH UAQIINA r~ i ' Rqlitt~t'S NO.. --1~A7 IOAAD 01 NMIiM ~ CERTIFICATE OF DEATH ~i.ni~u•~wn a fr?e. OA ~l1NT IN Si~th No, r MRMANINT INK pK~ASfO~NAM! ~~~ti~ SEI( DAl! Of plATM ~ wOMiM, 0~~~ ~ ' 3li N~NDI001 !01 ~D ~ W(~ 0 ~nnucrro~a , Aubre~r V~l.entine ~'l~w~rs Male ~ A ur~o~~ ~ ru~ u«On i D~r O~Tf 0! {iATM i~M, o~r, COUNTY Of OtA1N A(~ ff QQ n(7 AAC! ~~b, M1pw~ AMIII(~N IMOUM~ AG!-uu rt~~ ~ , nt. ~~txyi~@ fm~~r~re~ni .a~ wn ~owi MIN nPC. 189 , S artanbu „ ?'S'd 1"~ ~?'t N W[la. A C~ F-' C~ W LL I-~ ~wt~o~ <~n ~wm NOStUAI OA OTMlR M5111U IrN-~NM~ 111 Mpi ~N IIIXU~ 61r1 {~MP ~MD wurlU i ~ , T wN, It l A DE~ N ~nun ris a«o N w~ Y 5 artnnbur Gen~raZ Hospital " ~ , Spartanbur~ ~r o ~o w r~ p1AT! 0~ 11~TM iu Mor i» u.t M~+1 CI11Z~N 01 WMAT CWNIAY MARAIID, NEVlA MARRIlO, SUAVrvMIG S~OUS! i~i wn~~ OIV~ 1NIDIM MM4 ~ ~„h r~ f„r taNnr i wl WlD, D v0 D ~ Irlcur i "x 0 17 0 Tenn. , l1. S. A, ~~xr~e~ _~hristi~ne CJ.ark ~ c~ ~ c o 0 vw.i r~wn+ce 1~_~„ rt?i 7r M'' 7~' w~n OKUNO yE~~Al1Y NUMOlA USU~I OCCUTATION iaw u~o o~ wou oo»~ ounMc ~au or KIND 01 WSINlSS OR INCUSI~T ~ W w ~ uwa n w.TM w011nq l~R, IvW P IInqD ~ SCt100~: 0 I'-' A N 219-01-9916 „Reti.red ~each~r , - iMftnu~~, arn ~~fro~ tm trin STA!!1 AND NUM ~ Fh f"~ b" 114DIMC1 NM~I IIY, 1OM'N, OA IIXATIOH W ~ h'~ ~erqNO«, RlS~OlNC!-SUT( COUNIr C ~~qprr nti o~ No ~ L•-~? ~ r T't P~.erce ~1916 Ro al Palm Driv~ o Fla. . ,ucie . FATNIA-NAM( np' M~OOU ~~fi MOINER-MAIOEN NAME ~~tl~ ~ w~OD~I ~ O O M~ Jarred curi Fl ower. s Florence Ste henson ~ a x~ ~i , u 0 iy H N~ Crf d INIOAMANT-NAME hultiNG ADOAESS ~nun m~,i.o ~o , un o~ ~ow~, u.u. cu~ ~'D ~ ~ I+ha A. F1o~aers ,,,l.l.Oh ArchdaJ.e Ar. Charlotte N. C. ~,i cn o~ c~ . , „ ~ y ~n o r ~~IIT I. OtA1M w~S C~USED 6Y ~(Nt(A ON{1' ONf CAUSF PER (INE IOR fol, IbL AND IaJ~ 11~w11~ Oel~~!wo C~ ~ ~J" M Q ~ u i«~~c~. i a~,~ ` r ~ ff K V~ ( > W ~S 1~~~1 ~ 4-a . ~~ti n n~ Iai i , ~ 0luH C''0 ~ ~ K iY C~i G?i C+! ~ co~onwM+, u.