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HomeMy WebLinkAbout0126 . ~ at/ . - 17S'y-`~y' ~ ~ OHIO DEPARTMENT OF HEALTH ~ ~ R`~ °iw~ ~O' DIVISION OF VITAL STATISTICS S"„ F~~` Ho. 1]7~J~~r~ Pnaury Re~. D~u No ~-y CERTIFICATE OF ~EATH R+`,w"~~' No. li/ ~ECEASED-NAME t~.,r .M.dl/r L~r SEX DATE OF OEATH ~•?1~.i~. D'~1. Y~wl JULIE KATHLEEN SIMPSON , FEMALE~~ JUNS 4,1976 RACE K'b.a, +~~.o, r~n~..¦ AGE- U?~DE~ ~ rEw~ ~r+DE~ ~ o~t! O~ •utN ~~I~~r~,, p.,, rGOUNTY OF DEATN ~~.fu~. tl:. ~]?rnhc Lutbl~?f~+n/ .Mo~. 1)+?~ Nau~ N~~, t)~'~r~Feb 2 1930 ~ Cuyahoga 1 wnite Se S~ _ __`e ~ 7e (I/t, VIIIAGE. O\ tOfwT~O?+ O~ Ot~tH ~NS~DE C~tr u~r~iS MGS~-~~~1 Ot O~„Et IMStItUIiON-NAM( ~It.o+~+r~6~., ~ur,nrir•~IMr~1~N ISP~u~f )n o~ ~e1 ~ 1 nd es Huron Road Hospital ~~S~g --Y-- St~iE O~ t~~iM ~llu~u(%.5..1..+~~.r Ui~IFN Oi wK~i COUNt~. tMAl~I10. NE~f~ Mw~~cE~SU~v.v:r.G S~OuSE ~Ir a~~• sn~.+.J~~..rN ~ ~or~f~~/ WICOwEO ~~O fD ~1Crur~~ ~ . Clevelan~Ohio_~• D.S.A. ,omartie~ „ Donald L. Simpson - SOC~~I SECW~n r~yM~Ef ~ W~S UECE~SED ivE~ :r+ u S?~ME~ ~OKES~ ~ ` ~l~ts. ~n..~r wf~~.r~I ./r ~rt. Rt+i ,la••a s~•s~r~ ~:Swi tES~DE~CE ~~e 298-24-9672 ~„e no ~ .v!.E~E DECEASfO USWI OCCU?AiIOM r<,urli~/ ol ro.Ilo~~ dr..~~ ~~iU of ~ ~~`~DA~ WS~N~SS Of i.+OUS~~~ 1 ^ ~ •E~ ~f OEATN ~:,.I.~t f.'i, r~~~ .eh.r.l1 Grade .SC~I~C~l _:CU~~ED IN School Teacher ~s~ ;~T~a+. c~~E _~!~e _ rES~DEHCE \EW~E ~tS~D[nC! --Sl,?ff COUat~ C~?r.~v~ll~GE O~ IOC~?'O~+ ~~+S~LE U~~ u++:iS S~~Fti •ND nur~fr S:`°" •.•°'r 75 Fairfield Drive Ohio Lake Painesville T~p. h'~d ~wiME~-N~?rtF I mt .N~III~ L~r ~ MO~HE~-M1~DEN NarE f,..r ~I~dd;e [ru ~3 Malcom Carl Pinkie Mary Tomsic ~ ~e Y nA~ur+G •~D~FSS 'L.~rr K.l.U. w,... e. ~t~t~. a.pi Z INFORMANT-NAME s ~ »e Sim son ,,,75 Fairfield Drive,Painesville,Oh 44077 Z r~ei ~ DEATM WAS CAIJSEO BYS tW~ER oN~r oHt :•ust ?t~ uvt ro~ fa~. ~b~. •NO ~rrtoi~r~iE ~~ttw~t W _ _ sEtwf[?+ N i AN EAi < 'a~ I Z ' a. , / U W/-j~/~~~~/~~- ~ IMMEOIATE CAUfE DUE i0. Ot A A CONSEOJENCE Of ~ W Ce~/iri~~f. iJ ~ ' . S r~~rb ~..t .i~r ro , ~e• - ~.~i/:ut [.r,~ ~•I. OuE t0, Of AS A COnSFOUE~CE O? Z ibri~t tir r~/t.• t ~ l~~~s c~ru fui ~ I.~ ~ ?