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Home My WebLink About0240 ' VYwR1~tING:. h 1~ Ip~pl t~ ~Ue~ t~ c~r ~to~tat a~ ~to~n~. / a~os.» z soo+~ REV. aza _ . ~ ; itOOCat.wrbook? COMMONW6J?LTl1 4F.PlNNBYLVMlU ~ ~ ~ DEf'ARTMR'NT CIr NI[ALTH Q - - ! . . VRAL STATIS7IC~ . ' - - Z S 6 ~ 3 O 5~.~ - - • ~ ~ LQCAL REGISTRAR'$ CERTIFICATION OF DBATH , _ ; . " Rt~d Na - _ : - - 15v Ful1 tVaaK ~ n~a ~ ~ ~ ~ ANDffitDGG . . - _ . ~ . - x~.a. - : . _ _ ; tae _ ~ 3~1 Evane ~ Drive -.Ellwood City I.awrence . Per3neylvania ~ • Ns~ir . iM~MI - Gh M Mr~ _ C~wfr ~ f~ ~ ; r~« o~ E11NOud csty- . _ I,~wreaoe DratL _ ~ - Pea~o.ytvaota ~ ~«..M Ti.~ia - 4wr : ~ ~ DeoambGr 28. -19?5 ~ N0. 19,~-10-11~6~~~M Caucaeian . ; ~ ~w~ s~~~ ~Marri ea ~_~......s~x Fema2. e -.~..n~c~ ~ i ~larch ~.e...1415 f _ - ! ~ o«,~~c;«, .,_,._._..~Housevrife - owri. HomQ ~ _e~~ ~ Penns~?lvariia ~ - . ~ - : _ . f If Veteran. vrhich Wa~ " _._._Vcteran i Serfal No. ~ { t ~ MEDICAL CERTIFtCATL . ` , Y Ioternd Betweee " . Part I. Deae~ wss cau~ed M?: - - , i~ • aad Deaeb - : t~a~cc ca~e (s~.___...__ R~.~ratory Failt~a,rg _ ~ ` no~ ?t~,,,~ ~ Y Rtf I ~ Cancer of lunge - ~~~~~n e yE9 ' ; Due To (b)--.._.._. _ _ r--....-4-...-_. . ~ f V ~ ~ •ro Cancer ot left~breast . . ~~3 ~ ~ ~ Pue 1I. O?IiP.R SIGNtFICAM` ~CONDTTIONS: cootr~utfiqe to deac6 bnt na. celaced m. d,e - ta~mcdtatc uu.c ytven to Part I (af ......._...__......_------_..._.....~y._. ' ' ~ccidtec. Snicide ot Hoeoicidc _..Hoa dtd fiotruy octur ~ ~ . - on F~ • Na,ne aad Titk oE Pee~sson P. F Zalamea, ~ D t Who Ceru:ied Cause of Deach (M.D.. D.O., Coraaer) .r..__~.. ~ 216 Evane Drive - Ellrrood Ci_t~y.____~ ; ~ ~ . 'Lbis i~ to oettitp th~t t~e i~otmation ~ete is oaroct{y Copial tc~nm ap ori~ind ~te ot death dul~ Wed aitb me as Loca! ' Repstrar. T6s orai~ual catit~cate wrilt be torw to ehe State viW StatKtics Otfice tor permanent f~4ag. . . ~~~f...~2 3?-~1 ww~„ .r _.s~.N..~ : o~ : - - ~~Wa e Avenue Sllvroo_d C1t31 _ . ~ i/w~1 ANr~N Qy. M~M. Twr~d1~ ..~.r._.__ ~.~.~~5.~...~~ a....:19_~... • p~r l~pi.M N twt RNtww ' Decemb~.?~_.._i9.._?.S s~ - ~ -~o:~. TM. iaoa~~. ~E ~c~~ - .