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HomeMy WebLinkAbout0521 x ~ ~ / ~3~~E i j: ~ i , THAT TME 9E1.0'W 1= AN EX~T ~ 1 MEREBr ~p . { Q COP1f B~~THE RECORO WHICN Is ON F1l.E IN THE ~T I~rAK~~.~~4~Y RIA~~E~r?~~~j ~ ~~=M~~ of ?~€ae.sa. ~ra~sc~rsYOwse, or~:o aoc~:~ i~~~TRAS ~ W WITNESS MY HANO ANO SEAL A3 LOCAL RE(ilSTRI1R ~~F a K C.•: U~T COU~T OF VlT~t ~T :TlSTICS. PFCt~P~~ Yrr.~~E~ ' V~ - SE~ 30 3 oe PM'76 } ~ . ~ ~ ~ : , w y' ~ ~q. L • { ~ ~a,~ tl ~ C~o ~ - - ~ ~ ~v- 1 ' s~ , ~ . V ,~~71 ~ ~ ARTMENT OF HEAL~'J~ ~p ;S ~ '~aTt C I\O J ReR. ll~sc. No. s• DIV15fON OF VITAL STATISTICS ~~,s No. s r"'"", 1'"' CERTIFICATE OF DEATH ' DECEASED-NAME •~bJ.lle l.~r SEX DATE A H I.U~+rb, p+~, Yi+.! ~ J. STA,IL~:Y PROBST ~ z G' ale ~.ie 26 1976 ; RACE p"h~~•. ¦•3•~. AGE- uNoE~ ~ rt•~ ~r+oE~ ~ o~+ D~IE Of a~~~M ~~lo.rb, D~,, COUNTY OF OEATH ~i 1'~.r.l s i¦1~..ti. r~.. ilpr~dil br.~~,J~? /~~..n/ ,\lo~. U~~t II4Y/I .,IIA. . ;Yhita so 65 se s~ eTune 19 1910 ~o b'ehonin C~t?, v~ll~GF. Ot tOCAiION Of ~(A~N ~hS~DE C~ir ~~NITS N~S/ITA~ QTM(R INS~~~U1~QN-~IAME b61 IM N~bI/. jllf !f/ffI.IY~I MY~MIfII 1)pr 1 )rs or no) ,r „ 9onrdman To::nship t o 119 Southwoods Ave. `~~n( J SteTE Of l~RiN !1I n~.f ~a ~~-~..1-, o+urr C1T11EN C~ WH~t COU. Ntf~ rMA~~ifD. NEvEf wwtflED. SU[vtVING S?ONSE fl~ r~~e, j/~f MII~IIM r~~rf1 w~ wco. o~v Kto ,~p..,/r~ s pt~nnR. ~ USh ,o~~rrie~ ,,liolen D. ChEUner SOC~~t SECva~t~ t~uMlE~ w.~S OfCE~SfD EyEt iN U. S~ w~rED ?O?CES~ 1) f~. N'v. O~ Yp~p'iY A/ 1f1, ~,tif ,Cffl O~ 3fI{1K~ ~.SUAI ~ES~DErKE ,~a28~'i-09-0501 ~ Y+0 r•r.E~E OECEASED [u+0 Q~ luSiNESS O! ~t~DUSttt EO if OEATN USl%~t CCCU~I~~~O~+ ~ hwJ oi u urf Ju~r Jr~~n~ ra•.~( ul -~.CURRED IN ~'••~f~~1j i~lt. n~~i ~C ~ttnrJl ~ ^ •.s':iUiION, G/VE i~o ~:x~cutiv'~ !ld EigQr Pro~~t. ...an ~4'srturir?~ •t; DENCE ~EtORE Rs~~ps.;:f-STw!: C^L'ttis ~G7T, v~iixGE Oi i6twi~Grv ~r.S~uf C~1~ l~+t~t) ~nttl Ar+O NUMlFR .,v.ji~uN ~)6~ t l~~ or no) Ohio ,~,~:f?honin~ ;,~o~rdraan 1`~a~p. 2:~0 ,..119 Southwoods Ave. ~.a. i/1~MEf-NAME f~..i .~I.JJlr Ldf1 MOIMER-MA~GFN N~ME I~/1I SII~J(~ IJ/1 ,s John S. Probst „ Elizabeth Brennan i w~:t~?rG •DDtE55 ~)nrr~ u~ R./.U_.r,....ii~ or ~~1LS~. iNft. sipl • INFORMANT-NAME - ,,;'rs. l~~len n. Yrobst ~,ze 119 Sovthwoods Avo. Youn sto~+m Ohio 44512 ;E~+?E~ Onir ONE C~uS[ ?ft t~r:t ~U~ ~o~. ~D~. AND 'c%: A??ROi~k~tE ~NlEtwl ' ...er ~ DEATH WAS GAUSED @Y: lt/wfEw N c~ .Ho o wr„ I ~ ~a~~~;~~t/1a. C ~W'~ ~~~7 /!Z'LC~ t~dl.''