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HomeMy WebLinkAbout0762 ;~~rE oF ~tx.s • V3~ , CERTIFICATE OF DEATH .r...~ ,,o ~ ru~ee oc ocnrN - ~r~?-.-" a uw~? :ES~oENCe ~ A ~«..k_...sw _..e ...e..x. e.b...d+....e~i i . ~C~a+1r Harris , .~,:E Texas ~ `'o~:~`~r Hs1t'r~8 t ~ o : TI :i~i.;l~N(d..~~s~c.~~~..04 ~~D•a~.^~er.~l - .c•:.rr. !~i .'.r . C~.R TO'A?~'`f7..~~af~~a.1i q~wp.~e•~ce.~n~ 1 Houston Houston ' ~ . .qFcl •tGYe~~ri ~ ~ . ay. i i~.: eY~• (_•y :~f s)Aaai' 1. ~?N~ }'MhCa~wM ~ 7711 Greenst~ne 7711 Greenatone ~ ~ •~::.r~:t ~.r~ ` qi~.,_~ t_F ^c!Itt .~:<rCf C+iY t:u:iS~ ~c1Lit~Cf ti:OE G1Y l.l~I~iS? 1 K tE90ENGE ON w f.Viul ~ rE;$J yOn ~E`. NO(] fESQ v0 ~`i ?Un4 OF a G,.~r 'c:ea~fL _r.. ~ C~?E Of OEAiH . ~ , f °Efi~ CliAItI.ES t~WTON SIA2ER Sept~mber 17, 1975 r ~.r:..;,.,,~ , ~ ; ~ 6 ~G~lte ~c 7. N~.v Mv,.u ° tJ7E -~F ti~+~~: r •r:t:': ,asr. ~i ~iY~f~~ i I ~ 'i~. 2~ ~ Male ~ April Z8 1914 ~`,61''°'" w`'""' `4''.« . ' ~ w,~f.,~.wC c.~.:~ap f "~~a ~i~~+i (':C:t.~•f'O!1'G~~i„d•sr.cwuw ~pE r:NO GF b~:Z`+E:: CR f~~i~'RY E~?it~i~t.if i~s»urrsF.~no:~u+~•~i --;t ~it~If?i Oc w?+~r tG;Hitr " ' ~ n4 .ni,.~~~w; ~ l~~.spatc~ter Natkin Company Texas U.$.A. s - ~ _ . i , :r.lf+ik S ~ • !u(:t..~R ~ *•w~e.fN ti~~aE . . C.W. Slater Elvina LeBlanc ~ ~ ^ , ~ : .ti~, :f~._E`'.f~t~£A ~N-~1' ~ uE---~'h''c. . . .p ~ l." ~.l _Ei.l:i~.T't ~A .Vr_Ar.upi ? , . . . . _R, n~ ; Y a~., o~ , • " ~ : : k- Yes WGiII 467-10-0892 1~/~1 L'_~~L ~.(i j «r ~ t ~ ; ; : ~ t~..~ .r c.~Tl~ •~r~r ro .a..w u ~r *~.r ~.e; ~M. owk; . .n~.., a .n. . . f .nr = } .1 .w~<~ .ti...•' - P.Pt ~(~TN w~S C~uSED Sr. :,.~.~~,rE c~, ~ C~rcinoma of Lung with Metasta.sis n ' . _ -~~a-~~ t _ c .a...,,~ ;;~.e ~O io - ~ .r<... .ause ia) ~ ~ _ ~ .t~tw~ Ms j.~p1- w'a Yt~ f .~E t~ I.} ? ~ 0 . :.ur~~i;CAN' ~..di4::.G^+5 '-vNIF~luT:t.G IC ::Erii~ u.T t1~.T AELI~T_D TO •Ff_ '~Rt.kN~~ t;~'.F^SE CC?~i:tf~t:H i.+~fN ~~•t i~RT ~ ~v '.vA) ?l.TGPSY e~. ~ ~ = a.7 , G.'