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HomeMy WebLinkAbout0659 ~ ~ + 37.~862 NT OF HEALTH ~l~l ~ ~ ~ OH10 DEPARTME n"`' NO' ~ DIVISION OF VITAL STATISTICS 5`ue F~~` N°. °it' j1'°' CERTiFlCATE OF DEATH R``~un~' ~o OECEASED-NAME t~~+~ .Nill/r L.u SEX DATE OF DEATH t•Wa~r/., D+~, Y~+iJ FRANK H WEBBER ~.MALE Y~-23-75 RACE ~~~re. ~•s.~, i.au.. AG~Er- L~r w+oE~ ~ rEwt uNOte ~ owr OAlE Of tItTN f.N•.~~. D+l. C~_ UNTY OF DEATH ~ ;e` ss.N.,. n.~, +a,. e'""'Q-13-1898 ~a CUYAHOC~4 C/Tr, VIIIAGE, Ot IOCATtON Of OfATN INS10E CITY IIMITS MOS?ITAI OR OiME~ INST1IUTION-NAMf f!/ ~N ~r ~if~er, si~e tfrt~f rd rr~Mr1 ISIetd7 n N s+1 2 CLEVELAND ~CES ~a. UrTIVERSITY HOSPITALS OF CLEVELAND ;1 STATE Of ~I~TN If/ ~~r i~ US.A.. ~nr CITIZEN Of MMAT COUNiltt ~?ARf1E0. NEvEt rutttEO, SY[vIVING SWUSE /IJ reJt, ~.w/tr r+~t1 ~ ~ _ WtOOwED Olv LEO IS?e~iJ~1 OHIO USA ~o. N~A~t~IED RUTH HART SOCIAI SECUR~IY NU~ME! WwS OECEwSEO EYEt IN U. S. AtMEO iOtGEi'! IYa. M. ~r s~lws~I f~,F ~es. pre dars e/ se+xee) UfUAI tESIDEN~E 293- 5- 95 YES 7- - 7 7- - wkE~E DECEASEO Uwwt OCCU~wItOq lG~s~ kid r~?! /o~t /~~i~s w~at e/ RIND Oi WSINESS Ot INDUSTRt Uvfp. 1? OEATN er~i~t !i(t. t~ t~ i/ stti.dl . . 1?KtITUT10li, GIYE ~a,. ~T D SALESMAN ~s~~ REStDENCE ~EFOIE fES10ENCE-SiATE COIlNTY CITY, vlllAGE O! IOCAT1pN INStOE diY llMlii SilEEt ANO NUWE! ADM~SSION- ~S1f[il ~f( ~r N) OHIO CUY. SHAKER H'TS. ~.+.Y~S 2515 KEMPER RD. swTME!-NAYE Fint .Nid//t (.ur MOTME~-au~OEN NAMf 1 inr .~li/Jf~ G+u ~ ~s. ri `rv nBEr ~s. ID •n y INFORMANT-NAME ruiUNG AODRESS tStur~ ~r RJ'.D. ro.. ci~~ o? ~if/+jt. ~rmt. :i11 RUTH WEBBER - 2515~KEMPER RD. SHAKER HTS. OHIO 4412U z rweT DEATH WAS CAUSED BY: :EwTE! ONIV OaE UUSE IE~ l~nE fOR t~l, t??. AIaD tO1 ivy~Nx~~MATi ANDtyAATM J . Z 1~. ~ ~ le / ' ~ .P ~ uw~ou~ cwusE z C~sliri~rt. il, tsl. OYE . Oe AS COtiSEOUENCE Of_ ~ v~ici j~re rur to ( ~ :...li.r. r.... ~f~ti~s ti~ r~Isr- E t0, Ot AS A CONSEOYEHCE OF: Z i~i~s s~rit f~t! ~ F, ?A!T ~I. OTMEt ~fICANT COHDITION3l erlili~~i [~nrnirti~~ t~ Jtvb ~rt ~p rtl~td t~ uwt s:rta i~ krr 1/r/ AYTO/ST if YES rt?e N~firp io~ii.ind I Z ~ ~ IYn ~r ~o iR d~ro+uriws r~ru J~+tb i Z Ih IVb. I~ ACCIOiNi; SUICtDE, NOM~CIOE DATE Of INN! MOUR NOW ~NIY[~ OCWRREO (Ea/tr a.urr~ ~J i~)r?