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Home My WebLink About0594 . ~ u~~ ~ ~ ~~Eu~ Ctz~ ~ ~ ?FG•--~ 4f3~13 ~ 12 ZS PM,~~ 4 pP~ 1 ~08'134 ~ , . - OH10 DEPARTMENT OF HEALTH ~ R~~. D~u. tVo. T7 Suu Fik 1Vo. DIVISION OF VITAL STATISTICS 93 • p`~m"' R`~' N°' CERTIFICATE OF DEATH ReRiHrar's No. OECEASED-NAME F;a~ M;I/le La~ SEX DATE,QF D~TF~,Al.~7 D+). Y~+?1 . U F( . 1. A Z. • RACE ~'b+~~. rep~, ~~trir~~ AGE- L+u Y?~DER 1 tEA~ UnDE~ 1 Owr DAtE Oi •itiM I.~I~iulr, D+J, COUNTt OF DE/~1H i~t:.u. tr. IS~rc' 7J ?:.ibJ~y /~~rri/ Mu. D~» H~arri Alis. ]'ra1 ~ s.. s~. k. s. a ~ iff3 S u r+n t~c~ t~ CITY, VIttAGE, O! IOCAiION Of OEATN INSIOE Clit ~IMITS M~S~~TAI O! OTME! INSi1TYilON-HAME /IJ s~l iN Wjrr. ~i~~ ur~~~ +r/ ~r~M1 • ~.s~f(I~1 ~N 1/ N) ~ . • a '7t. ) 71. ? • 700 STATE Oi •1lTN /1/ ~~f i~ US.A., uae C~TIIEN Oi YVM~1 CpUNTl1 MAttlEO, HEVEt rU1l~~ED, SYRV~VI?iG SrOUSE IIJ ri)t. ~i~t r+iJtr ~u~t) - t~irtr~! WIOOWEG. GIVOlCED IS1~riJ 1 S ~o. r t~- SpC1Al SECUlIIY NUw4E! WwS DECEASEO EVER IN V. S. AfIrED IOtCEiT w IYn, ~r r~l~er~l NO ~~yes. p~e data e/ serxa) USU~.t RFSIDENCE 1~~. ~ ~~J ~ , G 1?~. wMERE DECEASEO USUAI OCCU?Al1pH IGir•l;.Ie/~o.41.uJr.i¦s.•,r~J . Ku+o O? wSiN[SS ot INDUSiRt IrvED. IF OEATX ~~•4i~s Iift. tr~~ i/ rtlir~I1 - ~«~..EO ~N Architect Golf Course :h5ntutiON, G1vE 1~. ?ES:DEr~CE ~EfOlE tES~DENCE-StAtE COYNTY C~Tt, nlt~~,E O! tOCni~ON ~?~S~CE CIi~ l~M~/i STREET An0 NUr~E! .eM~ssia+. Ohio Summit Hudson 'S~`"~t1' 2341 Danbury Ln. 14. 11~. 1~c. 1 N. 1~~. fAiME!-NANE Fi?N Mi//If (.uf M01MER-MAIOEN NAME I isll tli/d/e [.W ~s John W. Zink „ Hannah McGhee ~ Z INFORMANT-NAME MMUNG ADOlESS ~Sntte ~r RJ.D. r~., ci~~ o~ ~illrtt, u+~r, a~ / - Hazel B. Zink 2341 Danbury Ln. Hudson, Ohio 44236 ~ Z rwer DEATH WAS CAUSED BVO IENtE~ ONIr OHE CwtlfE ?ft UNE FDl./.l,,,(~1, AFlO fdl iwEEN~~~i+A~i AriFer A' W Z 1 ~ • _ . . ~ -t'tZC'Z~ C - ~Ct-l,~u~ uI t /1E1Jt ..,f.~ ~Ll~ ~IL •C-t ~ OMMEOIAT[ CAUSE - ~ fe~Ji~i~rt. iJ_ ~E TO~t AS A CONSEOUENCE Oi, f~ j u u ~i _~~~G r d v?iri j~rt nie ~~1 ~ 1 a ~~L-i ~-u t~ /G L. "'~l"« OUE TO. Ot AS A CONSEQYENCE Or. ~/TL !