~~, _ F+~ A LL tA WMI(N 6AY1 ~III f0 ~b~ . A~~ y r.l~ ~ y ' R 1 i IMYIDI~II CAY11 101, DYI /0, 01 ~ C M IGUI~CI 01.~ ~un»a uNOrv ' A1 ) C) fD a?'3 y ~nMo t~ust u» ~ . (~I AUT015Y If YES wi~f nMOi«c~ c iS' y F+• ('1J IAAi II. O1NlA SIGNI?ICANT CONDITIO S CONDi1~0~5 fOMtlilul~HG 10 Ot~in ?W N0~ ~1ti~1t0 ~0 C tR ww» iN ~e~ ~~a~ ` ~ M0~ Up~~~O O~~I~M~MIMG G ~ H O r~ ~ f~ ~ ~ IM ~OA ou~. ~ ~ ~ 1-Ci IN1U~ i ~u«u. o.~, ra ~ M~UR MOw I AY OCCURAlD ~~wq~ M~tw~ oi ~wiu~r i~ r~n ~ o~ r~n n, mr u~ f'r hr ~ ~O ACCIOtNT, SUi iDt, MCM1C10'E~ • 070 OAUHDITlAMMtDi1MCU~i ~ N ~ ~ ~ ~ yt ~ ta ~o~ M~a pa v rt ~ t0Ut10N o~ ~.i.o, Mo ,<in o~ rowM, f~.~l i ~ ~ . a~ INIURY AT W01K IIACE 0~ INIURY.i ~o+t. Sn11t, ~u~0~~, 5, y y ~ I H~C~~r ~I! 01 H01 Or~~Ct NOG ,~rt i 1rlt~~Y ~ y ~ r O ~ ~ r0~ ~n A 0 0 9 ±t~ rphtN O~r rl~~ MONM C~r rt~1 ~NO Mfl S~W MIM/X~1 A1W1 OM ~ D~D/D~D MOf rqw lMl D1~1M OCCUIIIO ~w~ 1ut1' 0~ ° A CER11F1CATION- roN~N o.r ,a~ ~OO~ •nu o~•~M ~~oiV ~3~lfo•,t' •«o' o"x ~c. ~ To 1~-75 -15-7 D~a . o.., a~. d ' 8 ? 75 ,a,~, <Ww~~,,,. ~ ~s a ~ H i ~nl~Dro fMl ~ ~ • ~II ~I~ Ott1~HC ~?O ~ _ I~I) p~ i~pl A E 1 N( ~M, ar,iu Gi a a+ H I NA U ClAIINER-NAM! ~nq o~ rn~n r,, _~~j~._ e r w.• H ZV , „ Dre. Aoward Hat~~l_~..3c~ ~n ri ~ o ~ I III~ O 1 1 U O CI 1 IO N h l~~ hf ~ MANINGAD00.tSS-CEAfIN(A' N. ~rQ~ . - nbur ~.C. lOC~110N [~n 01 ~Qwr~ ~ ne • r> L~ ?URIAI, CREMATION, AEMO~AI CEMft~AY OR C hU~ORY-NeM! xenn. ~ t~~~riai nlTnion Dickson, , - - ~ DATI ~«oNt~ D~~, ~1~~ IVNfAAI NOMf ^ NAMI ~ND A~DkFSS IDII~ 0~ ~ i 0 Mo , u~~ o~ ~ow~, ti,•~~, ~n ~ ' R-18-,1~ t~Mc~?aen F.O, }~ox 4?8]. Cha a ~i i: W tH - c.~t "?7~~t; ~ ~ ~ REGISIII~ S~(~N+~U ' " „ . ~ . ~ ~u~~~ N , wri~ t oiRE~OR--SiG 1~aF ; , ! • . `+,J~i N r . . ' ' ..,,r . . ~Nt~1.~ t•~~,diNVr..~, ~ .•.y .6i,,.. ~ , £~l f~P : 1{,, & ',A+: - ~S 9. ~ .