~ i~ p.nl 1 or ~wt /I, i.en !bJ f O! YtrOFTF~ruNt~ (~ast~i>~ ~.L(pw.b, Dw~. 1"teI p~ • 70s. 20c. 20d. ~ IN111lt AT WOt~ ?IACE Of INri?!Y U bo~e. /n~. urrt4 l+~roq. tOCAi~ON IS1ntt ~s R.t.U. ~e.. ru~ ~r ~i//~s~. irrq. ai?/ W IS1tcili )~r ~r w1 ~d~e ~lJt.. ~tc. IS~~tilll L ta. - Za. ~ h CEtTIfICAt10N- .Neub D+~ )~srr .Na~rb Dr~ l trr IWO IAST SAW MIM/MEl FaaiO~D NOi OEwTN OCtu~~ED .7t ?frrt. hIfS~CIwN - AIIVE O?~ v1Ew TnE WOt I~Ut~ ~M Jrft. r~1. m 1 ATiENOED TME TO .Mo~!` D.q )"~n AitE! pEATM. ~6t ir~t •f ~7 / l p/ )j 9r~~~orlel~e. lit ts ?te. OECEASED flO~+S- f ~ IIS. ~p ~7S 71c. - ~ - ~,S ]tA. ~ 21~~ ~~jy.? ~it r.rritlsJ u.ut/. CE~tif~G?TiON-CO~ONER, O~ ~br i.~:i N rbe ~z+~i».tio~ H~~r oj Js.ub Tbe Jrrr/r~t r+i ?r~rn~~c~1 !r+/ ol fbt io/~ +~I/or tbt i~r~uiptro~. n~ a~ ~?~~~o~. Jt+/b .No~?b D+~ !'t~i Hs~v entrrtl o~ r~s /.u~ r~: dre te rb~ r+au~til ~rwtsl. ~2e. ~l 27A. ~L CERTIi1ER--NAME IT~tt s? ]ri~ll AiU~ / D « er IiNt OAtE SiGNEO - . r~..GERALD T . KENT I~iD. 2~b. rn -~J- •ys _ ~ . 'MAtUNG AODlES~CERi/FlEt SitEEi O~ f.F. . N4. j ~Tt O~ v~1lwGE ' ~ STAiE tv - ~~,a. 1611 SOUTH R N RD Q 4 12 ^ Wt~AI, ClEMAiION OATE NAr?E Of CEMEiER~ OR CtE~MTOtr tOCAt~ON ~(.rit. idf+it• sr tor~;I ~fr.ut/ ~ IS>~till~ ~ - G6emation :.e 4-24-75 2•~ r m t n rv OHIO ~ MAME OF EWAIxER (lIG NO.) fUNERAI O~tECiOt'S SIGNAiUtE , (l~C. NO.) ~ . NONE. ' ~ ~ 2406 2S. . . . . . . . . . . . . . . . . . . . . . . . • . . . ]6. L ~'Lc-~.-C ° fUNElAI f~u~ AND ADORESS ISiREET NO.~ ? IG~!1 ` IStAtEI IZ~?1 BOSWII.L JON£S MORTUARY 13613 EUCLID AVE. EAST CLEVELAND OHIO 44112 pw~i EC` ~r S SIG/I~uRE ~ ~-~EiMIi-ISWIQ ~ SI~A~I1{l€ ~~fRiOh ~SSU:NG fEw~i D~Si. NO. . , C ; 7'~ ~ . • a ; - ~ tilR~Y'~fiY i~iw~~~hfs tS aN i . . ~r:co~'c~~ K~~ rr:~!; s j F~IEU !-N9 RECOROEO ~ ~ ~Yw fR~ R~ ~~t:.s.: Q~ t~:~:i ST. LUC,: L~ ::NTY SIA. _ Ct£.t',~:+~.Qltx~ • ' ' FOC~~ COUR1 ` ~ I CLEe~ . ~'R.2~5.. . ~ f:ES1~- •t t~.. <'r ~~~R ; x.: 1 t- 34 AM'Z5 ~ - ~ ~ SEP-?y o e , _ ~ ~ . - BOOK~4~ PACE 659 ~..-,-~.S:FAe.-_ " WITNES~ MY FU1iia AP~~ S~l n~ ~ ` f ~ ` tOCAI RECisSTRA~ Of VITAt S1Ai1ST1~S J 2 . . . . _ . _ _ . . _ _ . _ _ . . X 'G i ` _:4.~....':3` ~ Yr -~z.-+~ a . { ~~~~'~,r"" -