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HomeMy WebLinkAbout0732 ~j~ :~32:~~'~~- : . • J ~ • ' • • ~ • ~ ~ , ~ ~ ~ ~ ~ ; ' ~ Tf CF~D IS~~ TRUE~.C~°Y OF .E R~=D . VA',~A~C~Z7_ • ' ~iEf.EB? CEFTIF~C Tli~T TI~'A ~ - - ~ ~'ITH ` - Fi1.S'±D~ DIVISIt~I OF QITpL F.FTOF.DS. f ~FE~ ~ FE8 17 ~~76 ~ - . ~ . - ; , ~ ICTII~G SrETE ,~GZ~~'Th~Fc.O~ VTi'II. Fs G~: - S~L DAf~ IS5~?r..D: ' ~ ' k'ARhD~G: -~t is illega2 td d~plicate this c~py DY F~i.ostat or p:~~:wgi•~~h. STATE OF MARrlANO s~ E OE?ARiMERT Of KEALTN ANO MfNTAI NrGiEftE ~tG~sTe.: CERTIFICATE OF DEATH _ p~G :iitSf7 ~~nE ~ ..c,.~.i ..s, Catf G~ D'fcxtM ..U . o.. .iu ^:tt;p.. : ~-~r- _ ~t,.~ a w.~-: ! l!I i ~ ,TA~:~.C- ~j ! , ~ ~ j - ~ At l Sf• ~ :aC: S Oa~E Of t~tSN • xGE ~..ti..s:.~ ~r~.•, • • - - ~ ~L C . ` ' .a. - ~ . ~ - ~/~9/~%C ~O ~ ~ ~V ra1 )clwtno~;.CE :.•~c.z~a-:,.+ JfC"::t+vC~wrwlCQu+~:Q•> 1 ,y 1~AlTIMORf.~TitORCOUNIYOFDEATH co.,~•~.~ TT wuRRED ~4 ~•EVER w~a~ortU CJ j ~ BE.Zt~DY'6 V~ cJ ~A • w[~Owsp Dr.'Oo~f~ ? c J. ~i %~~f M.O. » C'ts ipwt.pi~(ai~. .1 tiM~OF~~iRwl rtt/YSMK'i?!O/M~OR ~ Rv+S1flUiqta !e :,'_l•AtOCC~?I~t~Jti 11t ~n_ ~s t„`~,O~Q +..:c;;.y.~.ui.~..:w , (l~waw~..o...o+,c~..o..«c..i: n.DUST:• . ?~L %~%~•~f ~ ~ ~//r• =Teacher e ~ ~duCia4~ wu RESiOt YCE w.~.w.or a c~-t• ..~~•u:~o-. wn rsoe~u wca +o..as+cw !A Si~1E ~h f0:1HTr ~k C~:rOR'OwN ~7r raSiOfCftrlWntSj,~ ,~i S~iEEjA~SS ~ land rE blewood Road :.r~.Frs Hnw.f ~s .notrlE~li1M , • .n> •oo+e t.s~ -~4 ~ a . Jose h W _erson ~ :'I ''4- x~k • iM Mtii DfCEwSFD EvtQ w t; S•Sw+FD ip+tCES° IM SOC~t SfCuSAr +~O I7. N . 1 . . . . ~m.:o~V.~.ou.: i~.eac.R~uwwnsf ::~~,'xr~-~ ' .i„'~_• ~ ~7r , F I~o Itt- 08 F' 8.~3~ = ~:-R~blek•oad Eoad IICA!lSEOfDEwiH EMe.o~o+ecowepe~~~e~o..c. b o•+C.c ~~...4:~ . •3t~_+I:r , ' : I~t1:0E~tnwwSC~u5E0lt /7 r. /s w. ' j~ y ~[pulE CwUSE ~o. / G/ i~ t : - ~ i1i a.~E to.Ot ws ec~+~ctcuE.rtf of _~r~`- i f '~l~•~ ~ y~ ~ ~r ' Cnwd~owa. i nwr. ~.MtA , t~ ~•'a _ ' /f ~ r ' _ ' . ~ - 1 Z I~. ~ nK b w,.sdwh , to~vse e. n~- ~tie ~ DuE i0. OR w5 A CONSEOVEwCE OF .':3 ' r~de.lpr,. co.~se iat~ C i ~ .c aatt ?.Ot~~~~(',~sr~~~LCON~r~G+e~~ CO,++~bu1wG ip p(a7H OJi r30i FElA7E01O~NE t a~tAf DbiwSE OQ COx~+7~0`t Gn+fN r+P~ki ~ c ; f : ~ ~ ~ ~f~-.- a.,. ~ . r~ ~,~~~,.s . ~ <~40cTf Of OF fa tf! GO'~DitO~+fOc wH~Ctipa~~ vi?a5?fa~O4MED JM +;:'•OPS~~ FN rt vFS. wE~E ~nDnGS USEO e ~ '/'"~~i- i / IN CERii11rVG CAUSES OF ~EaiH~ ' i ~ , ~ ~V ?Ed NO? rES ? HO , ~ _ '~~i 3 11aKta"t~uwp~`,•w ~ ~tttiMfOiaVIUR'! 11~HOweVIURYOCCIJRRED ~eMt~a~+.*~ta«wM•«at~.te.euisa~r.r:7~ I ` O~ CO~YtA~fi ~ C~ulf O~ Ot~~~ ~M A M MONiM ~ DAT YEAR ~ - I v t~~~"~n.~[DR~ata.+Nr~ P.M 19 ' O 11l Nl(1R~OCCUfREO - 71t ~IACEOf NJURf 11/ IOCAiION ~ ~ ~ ~•r.~a2 s~in~_~.non.o~+r~r.wr.c~ s~wn cmo.•w.*~ co,r+r. sr.a I Mae ~ .a wu ~ ~r.o~c .~.~w.~ Ital otlilr • hA1 ~aV~'d: o+kw~) ~M.deceosed f~ar. ~ t9 'ro 1 19 .•ih• ~(~f~ •e~ r4 d~cey?M o%~~e oz ~_19~. ord rMt .n !~+qr .ow''opr.o~ deotl. utm.ed an ~Ae de~~ o•d Iw~• owd f.ow~ r+e can!+•tn~M o~owe.'~ r~ dd ~~...~e o~• - ~ 2:? SK'swAT / ~~DEGiE 2tc D~'E ~+G'~'fD • , ~ ~ AiIENDN:s N+EDKAt STAff ' ~ ~ - " M1YSK/AN p a+e~e~ae[t v«rsxu~v8 ~ . j ~ " S "rYH ' t*~?to~w+.~i ~ ~ 11e ~D~REc ~ • - ~s //'f~'~ 17~. WRW. CRf~?ASlpwi. R~MpvA! ]i1 DATE }H H~uME OF CEME7fiY OR CREMATqtY :3~ IOCA1 q.•e C .nO~SO~~t PM~ 4'wq remation 2-?' - 6 Seci:rit. Process Baltimore I~a lend l~. fU~+ERAt DrlECiOR 1S~ ~jF L J~ l I Rf~~ )S? 6TR~P ~~t3~ H.w.aenk~s & sons 4go~"'~ork Road r - - - V _ s~:~u~~i ~JUNF1' FLA. n~~' ROG~= FOtiRAS ~ ~ ~ CLERR C~?C~I~ COURt ~ acr~R~ vrc ci:~ 1 ArR i 5 I 13 PH ' I6 ~ z ~'i `~J~. ~E ~ •'332,if i1. ~ . ~ t ~ ~