~~1 1~ OiNFf S~GH!NCANi COMO~TIOtiS 1•.sJ~LOSi .owlv+~ruw~ to J~~tb Orf m+t rrir~ld Io ~~rit ~n~~ i~ {~~•t 1 ~1 ?UtO~SY ~ li ~ES r n~ hwJ~w~~ ~u~u1n~/ i Z ~ 1 o. ~oi: .N drrnirrni+~ ..r~r of 1e+N f - : ~0 0 ~ - f - - ` •CCi~Ewi. Su~C~DE. tiOrit~DE. D~?E O~ ~N/U~~ M~U~ N~rV NjJlf ~~~U~ff~ ~t ~n!rr1 P./~I / 4r J~~rI i.t~ j ~ O! UNDEtEt~ir+f0 ~~O~..hl ~Va¦rh. D..~. 1'~.rrl ~ ~ j . I1~0 7(i0 7S1: Ml~~ _ .r f rralU~? Ai WO~R /I~CF O~ ~!.~U~• 1r A~.~si. r...~. ~nrit. ~...r..... IOC~t;p!~. ~1c.~~r AJ.1~.. u,ri. siDl ~ ~SPrnh ~n o. ~~l I •.1'~:~ biJ~.. ~r.. ~~pn.r~i ~ ` lOf ~ :C > :fltu~~~i~pr~- .Mo+:ti Un l.+.l ~I•.wrh l~~r 1~~. ~~~+0 t•St g~w MIV~YE• ~ ~/?C:~ D[~'~ UCC~f~EG 1t rbe Pf+cr. •M•S ~ .F -,ti ..tw ~.•i aC~r~ w~,.i~~ il.? d.~• .~1. f~ ~ ~•i~F~.:,tD TnE .I ^ jO M~•.d, li... ir.. ~••tF~ Dl.~w I~ ~hr ~•~.r cl ~t r / ~ ' / ~ f7~Y.IJ(f. /if J~o CE:E~StD F~OM ~ a ( • ~T :'0 6 I ~j : G ~ 7~ 7'e , :'e / ~ u rhr ~.:.u~~i unit. ---1- T - fE~t~f+CA~'ON--CORv~+E~ f1~ thr b.~n t{~r i..wi~•n,.w H.,r. ,.r ~r.r.n 1 t. .;n~Jrvr u.+i f.•.,n~.~....r.. J~...i • • of tbi 1od..~J tJ.r.+~r~:~~..triw. iw ~wi ~.Mw~o~. Jr.t~ , lio~r:. (1..~ 1 /lor. ......~1 tbi J~tr ~~I Jrr rhr ..r.r . i~t.r~~ . :70 w IiID__-_ !i< CEfitf~~E~-rv~+t[ ~J.pr pn~~~ ~S~GN~tu 11~ r • r,r.~ D~!E S~G~+tJ-- ~7a B Ort a NS. D. ~ ~~b . Q ~ ~ ' ~O. ~ . 7 r~~t~NG ~DO~ESS--CE~i~~it~ S'~Eft 0? t t L NO C~T~ Ot r~t~~GE SLtt T• 822 Keith Bldg, Cleve and,Ohio 44125 ~ ~ ~~t ~i C~FM~i~O?. WiE NAME O~ CEMEtE~r O~ CfErwi~-~r CC~:•G~: ::r i.....4~ ..•.~.~~~r~ ~ ,~r.rrl ~nn.•~~ ~ ' ~.o_ burial 6/7/76 Sunset Memorial Par~c,,, North Olmsted,Ohio _ - - -1--- - , ~.~~F M6~~wE• it~C ~%O 1 i~uN ffClO~ S S~ ' j~ :c~C ~.G ; _ ~ t~t26d ~ :S James E. __Sanden 7042 A ~ _ _ _f~,~-~,,Jt--_-- ~ ~..~.Ei~i r nr ?ru •D~~ESS . _ 9t~ffi r~G . . S,~~f 1 .1 - ~ Brunner ral Home, 8466 Ment ~A enue, htentor,Ohio 44060 ~ - - - _ _ _ - - - - - - lYti ~ •uEG ~i f ~ -SSu rEe~ t p~ST NO ~ ~ ~ J~~f ~EC~C 6~ ~RfG.S • S~G`~.. _ ~E ~ _ q ' `I z -~%5/76 ic. #43 ~ .1~ ~1i;. ; ff~ •:'S~~ - ~ " ~ - T~~s is to certify~het-~fiis~~S a~ ezas'~~upy af ;t;° (°r~:~r~ j ~ " " fILEO ANO REC~R~E'v ~ ~n ;he EasttC~~velan?i;Ci`ty N~~a'th Dt~r;~.~t•nt. ST IUCiE COUNTr flk ~M ~ :`~%6 ~ ~ a R~;GE~ Fd~!RAS - - - • , • iE ~ ~ rf ~ ' ` .+~LU'T rr~°j ` `~).ii: iS~U~~ . U: . . rt~1 ~ ( . , ~,Y ~2 2 3S PH'~~ I _ ~t: I ~iY I~u wV°~ ~ y,;t5'~ 3f 0< - . ~ ~ } t ~i~n_~ , . _ . Q~ ~BRIS~fi:ilG~i ~IStfIC~ IiJ. l~~~~ ,~1~~'^~~"'~ ~ , 8 tast C4ave~a~~, OhtO lz6 . 4~.- - t-- _