`~`• ' 1d'~~ ~ ~/Ll d7 ~ - IMMEDIATE CAUSE ` G~E 1U. ~I(~ 1 A CO• tJuE~+CE O~ ~ C oaJ~hos~, iJ •nt, t ( t~,~--t' ) u~b.ib ~~t[ .ut ro ~ (er \ ~n~n~t.Ii+f1 ~~r~f ~.~7. ' OuE IO. O~ AS A(ONSfOUINCE OF. ~I.+t.e;t rh? ..aJer• ~ ! h+na t+~~t l~~t ,i~ ~ ~ ?af7 u. Gle.ft S~G*+~tK+~tii tC~+D~1~G~+S~ oaJ~u~Ni iunr.~b~t.es t.. d~~d, b~r ar,t rd+~~Jto ~JYIf j1//C ~q p~rf I/d11AUTO~S~ t1 fES ~ur hwd.r~~ ro~~iJ~r~J ~ r 1 r~ ~o/i n. Jrlns.uunj ~~rv Ol Jr+lb ~~qo ~~pp - ~GUOEHt, Su~U~E. MOw~f~Df. Catf G~ +r.lu~r rOUR nOw ~wu~r OCW~IE~ rLNr~. r..:~r• o± .n~rr~ ~w p~.i I o• p~•~ !l. i.r.. Ittl ~ pR W~DEff~~:'.ED r1;n~•~~ •U.ur;;.l).~. 1-i~r1 - i~o ~1So j lOc Nl 700 ~ n~~u~r ~i w0~~ r~~CE O? ~r~:~~~r U b....e. f..ra,. ,nru. ~...+u.,., ~OUt~ON rSa~r~ o, h.f r,o.. c~r? ull~j~. sr..u, srpl , ~1pt~.h )n •.r nol } ..r+~.r 6i.:s.. ~Spn~h/ ~ - ~Qe 7u1 7~ cEft f~Cw?iOr~- ~t U... )..rr ~t~..:a 1).., 1..,. ; ~r.o i~it S~w N~r Nee i D~u: Ds6~+~e3~ OE~iN OCCU~~[D .1~ rl.~ P/rr~. ew Mei~C~w~+ i ~~t+vE Gr+ i v~t+v iME !OD?. 1HCJR) / d,? J~rt. ++1, rs ~ 17 j Llurnl, /).~r ) ar ~~fTER OfATH f ~ ibe bi~1 Ol ~7 ~ witE'+UfD inE, `r.~(.J~~t ~ ~qOY~l~~f~ dYf IO 71o DECf~SED ~~GM ( ~i ' Jte ~v ' ` 71c `ti'~< ~ ~ j ?le ~ 1t~ r~ M. rhr ~..«ir(~/ ~l~i~d. --~4 - ~ CE11if~CA1!G`t -(pPp'iER Un :b~ h...n ne /lrf IiJ~IIqJfI'Jq fl..u. ,/r.~N. 1 F< Jr~tJrr:7 ~u~ ~.uq.aw~tJ 1lr.~d o171.f b.J~ ...~J ~.r N,t r.u nt~trm..~ .n w~~ np~~~•iv. Jr~tl. tl..n:l, t)..~ l~e,~ /rorr • ~..y,.~~ ,~..i~~~r' ~c,~ r.~s.,E ~,.,o: ~~o : . M. ~~e M. CE1Tii~E~-. sl ~:'a or A•~~~1 S~Gn~tu~E f rjret or f~flr D~IftS~ EO "4ttlTn.. a . .,.L e~~. ~ ~ ~ ~ti v ~ 7~<~~~~~~ na rGUr -r Na~~~~r" •DDoESi-CE~i~!~N SiYfE4 Us a~ 0 t+0 i~t~ Gr v~tuL ST~~E I~? 77e - qirf.Al. !~EY?1 ;,~rf ~.~v.f G~ CE~EiEO~ OR !~Fw4t01f ~OC~tipr~ ~1 u~. ~r:l..[r. u~ ~orw/1/ IS/.iIU ,,;,:iuri~l '$:~1y 28,197G ~„kiversida Ce:~ot-e[r~r Poland Ohio ~ ~1AVE Cf E~Da~~.Et Ile.' NO i ~ f iU!~E1~1 p~~~CiOt S S:G~• TUfE II~C NO ? ~ .~s Richarc~ ;i. Schrnader 5932-A i7s f~-~' T~_ ` 99S ~ ?u•.N~~ ~'~y •`~0 FOD?ESS ~yttEfi ~.O - t~~t~l AtEi (t~~) ' ning : uneral Ho;ne 292 j:c~di son Ave. ' Youngstovm hio 44504 D~rE ~FCD !t ~EG~S 5 u~E ~o~IE ?ERw~rt ~SSUEO S+G~+~IUtE W?E~SON ISSU~ ~E~,wif D~ST. NO. 1GC tf ~ ' ~p ~ ~i )a s~~K ~5~3 r~c~ 5~.7