Loading...
HomeMy WebLinkAbout0465 - . . 33 ~ . CERTII'IED COPY OF DEATH RECORD ~~~2-~ • ~ t0:1t.9~NWEAL7H O~eViCGt~SSA - Ct~iirlCA~+c D~A:~r3 ; I'L'1B 622 O21 pEPARTMENT OF HEAlill-~UREAU OF VITAI RCCORDS AND HEAl1N SiAilSTlti-RlCMMONO ~ , ur~ - n~asu~tKw CUIYK~II s~~u nt ~ M!A NYW1~ NYMN~ ~NIMM~ F~~H l~X'Al. ~~{A1.i1/DIPAFiMEkI~ 2~~~~~ ~S~ ~ ~ ~-~ui'w?~t~- - - t. s[[=----~ M...+~ ~ ~ d acuxo t~(ANCY E. GOODE I ~7 ~ OKiD[NT ~ - - e ur+.~r~ i ~ui r-r uNiM~ 1 DAY f. uR~r ~ Mif M W 1 \Nrl Irwl ~~4( M t«__ f_ _~~~-N..~ -T_ ~..M~~ q~AC[ i DlA1M acc.sco ~ ~++M N~` , - ~ahite i 12 15 71 ~ ! 1~ ~ H~.M O~ MO'-Mf4l O~ a•.-,...w.~ s. cou..n v~ a w.r•~+«+..,.. ?wi ~ ~ ~ w~nuna+ a a~~M a•~N : r ?IACE O/ ' V/1 ITos7ital ~ ~ l t~l V O~ lOMN W rw~ r M.ti) ~.a~ ~+n v~~~ L...w~t t. S~~III ADO~(SS O~ ~i. M0. ~ DEAiM ± cr cc~~N • or nw[[ OI Ot~rN i i) Szler.~ ~ ? ( 11, a~~~[ ro~ rw[~ caMVrrn os ~ c~~d otctws[oY W w.~.1+ws.w.~ w+~1 i • ufWt ~ trcr~sios uvo[w[E _ Vir~inia " • RESID(NCE - - u. c~n a~ow+~ wr..+r r r... w..or u. v.~rr .oo•iu w~t_ No. ~:n cou~ t : OF D[CEOENT ~~1n~~~~ ~ ~ ~ ~~'~y`"`~erwent Dr. SU ; 24d15 ' ~ - + . I~1~. N~M[ (1/ ~A11LL¦ - Iy Y~ItMN N.~M! O~ ~ d ac[wxo .wu..~ or ac[wxo i C~or~e GoodQ Cora r:ae Young ! _v_ - { u. w~ rnuo cuuiM p v. «u~~~o ~+cvt~ wuuto u. r MAf~ND O~ wwowto. i f[iSONAI vm,?r Cou~uT ? ~ Mu.[ o~ srWSE i awu o? ' il lt ;A w~+~o ~ avo~uo ~ . aECID[NT t~. i~t~~l YCVnIt M ~I vltl~ur. w~+ywr.~M . ~I. ~~~tHSt~[e I~wri~+wv~l If. Dwll O~ ~•~IM fr.l I~d IY+~ ! ~ l.UW(~ M~~*rr~.wY~ OI MCIA.ID p O[C[A.1D 231 OS 5077 k'till Vfr~fnia k-23-19 ]i U+~u a~ uSf 7~. [wo Or wsar[iS 7L woa.+v.t - cu SouKE ~ 1 ' ± OCCWAIId~ Ot MOYSI~Y Of INfM/M~ION ; ~ Sunrly Clerk v_ VA Flospital Recorda ; ~]4 Uu5[ p O[ATN ar.. wr eww rw W M. W. iN. ~iJ ICI. 111 r~11 ~ V~l ~[tVRiN ! ' ' . ' 1/1~f \ ou~M wws twuxo w. ~ WMA/ A~IO GA111 ` ~ ; w Cirrhosis of liver ~~ith liver iailure 2 yrs . i . , TO 011! 10 i• . ~ n+YStc1AN: z ~ c...a.~.~r.1.,..••?~d.r-~N» rl3.. ! . U h~..d.... a.... tN, wr+s ~e ~ • i ' c~ . ~ ~w 1.... ' ~ 'su[ IO ;i ~ 's, ~ u I t 1 ~ r i ~ ~ ~~...w~ i ^ i+ «..