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HomeMy WebLinkAbout0905 y n;~45S9 1 THAT THIS A E`~ THE ORIGIMAI. CERTIFICATE `Y ~ 1EAM MCPM~ OEPUIY REG ~ . . NORTfi CAROtiNA STATF EOARD Of HEAt7H • OFFICE OF VITAL STATISTICS ' " ~ w`;';"'„o~". ~ ~oc~ ?w _~-j_ 6_~ CERTIFICAYE OF DEATH';. } % 4 ~ rnc a.?.,.~~ w r.,,,,,~ wu u w,tN : ~.r`.. . ~ ; - ..i.v\r.i:.: NlItA:LJ MT . ~'r. ~ ~l~.~. i~r ~ w.c CN.A.°LF.S Atl~!A1.D S TN ~ `l!~J~ Sf~ ~CINW J~ tACI lfAit W W(H M w~ rs~. wW OA1E 01 W(A ~ K.(w~s ? r.ua ~ 7: J~ 1~~ COw ~e rWq r~~~ ~ wOM~ rw ~ ~ - ~ ~ , "~~2~ ~k'hite ,.:orth Carol-na .A~ril 27,1914 ` 60 ~,r; , ?.i,a N[atH ~ ~u+J~/ rIJO[NC[ y.. . Y~r , ~ "y'' . r - {r~~,:~ +~T.~.- C~tY p ~SJ.~ ( ".,,"~..~ecrl cr.:~urc+ :;y"`" Char2otte ~~wit j~O~~t1 ~'~Q~~ZI~~ ~ M ~U7'P ~ NA41 ~ y r •w w ~a.?a ~..n t~~~i .w ~w,+..~ ~ MSLLlt CIIY IYMI' ~111 O~ ~ ~ . _ . - ~r . - . u . . . ( ~ anc~. Ni o~ w ~Uyyq ' ! • . ~ .e.;t..~...x~ ?;I*Tr1":~.ZI ~OSf)1 ~~11. ~y YRS ~ C~1F1Y'IAtte .~~i f~t , r .r~.~'~~ . 9 4 pw...~.~ f..vir 1M:•4G. :U.'hVJ.I: YJVY r wa iw~ .~:ww wa~ t¦!Et ~utait:i W uA w • ~ uP:GE UiT lwuii t~...~e.~j l..v:..C~J y„ w,...n .I~CVO -<`l ~I N41 ~ ',~-rr~ed , ~ „'~ra~ret Youn~ M 3~9? Clark St. ~ „Y~s a~:.nr,-u~ Y.~ut u;u.+i.n sa.:w Aciwn ?Mwu~ ~•.wt octwwi~ u.~u• w: w«..w~ ~:w o~ wwxuaa u.tui~~r U .t/~..4 ~a~..nw r ~t~r.r ~ ~~StZ ~b Servi cp^:an . Du'~E- pv:~t?1^ ~ O. IAt..... nAVi ~ rOlnlYS ~tAW[N ?+~E . 4 ^.~ri~I ~rne~t Smith „ Elizabeth Rakor ~ ~r..J.ww.CE NM~E '^o wDOil11 } „ ='rs. C:~arlcs Smith-Charlotte,N.l' ~ o ~ fwll 1. GlAM UW.tO ~Y: • ~wru o~ar W c.~m K~ w~p fa r - r ~n w.~~ ...o u.s « r• i~~ J rJ~ ~ ~ yy~~~ ` ~ +.ewn e..,+a J ~'~•2 ~..L. Vl~ ~ ` ~ i =-1 / A.i: ~~it~~ C/~U"'l~ ~ ~ / ~ / ~ i _ ` ~ ~ ~ ~ . . ~ ro a. w w. w n . co..»w+,.u a `'~/Z~: K . ~ /6 l! ~,.Ct • ~ '1"d ~ • e ~M~P~I~ 1~...1 U ' 1~~~. i "v J..iU _~I -'i/~ ( _V 1 i . c.. ~ ..st . ' 1~I Ci f{ ~ ~ ~ ~ (M N p tl~ Co~.YGwK~ O~ / . ?w.