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HomeMy WebLinkAbout0765 . - - ~ • ~ ~~2201Q44~ ~ • ~ OHIO DEPARTMENT OF HEALTH ~ 6 R~~. U~w. No. " i Sau fik No. ~ DIVISION OF VITAL STATISTICS ` r~~.~.,ry x~a. u,w.:w. CERTIFICATE OF DEATH No DECEASED-NAME t~.~t W.Wl~ t~~ SEX OAT QR O, TM~'< a7• Y«~ ~ I~I Il ..~5 iC~Z~:I ~:'~A F. ~1~' i 7.9~ ~ 7 , RACE w~ir~, r.i.•,..•.i~.. AGE-- u+r uHoEe ? rc~e ur+o[• i owr owrE O? uern IAb.~1, l~, GQN[~1 ~OF'OEJI?~ ' b~' ~ ~ar.! ~rr. lS~uill! ~n~ (~rw~l M~i. D+fi /~rn Al+a. Y~r1 "~lhite s.. ~ 3. s. ! t -i b-! ~s ~ CITr, YIIIAGE, Ot tOCAiIOM OF DEA~N INSIDE Cli~ tIMITS NCIS?IIAI Ol OiME~ IN~TIiY110q-IIAM~ r/t tifie~ j~N aMfff 1I~ #~f11 " ~ ~s~.~~,,.,....~ Tinken Merc Hos i~;et1- ' ~ anton n. es • SiAiE O/ ~I~IN rry.u;¦uS.~.,.... C~tucN or ww?T couHt~r ruee~eo, NEVE~ iu?l~ItO, wtriy~w6 ~-fl/u:/~.p~...iAr.~r.~r~ • ~.«.n~i w~oo Eo. orvoiceo ~si.•~h~ . ; _ Ohio US4 ?o. ~arried A t . S~ -_s~ ' SOC~AI SECUl~TY NYWE! WAS DECEwtEO EVE! ~N U. 3. AtYEO tOttEt1 J:~ IYa. rdr~v~l (/J ~a, tiF1 Y+w N J~If/ ~I iM11tfI ,~f..%1.~ .csrocNCE 28 -20- 4 T{o r n: r~ OECEASfO USUAt OCCUTATION lGirr 4i~1 wr4l~rt /ari~~ saI ~J [u10 p WS~NESS Ot INOYfIIt ~ ~~w~ i~ DEATN M.erlir, li ~re~ ij retw~U ' ~ . u..iD ~N , ~.~~~~~r~ot+. crvE ~ .~'ri@1" O , r'dtAr ~a?. '1' '.~~•~+~CE ?kfOtE lES~DEHCE--STAtE COU?rir GTr, VttIAGE O~ ~OCJ~T~ON ~NSIOE Gir lutlit STREET Mr0 NINrtFR :.wa~avo?~. (Sl~c~?(~ fn ~r N1 ,~L ~~e 4h1 o us. Canton us. t~0 i~ ~W CZP.V@ a Ave W . iwlNEl-NwMt Fnu AIwfIl~ Lul nO~hEt-a~A1DEN NAME Firif Mill/e l~t 1 ~ ,s. I~t~fs - - Tozzi ~e ~orence - DiMin , INFORMANT-NAME xw~uHG woDtEii fSnen ~r R.F.D. N« cir~ ri/I~i~. ~w~, s?11 .,ol~frs,Nicholas Tozzi ~06 Cleveland Ave Sw Can 0 ' rw~T i. DfcATH W~ CAUSED QY:, tENiE~ w+ir ONE UYSE Nt uNt ~oe ~a. ~u, wr?o ra~ ~??iox~~u~ ~Nieev~i .J 1 . IJ~IMED(ATE CAUS[ {O c'?a~~~ . OUE t0, O! AS A CO+ISECUENCE Of~ . ' , CRrditio~~. i/_ ~r~. ~ ~siicb ~~r~ ?~i~ 1• s1 r':: T'~ ~-1<?I'~.?? ~F ARn~.L~\ ' _ ; - is.~rJirtr awr~ p~jE i0. O! AS A CONSEQUENCE Of~ u+firt ti• r~l~?• . _ l~ir~ c~ru !