~..~w~~r.~ ~ i ~A~( l OI)~~ LCIelK~r~~ CO~A~IKY~S CON1~~~YINO 10 OIAM ~Yl NO~ llUllO IO IML IUMI4l 1~a AYfOlir/ ~ : :i~..... . ~ ~~ascwa ~7rO~I~ON GYIN N N1~f 1 W ? i ' ~ ~ r AYT/qf~ID S~~tcr_ ; a~? r~~wrr. w~t iw~c w rnuw+cr w ~k. r ~as~~ruu cwust. it wwi 7w. otX~w .~ow uuu~r occwno. («w ww...r Kw r~ r~ww~r ca.~r.wrHC ~ ~ ~ F+)II~ 11 IAtf ~ MQ~INS~ " . M < f Q a a t0 f~~rJ ~w OfAM. •..r.~. ~~~•w~ M V TN ~ w~w~+0 I[./ ~i~~n~?t cwuV.rwf~ur M1J f?~~iMI ~ .r~~....~w.~1^~~~ _ 1'_~"'._ ~ ~..,1........ o~~ 7w. Iw~p~uu~Y Wl /wd . b~«l ~]M. Y~N/10(CW~ID 7N. ?:~CI OI vUV~1 M~.Ia.n • 7M- k+~~~~) k~~A /i`~'~l ~ w N~«•.w. r A M , wi.M ww ~~.i 1«'../. .Ir..• W~. w 1 . r Y ~ E _ J p p~__ : . • • ~ VA- 1?~15-71 12-15-71 2 :35 lY 1 C/~/I/Y M.~11MY~ • a. 1.r~ ~ 1 1 _ - _ r _ __wJ i~''". s '.I M _ _ _ _ _"_~V)_IYi 1....~ au r.~.r~~ ~M~1 ?.w' ~ - • ~ - - --"ewt~ swruo, ~ ~ , ' i - ~ooush Itnr u~o fury ; ; ~ ~ , , ~ vnt~ sal en, vn. /,'r . % s ~ 7/ ~i~~,~.E , kaltcr Luc,ner M-~-~ - ' - s - - F - ~ ~ Na+At ~I~WYnI U[MAt~O~a f/AfE h~'+Jiw~.vl~ro~.w•~) h+fr~w.wrrl twW ~ !I_ ~ ~ p Evergreen Cemetery. Rot~nolcQ, Vn. _ ~u~+u~? a ; OI~tCtOR ~r i.~~•~..,.•.ir ~ItvpM N r~.w~ o~ rw.u~l ohn 1:. ~:ilCCy~ ~f Mwf A!O ~ t7 4~ ~ ~ ~~J~ ~ ~.DO~[SL Ronnolce, v~• ~f ~ j _ l~+' "~-~1=r . . , _ + M - - N~w..~d.h..r«7 - ~_"_uw~r,}l~Uw ~ ~ y -~-t ~ ACp _ , ~ / ~ ` ~ ~ ~ , . ~ ~[0111RAR ~ ~Yit~ L• Miller / ~ 1 j (K/ ~ y j ['i:T7~,0 ' • ' - ' ' / ~ - , . _ . _ . - - - " - W ~ - - "'~.rs:-._-=.tr..~-=_ - - - ~ - - - - i.~Zrsh=--- . ' r*7C;'~C.2 ` • _ . O 0-r-12~ ~ H ~ '.~~is is -fo cerC~,Fy• th~t: this is a ~rue and correct reproduction of the original~ oy~z~ - c ~o ~ - <<~: ' • ` ~ rrn ' c-c~cord ~iled Yi~~h chGiRoanoke County-Salem Nealth Depart~nent, Salem, Virginia. ~ ~~o 5 ~ i ~ D:~ce Iaeued~' / , ~ ~ ~ t ~l , > ~ . 338.52~ ~ ' - ~7"~ De ut Rc istrar ~ ~ VOID Ir AI,TERED OR DO~S I~GT B~AR ~ I:4PRESS~D SEAL OF R~GI5Ti2AR § E':t ~5~ FAGf ~ , , ; ~ ~ ~ ~ ~ II ~.~ti--~ : ~ ~ ~ N ~ r~ ~ _ - . ~~s~. _