~t O~nar u~iKw~at COW.I~XS ~w~w.+w .o .+iwi .w~~o w c.~rw u.w •u~ ~ ~ut0?Stt YES •,.:+'~a cu:.~:ws n~a w r4 4..~ p our~ 19~ ' W~ /YVt ~ • 11}. IVc. ~s ~ wt C.:.:trt. Scl~C.OE, Ot W.U[1lYMJ~[D OESCt4f MOW YvU~Y OCNi1FD ~u r.atw Or w~~r w ~.~t . q~ut y wu ! . . i ~ • . ~v.. rn ?Od c.vE i.? w. .w ~o~+ q~ wi wO3R ItAtE Of 7uWY •~'b'~-•""'~ ~'w~'. Gp O~ l.f.6y CO~u~t11 :l~iE ; ~ ~ :..uir ' w.cn .a w .o v.t~ ~w nc ~vuro (,j ~l ~ r ~ ; t \ ' / / , 2~. ~ hkl ]0~ l • / ` ~ ` ~ ` ~ ' Ur:..wwla7?+-M+r~ri:~w ~••yw~ r.~ rci.u~ ~ra. ' i~.-~~- J_V._ CE~iJ~CAi.GH-MtOK/~l l1A/wtK~ O~ ACiwG r4OK~t [a~r~(t <N ~M ~~L{f/ M / ~ ~V r I ~ h.! ~ YIO ~~t1 H~ MI .W~ ~V H T`Of~M I~~~~M~14~ O~ eN ~OY~ ~I.~.O~ /w1~t41V1 M w d~d~. M~I~ OM 10 tN. f~N L~IatH ~I tir r~ t • ~ . ~I _ n n ~ o+ r..~ ~~..r> .r..~ ..e s. f~.e .w.~ .w e...y. ~..r.o .w+~ M WU:AM ~~3 Iqw01+(IY H~O ~I ~ F ! r~~ e 1S .~11i.r.Alu~C iV. ~aa` 1i^~ aw.~ a~~w~ Gwlt S.GNtO . ADOiSSS ^ ~ ~ S . I L.--, L~.. ; "1 / c4, S~~ ~ _ ~ ~ , 7 / 3 i o . ~ . ~ . ; ~ o ,k , E ~ `.,.~:..c~~•.az:~-, o•.ua o.rf r.~ or cwt~ur o~ c~c.u?roar ~oc.r~o.. o. co,..•.. z..~. ~ ~ur=a2 _ ,~TLr.P 17,19 ~Sharon I~'emorial Park Charlo:te ,:~.C. F i~N.~~i.. rK.rf 'w'~~s SG.1AfWE Qf ~W~[UL P71Efipi , ` / , IKEr.SE l~J. ~ . ~ ?S t~~2:~~1^", oTlC~ ~:~.ittin~ton Charlotte,*`.C. ,.•L~~.. . . _ - ~ ~ « Mtl ~_i~D ~T ~Cw~. .1~r. S~I:HA{,.!'Ji ~~Crj/1~1L~ - SGMAtyYE Oi [MtA1Mlt ~ ~M lK!?iSt NO. / i ~ n~l•.i i ~i ;t~j M~-~.'1;.:~.j;,%~~r%~;.• r~•, ~ i/; i - ~ ~ ~ ~ ~tEO n~JD RECORDEO' ~UC~E CQUNTY. rlA. ~ ~:c ~~~i~~ ~ 4;~4569 ~ ~ 'T8 NOV 21 AN 9: 4 3 - ~ ~ ~,t~ 9~ ; ~ ~ ~ CI.ERK C!'r.Cl;t? '.;;~~n' ~ ~ g Z ~ ~ ~ y ~ ` ~ ~p~ ~ ~ bUGi~ P~brt ~ ~ p E ~ ~ ! ~ _ - ; - . _ _ ~z~« ~ s" ~ . ` _ . . s„~r~r~,v Z . . _ _