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J 4~6424 / . ~ riALD Q~LY ~.I I~~EZtZ~F~,~„~'~'AT•':.?'F~l~i~'zd!.IS-~.S'icL'Ti.~COPl 6F--/? #~O~D Z:i""ri •~Ch F?~!' ~".'h~ T~'V.~:;?'.' 7F' r_`I~~L fLu :}~L~~' ? - s , ~ I!R?: i~ / ~ , . .t ~ C~l :_.~-r~ D~T~ ISSU'E.'.;:. ~ OCT ~ 6 197~ STfTE F _5; OF V?'TpL ~ECG= S Yt is iil.eg~ ` L~' 3~1CFT.P this ccrnr by ~inoustat or photo~r h. ,.'r : . ` 7' ..i • a MARYLAHD_StATE OfPARTMfNT Of HfAItH ~`~~y avisioN oF wru ~cows, so~ w. PRESTOM SiRFET. `Ali1MORf, ~YUN~ 2~zoi Z 7 2 6 7 . CFP.TIEICATE Of QEATH :::'R~fDMkF Fnt liddk last 1o DAif OF 4EI~iN 1~ M'KIt << John W. Pu~h Sr. 11"°~ ~°n ~ p A y =x ~ R~[E S ~ilE ^t StPT!1 5• ~G: (h -s • u~c.:i ~ ~su ~ r ~+a t~'.ale Caucasion Nov. 16, 1904 . ~ ~5 t"'"'~"~ ,~s '"1b~"'' . _.-•i:aiE (Ssae a la~ 7b (RIIEM Oi NNAT (OUNiRT? i 1(OIM(iY Oi OfATN ~ ILARR;EO MEYER WlifhE~~ lirQiai.a U.S.A.- r;~np ~~cEa(~ Dr~nce Geoz7ee's ~a i 3AV 0.` OfAfH t i. UAMf OF YASYRRt OR N~TttUT10V (if rot in AospMl 12e USUA! 0(tUYA1~W1(Krid o~ r~ork done 17A [IYD t1F iUSyQiS Ot everly ~ ~.nce°~' orge's GEn. Hosp °"~$~~10~''e~~i'1•4~'nif~ar.~d) "~~~f Fhp . ~i~!DfAiE (KT+cre deaevuE 4red, d nste~Awre Res~denc~ Odore 13c. C~i± OR IOVMti ~y r6ot cm irm 13e. SiREfi MO MIIMofR s-~rE ~inc°enGeorQe's . Rivercal Y~~ "0~ 6310 59th Avenue i KR4.F Fest M~dSe lost li At01MflCS MU!LfN NAMiE i~st M~ddt lcst ~ ~•illiam w Pugh l.~ura Pugh :iCEI~SfD fVER tM US ~RMED fOR(fS? I6A.S0(IA1SE(Ilkl(Yl;p Il. ~AfUP.IIRR,41 ~Qdras "tn?`"1'"""'a""°' 'S 34 09?4A Gladys C. Pugh t Sau~e ~s ~13e ;R:ISf Qf DEATH ~Er.k, ory o~e cwse oe. i+~e ra (o). (b). wd ~ . MY~Nr fi6n s~0 OfJ r.R' f DiAtM 1AA5 (AUSED BY J _u ~ ~ ,j ; IMM.Ei~:AtE UUSE ~a) C ~ , • ' DlIE i0. OR AS A(OKSf ~KE Of ~ . t . _ . -cs d o^Y. whxh gorc _ n • ! t~ - ~-;m~d~~te ~ouse (o) tb1 - s_1-~'~-~~ f!~ 'f r~v~ f' --f ,"e ~nttrt~.~g rause~ ~0. CR AS A C N(E OF I~l . i OT~R SIGNtiI(~d11 (¢!i~!IIONS (ONiR1Ai}TW'G TG DEl~TN WT N01 RftRTfD i0 iNE TEEIAIY.III DISEASE OR(OND(110h GNEN IN iA2i s~a) _ G_if OEOF#iiRi~Of1 I% (ONDIi~ONFOitMfitICNQPEi~T10MWASPfEfGitMfD IOo. IdlTOPS1? e0b- 6 1'ES, iNfRf ~NIpNGS (OMStDEkf:r ~ti (fR?lf:i'G ~ ~ ~ a (A:lSES OF'DEIi1N'~ - _.!!~DiAT WAS WiUifilYi 71D Tu~AEE Of W1UR~ ilc MOIN N~NIRY OCCU[QED (Ean nc++,re d ryury n Part 1 a Pat fkm I!1 - - ~:c~?n4.~~ pu.,staaau FIOI~tAAI MocNU~ Dqr Yea ` er v. rw+ mr6cd eaortrnn) P.M. ~y la.~R~ ~[D 21e PtA(E OF uOilR~ ~a rorE ~.e~ s~. ~Kwn 1?it_ t0(A:ION ;~ec~ o~ RfD.IIO. (nr a io.n Cwa~r Sk ~ w[t ~wo~c sx J ? ~ ~ ' i«mh, in~t t~) t,~++~o~toi att ded the deceesed om ~9- ,~nor pf t~! ~aw the deceased oiive on ond thot in (my) (c~ opiraon dtoth occerre~ on the date onc' hour ond trom th~ rauses stoted obove, ~I) (we) (t~ did not v+ew the~boJy after deofh. Uk( . , ~ . . ' r ; 1-'~ ' I~ ~ • . , ~ ` DFG?~fF ' IrJ ~~~OR ~ ?H75 ? /I''E C`'f D 7 ~ i z?nt;:~rs . tt~wDtcfss j "~``"=~'~Geor Ha ea e M. D. . _ 3?17~38th !.Ave ~ Cottage City , MD ?0722 ~~~u. c~i~;.ra~. Z~s aar~ r.~ c~,~~Y a~ c sar - ~a. ia~Tw~ ~c co: ? H~tlPl~e~~r) 11/12/?O F't. Lins~a~.n Ce~ter3r .-~4s Colmar ~lanor ~d. . . ~ t. •.r ~ F!~ti~iJ41 G~~:(t0it A:iDtFSS 1So. E. YEGKjicAR 15b REGtS1PUt S LGNA?UEE ~ Francis Ga~ch's Sons H~nt~tril2e~ ~iar~atid - j ~ ~ % ~ . 'l . . . 4~i424 _ 6 r~' ~ = ? 1 q . - . gt,F k ~~9 ~ ~ _ . _ _ t " : ' § - ~ R y ~-,:Y~y~~ ~~as ~-,a . k` iT . . ~~-Ji}-.K.'TF ~ . ~i ~ ~M1S"~5~. eY~