~Y ~•'~Fsj • • s~~tist rir r~Jrr- S f ? l~i~~ urit !ot . . ~ ~ ~AtT II. OiME! SIGNIffGNi COND1110HS Co+~lifio~! ~owtri~rli~j to 1[+lb irt wof ieldtJ l0 tr~ft ~irra j~ ~/rf I(rJ A11TQfir If tiEi rot p~I:~p ro+~iJnrl E y t wIf ' l•~ 7Yts ~~rf o ir h~~.~i~i~s ~+r~r ~l /au? z ~ ~ oc ll'LL~ ~ [ C a ~ ~'s ~ / G.~ls ) C ~ • ~~~lt.~ al~l- ~ NO tri. ~ ~ V ACCIOENT, SUIUOE, HOMICIDE DATE Of IN1Ult HOY! W INIUlr !f rrt eJ iMjrr~ iy 1+r~ !~r ~+rr !1, i:t: lil/ ~ S OR UHOEIElr~~1E0 IS~~ri/~) IM~ub, D~~, Ye~) , .~^1` ~ ~ ~ ~ _ ~ O ~ r ~o.. /v O 20~. ]Oc. 1W. . ~ j ~N1U11! A1 WOlK ?IACE OF ~NIUl11 At b~i, lo~, i~nti. /wriory, IOUt~ON /Srr~r~ u R.!'.D. til~ or ~i/l+st. n.n~. ti)1 ~ W O fS~~tiJ~ ~r iw/ ~ai~r Wls., rK. (S1~tiJf1 4 ~ ~ ~O ~ ~ F- ~ CEtilI1GT10N- Meu6 Dq ?'to .Mo~li D+). Yrrr AHO tASt S~w Mur/MEt 1 DID/~YrNi DfwiM OCCU!!EC _~f fbt ?l~tt, ~ ~ ~ fMTSICIAN. Al1VE ON VIEW TNE WD1 (MOUtj - Ibt d~/t, d, f1 ~ 1 AiTEHDEO TME 2/ ~77T0 ~ 7~ .Mo~Jb D~~ Yrir AfTER DEATM_ '~~yJ~ t~.~lt/st,~Ir i ~ 11~. OECEASED flOM 21`~_`~>~ , Zlc.~~ ]Id.~ 21~_ ~ r. ~i~ r+.ur,J,..r.l. ~ CElTIf1UT1pN-CORONEl: O~ fbi wiil e/ Ibt tz+siwti~~ iH~rr /ta/b T6~ l~r~/rrr r~i ~.o~o.r~reJ Jed ~ I~t iel~ +~J/or rbt i~onri~uis~, i~ r~ qi~i lt+fi ~ „ y.~ • .No~Ib D~~ Y~r. H~rr ~trrnt/ o~ tbi d~tt i~I /rt !e fbt [+r~tltl tt+lr~ ~y ~~M~'~~'~' : J " ~ .J7 1~~. " b M. ~7?. AL ~ CEl~If1Et--HAME fT~~t or ~riu/ ' jK S~GNA~UlE' D~s.rr o, r;~I OAiE S~Gr~EO ` n.. iJO~rS~A y ?stT~ ?Si ~~i~`'. ~Jbt.~6-.`. [/C~~-~~ ~.l+. i ~0 -7~ ~ ~?ARING AODRES~~E~TIf1E! ~it•~SitEEf Ot-R.F.O. MO. UTT O! VIItAGE STA~E ZII ~ 39 H~~.~~~~ .a~'. ;~'k~~ ~v`.D:S~o•~v, e~i-~~ o ~yz3b ~ „ v' URIAt. CtEM/~i~ON DATE NAME Oi CIEYATOlT ?OCAi1pN I1.7 ~iU~tr ~r t~r~f I ~I~/ ~re~ratio 10/5/?7 i~~rest Bedford Hts.(~uyahoga~ ~fiio ~ . L' ~r.. Za?. T.~. _ i~e. ~ v N pf EM lME - ~ fUN OI[ OR'S S A~ (UC. NO.I ~ ~ ~ ""~toy ~ . `Weimert ~~~-A ` ~ 5603 ~ 13. 76. r _ fUNEtAt illM ANO ADDfESS ISTlEEi NO.~ ICI?Y) ~ (SiA1E? (ZI~~ „_Johnson-Romito Funeral Home, 19 E. Ma ~ Hudson~ Ohio 44236 ' ~ a r' OAiE tEC'O ~T fEGISitAR'S SIGNAi DATf ?OEf/~llT IjSYEO SIG~ SSUIN('i" ?EUAIT ~OO ~OCA\ tE~./ 1 ~ ' ~ ~ ~ ~ ~ ~o~K285 P~~E 58~9 ~ ~ ~ ~ ~ ~ ~ _ - . .