HomeMy WebLinkAbout2825 4'~~'738
Dls'lRiCT OF I;OLUMSIA
g ~,q 1 ~ ~ D13!'~1R75~:6~NT o!' HUIiIAN R1r.:.~t1RCl~
Yi1AtP?~Ci;Ril~ }~Ci~ls CERTIFICATE OF DEATH l ~„Q Q_~ s l
rILE PATE !Y•
1. NAME OT OSCtiASEb tint ~ - MtddM - _ - --L.st ~ >ta. DATE MowtA Wr aar ,
I! M as ~
(T'°`.e ltrtu ARD R CRANFORD Di
tt lU4RCH 1T 1979 I 3 s 30 ~1N
s. ssx~-' a. bolos oR Rwcs ~ N..K
a:~, er..,~,I. : awTS or ail*a .was /t~ s..w
MAti _ 1419 !
i. t~ .C. s. wL
~N~~ r ?+t;iMR DOtKM/wMi) OAR ~ RlAtf! ~I~~ ~.0~'Y ~
•r
cart ~ IIIDIAIt ~@ ` .
• ~tRSSt woMt i
ft. r! ~ lye _ - t
wL wtloxtaee iN. selaos as tliR - s =
~ ~,v ....t •~1.e.rtdAr n~t U wetwll ~a~~Ci Z~!! ( ) ? -
•
la•. r ~ lif. s
RIC~':.FD It ~!RA~A~O$D ALItHi L~VeOl1 1iI~~ C@A3t1~
I5. E~•r tr U -'L UR 17.. ORM RtLA N=i1/I TO bBCtA _
h( AetMd Fat•Mf - . -lam . < . t s ?
ttt 1 . CAUSE wTn: (titter owtr one c.ree Per tine fa t•'l. owl /el., I -
~t, ?AR! I.OEATN wAi CAUSED SY: - ~ malt
IMMECIATE CAUSt ~(•I [ ~,C~ b y R t V CL O~ t-
OowAtpowr.l/.wr. ~ _ t
tsAieA ae rise to DUE 1'O (b/ ~?i~ ` 3 41'!rt -
2 al+oee state to/. s/st~ ~ SO tlt'1. Mn~ S C! C~ntsi
to Q ~ tAt tsaderlruts cattK - --r .
r I.st. ~ ~ - _ ' -
t: ` DUE TO (e)
e• U TART il. OTHER R'GNIFICANT CO)1DITIONS• eoattibutiat; to death put wot i9a. Alt 8Y'! ~lb.t/Y•s.~ere rlydt~sCastaie•a.d
~ rtelatd b Ibe urt»iwal dise•ae coadltioo arses is part 1 Y t30 it? Detaswioira Ire Car.. at Deallf
. K -
:h ~ IF OlSRATION MAS lERFORMLD YO•.• DATE Of OlERATION 20b. CONDITION FO>R MtiICB OlERATION
~ COMlLETE ITEMS !0. awd tOf. - - N AS lERFORLIED
V .
- t - la.Ssseilr tt aeeiesat.•.teids.hossi• Zlp. HOUR AND DATE Or INJURY: Mwttp.Dar.Yeu Zle. DESCRII6 HOOrV INJURY OCCURRED
- aide. a< a.ara•r trsdsteetaLted tE
wfer watttre o/ 1^Iw~' to trrt I atr JtiM D/
_U M
4 Ili. INJURY wT w RE: 21e. !LACE O! INJURY: cwt Ilowte. Fortw. lit. LOCATION CITY ~ COUNTY STAtt
~ ISped/r Yes o? Nol Firtorr.Street o? d//ice Buildtnl, k(e.1
g
rl.1 eetWr utal~ttda bospitall.t girded Ire eee.a•ee t: 1 f~ w 1.2.. .11 .flat~j
ta.) !tat
a.tr the dnee alive ae . 11 .ante tleatit ocermd [eota Ire ate an Ir. aaM •ttt~ aMr.
Zla..S16NA ~ ATTlJI MEDICAI. .S;AII
Z• 7
I~ t=e. lIIYSICIAN'S - !!i. AOMiw -
' Er I - NAPE ('I'rtle/
.It•
- 23a. ttURtAL ~j DA?! .NAYlO?CEMETIRY ORCRErATOR IACA (dh. Nrw. ar ) M!
CR[MATIOII [Q~ ~I (~S HILL T SUI~tA~ Q
REMOVA
ruNERAL ygMS, GBORGB ~ sal _ sM, vssslwtste ~
j ADDRESS ORO31 Hill BId 0~ Hill, ~Id - tR~lRwl~Oi/ -
RGtARirs: -
Autllarity is Ranted for c:elaaRiotl bar - ~ ~ _ - -
- Medial S:alllinaf ~w_.'.,-,,: a~=~b~:
rc
1 CERT 1 f Y th~et -the above i • ,+1`, ~~rs - ate-- <-~e~l~~ ~+iw sf the or it i~e##
cent i f i cafe f i f ad i n order vitt~` 'thy ?
- r r ' i ct o~
~o I ul~ i ~ pspartwent of Pub 1 i+c M~ii~~tft~ : ~ } v -
. ,
_ ~ - ~ ~ n r t, Cl~ i sf
Oats • I saved) N07 i w~ ID I T~14i1T ! ~0"'~IFC~ i to l Rscorda @ i v i a i oA '
~ -
~ 4'~4'~38-
FE6 -j ~R ~ ~ -
_ f~r"~
s
- - ~ iffCORD YERlf IEO
B00 J1r4 P~E~~
• ~