~+f a C^ ~ ' ~ KAtHfB? ~ f ~ - - - - YES? h0 ~ ~ ~ . ' (;trtl :U'f•Gf ••_:+a,c LESC~l:DE MGW 'NAJRY [~CGUiRE[/ Enr~ ~v~a+e w ~n,ry ~~n ~ ~ ?s•+ : .r.~ .8> ~ . s ~ c o U !:r.1E ~:~f /bv ~owu Lay !«r ~ a :ruUk r a s. ~ . ~ W ~ p r~. ~ :ne ,r+x~Ar tJGCURQEO :O. ~1.CE ~ ~+~:4r!•q ~,,,oan~. w.n.i::rwv 1201. C~T1r ~OwN. OR IOUt~ON ~OUNtY ~TwrE ~ .r.v.. .;rf.• wa+q. •,..i , •1 ^ ri~ ~YI ~ . - , wM~ 11 •'.~.6y ,_«.,4r eN~ !~n~n~d.Nr d.c~a~.~~ bfrd.~u +~•S~ • t4.~L~*n~ntember 17 ?V~ ~.d W~ y. elr e~c~we , ~ V ~ eaM ,x-.,..~ g_ 4Q a~ a y+ rn~ wn teat~o aow~ ro •o *1v Oer cf +w ~wo. . bd!~ ~M c srsw .t~p0 ~ ^ SlGNnilMf • • ~1 ~J2b wDLREii ~llc_ OAiE S+GNEO 7 ~ L. Fedder, M.D. ' Houston, Texas K 9 25~75 ~ ^ 17~ RUl iIOH. Al (Sp~uhj ls OATE Ik. NMIE Of CE#EiERY Ot CRfMATORY t~ ~ _ cv a Burial___ _ _ _ September Z8, 1975~ Forest Partc _ Lawndale meter~.~ _ _ _ - 27d LOCI~i~ON (C:h.~ow o.cow.rl ~.~ar~f 1~. HNtFIAI D~ECTORi i~6NAfl~RE ~x~ Houston~ Harris County, Texas Fflrest Park Funeral ~ 77 • t5~ •t~~f ISb i,ATE 4Kb !T lCC!:l RKitStRAR Ut~I : TuRf . , > >r-. _ _ _ _ ::~•?T. 3v, :975 ~ STATE OF TEXAS CITY OF HOUSTON ~ COUNTY OF HARRIS BUREAU OF VITAI. STATISTICS I HER$BY CERTIFY.THAT THE AbOVE IS AN FJ~ACC'COPY OF A_CERTIFICATE AS FILED ~ IN THE BUREAU OF VITAL STATISTICS, CITY OF HOUSTON NEALTH DEPARTMBNT, HOUSTOi+f, T@(AS, AND THAT i AH TH8 LEGAI. ~ C~~S'~ODjAN OF SUCN RECORDS. F~t-EO xy`~ ~ECURDED - 't~S:_ //A - ST.IITC~E ~3UMTY FU. :~,~a~,~'~~~ Z~~ . / F.~tit'1!'.~f•~~S ~ ~ - ; ~?~~:~~~r~~, ~~E~~ ~~,,~~~a~ CQURT . . ~ ~ g~co n v~_= ~~r,..~ . _ . ` ' Q ~ ` . :r,~ MaY ~1 II si RH'16 , A~~',' .~a,~ : ',`e+~:` ~•t . . . GARRE'fT REGISTRAR ~ DATE ISSUED Oct. 1, 1975 ~ =s ~ ' ~ ~ ' . = . O~tJREAU 0~ VITAL STATISTICS ~ ~ t?;••,,,~~..• °r ~t~oas~ -ly ' ~2~2 P~~ ~~~...t...~-=== - s~r ~ ~ (YARNINC! NU? VAI.I'v UNLriS MAC,NINL SLGN[p I1i R[D AliD 6LAGC INK, AtiD THE MISLD SLAL Ot THIS OlfIC6 AlPixm H[AE'f0)