~t ~ t T, r. ~~•r. ~r t~{-n 45rC1 Ti... r.... - i _ ?A~i 11. O7NEt SIGNIHGHi CONOI~IOIiir~~/iti~~t t~ttti+rtra~ Ie /eati ~rl Mt ?tl~ld 1 ~?Slf If 7ES ~rnt Fsfi~p s~uilael d N it /Hlttiplt [YU! I~ ~M` _ ' T*~p 7 a l~c, ~ i~~+f..' r b. lq. - AGC~DFNJ. SUICIDE. MOMtCiCE OATE Of tN1Ut`f lIOU~ MOW 1 ll n r?~ ii%ar?) Y?rr11 N Nrf /1. iff/ 781 Ot YNDETE~MINEO (SNsiJ~) (M~rt~, 1M, Yta) ~Pt~ • ~ • r rF w.. ~ Q~ ~oeS • t ioa. u T~ IN1UlY AT WOtK ?[A(E Oi INWlY Al be1~t. /MS. !llftt. f~tt~~). IOCAi1~iV ISNfH N R.F.D• Mn ft7 N/t«/(~. Il~ff~ lI~) _ (S?esih )~r ~r /wl w,4., rts. /S~eri171 ' - 70~. t.•:) 2Qf. N(~~`T. ~C . 4-'.i~.ri CLT'~^'T:.-',~tD ?'Vr S. {J CA~:1~DiV OHIO ^ CERTIiIUiION- N~~ Dq Ytrr M~itb Dq YNr /u~0 IwST SAW If1M/ME! 1 pID/~ID NOi DEATM OCGltlFA At fit ?lt[f S f~~~i`~.:r~;;! fHYS~G..~... ALIVE ON V~fW TME /OOY I„01lt) fif ~It, ql„ M ! ' 1 ATiENOEO iNf TO .He~ti Dq Yts ~fTfR DfAi11. - ri• tri~ ~1 i ~ 7~~71?Ij ~ ~ •r~r/~ljt. !Kt f~ ~?ta. OE~EASED fROM ?lb. 2lc ZI~. Zlw M. tJrttrantll/u~tt~ i 3 CEtTIFIG710N-~OlO?+Ei: Or l6t l~uit N Kr e~wi~atiot Horr dr.tb Tir l~t~/~a w~ p~wu~rL 1e~J ~ ,~J ~ir iod7 •~/~r !bt iin~tr~i~Ni~s. is s~Oi~i~r, 1~ob - • NMI~ Dq Yt~r Hwr ~'~:S`r{ ~rrrnrl !i~ 4tr s+J dat i~ tM cuaili! u~t~I. ~ -:l.e:a M. ~~s. JULY 1 1973 S:0!~ } CEtTINER-HAMf fT~N I~~I ~ , SIGNATUIE D~pte ~r fi11e GA1E SIW/EO ~ ~ S. S~L,:~~~r; n, :~t. n. ~~Jl3LY 24, 19~3 : 27a. ~ . i ' MAWN6 AODtESS~EtLFlEt STtEfi O t.t. . NO• CITI Ol.WItAGE STAtE 1V ~ ~ae. COI:~.TY CO2Q~~? 31' t?.T,'~^"..r~~1 r! V:? W, CAt:TC1P7 OliIO ~ 44~02 ~Ul~wt, CtEMALON DAiE N/wE Of CE~?ETEtT Ot CRf~uiO!? lOGllOr~ fCiq, ~ilf~~~, N c~raf~I /Str~I lS~rtibl ;0 2b. .v~ . 7N. 21c. K ]II. - ~ NAME Of EM~AtYEt IIIC. N0.) FU~/ ItE S SI ATY IUC. NO.~ 7s. R 3. F 2?_2 A ~e. . , ru~E~u r,w ~wo ~oo.ESS ISitEET NO.) ium lATF~ i:,n - r;rC _ i 256 x~a.in St I~ a 4~~4 GATE ~K'D ~T tEG~STtw~'S S~GNwt~[E OATE tEtM~T ISSUED S~GNATUt ~IEtiOq ISSUING RWIT p1iT. 110. IOCAI REG. ~ ~ - . ~ , - ~i. i . +~t. . p • . + . ' ~ 6 1, • ~ _ ~ . ' t . • i . . .,~s..: . ; • - 0 R ~Q~ - BO;tA ~r47V PA6E