Loading...
HomeMy WebLinkAbout0639 75'179789 _ . i " ~ 4 44i'768'7 ~!1 ~ IIle AN ~ M!B 'y9R133460 OfF - - ~TA- - 1~ ~'Q3~T ! 4 14 - '"~Ie~Nti M orrtew.coo•o~ DEPARTMENT OF ~ ~ a '~0t CO~~' f`~ ' ~~s`~ rc41f1W 1 _ Health & Rehabilitative a ~'~~~8 N o D1S"fRICT ELEVEN DADd t>a{~fITY DEPARTMENT OF a~ 1330 N.W. 14ta ST. PUBLIC 1~ALTH ~ I ti~lllY 1!!IS Z+O 14t 11 TRIG CppY MIA11~ 1~1AIt1UA 3312E ' - ~ Gf ~A~. , t~eait~rt~?n' 8 ~ca~n ap , to s ~ • tt r, s : ` R ~ : ~ _ ~ L' : ~ ~ >#~~tt of Vital ~ • } ' ~aric~~ atlixad. w ~'~I~'; ~ vI~'A~+ DDB ONI't r~e~. ~ - tf.itw 11MW ~ t 1 ~ ;t . CERTIFICATE OF DEATH •f.f..!!f rt0. _ - G, wrr++~ Ntw Elllr.il~t.»,.l~l.t f L O ~ 1 D A fow nu .D ~ V t~fllif O~CpHR-fMY! 1pR YrDOIf r~yr M. (YNt W p1ATN/~. M ~j~~~ µK[ K fAQ-"~.D . MtA. Md. bf-lal Mrd'+tr tI>D!t 1 ffA! 1rrD!! r D?r Mt! d t~.lH r Y.. D... 1. I C01RlFf O. Df~FN ~V N~rq, M t gp~rn/fI I Zn.1 - -j - ' i ros--r~-an libufs rra J f.~ A. E k. ~ a~~ J. . ~ clTr. tt7M! Otl IOUFIO.. Ot Df~Fw rr~vlu! W Onat l.6u MrC1.+ ~+~.v u: • -,.a... r...-n+... ...t.., jn rqy a +•8t- Niw~ OWE- (,+~/1~7, oa f•,.. e..l~tllplrf~«Ms ~ ~so~H sr.>~~ais ~iosp?rse~ - - h~" T~?,r*~ St~Tf Of MtM I!)w. CITIZfr. O/ inY1T CCV+'tr .a•tlifC. NlvFt MuIICJ. 11.~rrv:K ShTY! Ih ..r., y. ~.J.. w•, ClT.L~. W. aw.n.l T~ Q WDVO~WED~. pvO~iCED rfL..n, I S1• E tEIMEEVC! L 3IA V r? ?71 I SmfLAiL.C_W t t T~ +ED IF Df?TN 5[Y. ICI SfClJttrv M)W!t - v',r11 OC'N••'1~"• rin. w., 1.v 4•.y 4.O OF t,-rIHSS W rgRTF wTlorr. WvE .r Ir 4'RRT(` T. /~~1p~~l~/~~ +t 1~••Er+Cf et:ot! 1? ~t,.2&.7~~Q ~ ~a7JC ~1~~ _11\iL•'~ R~~TVi1Y~ii~~ . VI)Ei.ON 115. Df~LF-1'•/F-_- ~ r.'~+tr • "O+M. 7! ,r,-.. •.raMMt r.i~t.• ;rTf l1Yrt3 e FIARIZIA 1•~ ~E _ IdZP.t~ '3^.AC+ - 7555 aDLT+Iiw AYEL_ _ ~•••h 7~ , - - rln- F ----~~ls~ril~ ~ , I~ ~~1i: cZIP~: _ ~ 555; - : ---~14Q-- ~_~z-._ : T h• f ~ 1 R'rl~CNAI,a:1:A.~tCr_ ~ ~ ~ ~ r ~ = . ~ - - ` - _ ~ ! . _ : ~'_.i.:&:~..T...-: YCffaC ! - 1. ;^._.i.iu i• ~ .~~r[ , r~ ~ ~..r, . ~ z Yom;=C?-_ ~c;~~':,~'L.-3~1 r ~ V w r' T tEC.'S't •t ? ~ 1 V VEG., C•iAr • r f ..iE r _ - _ f 'ntl .•St ~ _ _ Q # r: J tt,~ L.t,~,, ~,Y t '•~It ! • ~I~ a:r r~ o~ ~s • ca:.t~un<_~ • ~ • w e..•a f - L.Qg_,~ J'::Lt,.:..w t-. ~ ZP~t....-~J ~p00F{ ~1C~Ii+ ro•.:G~l • 'f:..f•HM~•.c~ amp 8eaci? Couat~ / ,.....r - . John B. ~ ~s t; - - Clerk Circuit y G r:. OFF REC 3123 PG 0011 _ _ - . , , ' ` r ~ _ 1 ~ i, - . a .1' RL•'T: r i ~ _ . d ~ v an~x~ PssE