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Home My WebLink About0281 4223'7~ / ~oc~~n~cNUwtw GERi1FICATE OF OEATM • ~ ~ • ~ so~tES 1• NIWE OF fFiraf f i 1~1 (L ! 2. Sts 3. DAT OF DEATN ee~or so~ DECEASEO 'Sylvia _ B. Don~~dson t s~.rc uss ~Tr~. o. P.,u) U JU A t- A S(~ N ~ lr V 1/1 . r Pj j' r ?~4Ct 1• Cobr e~ R~ce S. Aae (r~ r?j. 11 under 1 Yr 11 under I~ Fh~. G. D~te of inA 7. ~'~a deee~sed eve~ U.S. At~ed Facei) ~ /~~t iirt~4y1 wt a hs Norr M~~. IYes. wo, or r~~wuwl (1/ y~s. ~iw wr a I~f~s e/ ima? - . ~ 3-12-1916 ~ Binhpl~ce (Su~~ e? /on~p oruryl 9. Ci~iuw d~A~c eo~nvrl 10. Muried [g-Neter Mutied ~ I i. Socid Sccwitr No. ~ Chicago, Illinois U.S.A. ~~~-~o Oi~otted0 6-0 -110 reESio[MCt 12. PLACE OF DEA am @TL 13. USllAL ItESIDENCE (U iascitutioe: naidesce Eelore ~drisiioe) c«~a, ~ s~~~ s• ~«~r Camden - b. Ciry f ck So: ud ~i~e are) e. Ciir ] (Check ~~nd ~irs tiae) T«~u j~,~ , ' T«~~~ Cherry Hill e I~a p o pot ~n S se~ ~as[ieuteon ~ c~trtet ddres• d. Sueet Addre~s (1/ rat~l. P.O. Addre~~) } Hos eat or i V\! i 3~,1 ~~,~4~, n~~,~. 362 Borton Mill Road ~ ' u, s~ q u~ ~w~ t~. Uwal Occupuae ~w i o rw~ a~~ r a~~iro? ~~i ~vew ~irtfrtll 1~. b. Kiid ot BY~inc~~ at 4?dwur . ~J ~ !f. Fuher'a Nue 16. IbeAe~'~ M~ides Nre Emil Strqm Alice - - 17. ~d«..at•, N..e .na Aadre.. Mr. J.aVernQ J. Donaldsor., 352 Rorton Mi~l 8oad, Cherry Hill, N.J. c~ust It. PART 1 DEATH ~AQ CAUSED B E~ter o~/r o~e c~w~ pr liw /o? ~A fr) Appeoti~ee iu~er~d bet~eea ' 1 es~a rrd de~t? i~cdiace Cwse (~1 - • Cwlu~ws. i/ rry. viiei ~n•e ria~ ro ~~ovi c~rs~ ~ ~ (11 •7,r'. ,atsj f~. ~wJn• ) . ce,e,~;a. c«~- h'iq c~au~ l~at One to Ic) ~ ~ ~.~b~~~~~»~NM PART 11 ~R'~'.iIGWFiC T CONDi7tON5 19~. fas ~ucopsy 1%. lf ~ea. ~rere fiodinas eoaaidcred cw,..'~~~~~ ~ n pedoa~ed) ia deteesieiq~ e~use of deu~1 I / W-'V -v ~i~-L~C.Q, v r-~-L~-~.~'~^^ 0~'""t Ye~ No m_ ~ Ye• No ~ ~ ~ci o? p~. Ac~idenr Swcide kaeicide 206. Due Md Har et lajur~ 20c. Hov Iaj~ Occurred (E~t~r wur~ o/ in~~ry iw Pp1 1 w N e/ Itt~ 1AR . a a a ~o ~ba irs~ o~ borlr! W 20d. Injur~ Occurred ?Oe. Pl~te of lelury f~-~. i~ w~iorf bowt. IO(. Ciq, To~e or Loc~tio~ Co~nq &ue ~hile I~a ~'hile J~. J~rtory. arri~r. o//in ~ll~.. ~tc.) . •oclc ~t fork c~o~s c~~s~. 21. 1(aetended, e:rsined) ~Ae deceased ((ro~. o~) to ~nd I~ae s~~ (hi~. ber) di~e oe - De~rb ocra.e/ ~r ~w. ow ~6t l~te st~t~J ~but: ~wl to t~~ ~tst o/ ~y bov/r/sa re~ ti~ c~r~ti sl~t cewsuf 22~. Auendi Ph i. . E: Carr Pb ~ tlb. Addnar I` ? U 5) ?te. DKe Si Tr nCT ~t 1 f 1• C7 v~ - 6^~ - ~ Gl~ ~ ~ , , - L ~,c •l~ . ~ ~ 23~. Buria! GeNtion, Rswo~ 2. eoeeer~ a Gesaor~ N~e 2k• Locuioe Cu~ • ne `~'~Buri.al All Saints Cemetery Jenson Beach, Florida 23d: Buii~ ~te D~r- Yr. 21~. F„nen111w.e N~e OlTle 21e• F~r~crtl Hooe Addrew • ' ' ° . ` ~~3~~'5 Murray-Paradee I~neral 601 Marlton Pike, Cherry Hi11, 2~tlGFvo~t,D ' N. J. Lieen No. 80.~ 25~. Riur ssuin~ PerIDi~ ]~o~c~re 2Sb. D~a Rec'd. bp Loe~l ~ ~ Resianr~ u ~ / ~ee. » . ~ ~ ~Tti. . - F•. t ~ ± ~ . ~ J _ ~~•CI~ERRY. ~~;~BPARTMENT OF NEALTH - CHERRY HILL TOWNSHIP ~ . - ? . _ _ . _ ~_~O _ ~J . " Date of Issue THIS IS TO CERTIFY THAT THE FOREGOING IS A TRUE COPY OF A RECORD IN MY OFFICE ~'ARN I NG : NOV 1 9 4~ AM ' 16 ~ DO NOT ~~~£~'t' THIS COPY r;~ ec ~++s P:taaaEQ ST.IU~:C CC::hT`! FLA. ~ ~ UNLESS THE RAISED ~ocert~:;r~s's ~ 5EAL OF THE TOW;~iSHIP c~FaR c+scu~T cou - ~~~Grnq OF CHERRY HILL BOARD OF HEALTH f~°~~~ Registrar~ of Vital Statistics 422.3'75 ' BOG~ iACf ~C7~, , , ti ~ . . . 4 ~~Wr, < _ ' ~ , . . . . . •`ri- .F '~`-n1