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Jr09~`76 this office. ',' ~•
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Nelson Abbe abeth - Hantle
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NFORYANT-NAME (ly--rAiley YAllMla ADOREEi IftREET 011 R.i.D, wJ IGtr OR TOMII 1ftATE1 Qrl
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Blanche I Elyria
900 Cleveland St
Ohio 44035
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DATE LIGNEO /W.. 4~. ferJ NOW1 OF DEATN DATE f1GNE0
q/a. Ary. iwrJ MOOR OF DEATH
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eURIAI. CREMATION, GATE NAPE Of CEMETERY 011 C1IEMATORY LOCATION ~C/rT..rye, rewe~J ffure~l
OTHER Ifrregyt
,.. Buria ,.._ Apr. 11 ,.~. Nesbett Cemetery ,., d~afton Township, Ohio
NAME Os EW4I,YER IIIC. wJ fUNE w iIGNATVRE IIIC. wJ
R~ Richard Laubenthal 6921-A 206
FUNERAL iIRY ANO AOOREfL /ETREEt NOJ KIT/I ATE1 Qt)
,,. Wainwright Funeral Nome 384~5 Chestnut Ri a Rd. ffi ria Ohio 440
OCAI A4'O w RE TRA11'j fIGI/AT{ME GATE IERYIT tsAtlED :IauATM1E Of ~EREOIr ISRlINa -ERYIT OIST• w.
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190 DEC -3 AM 9~ 06
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OHIO DEPARTMENT OF HE74~~ V' ~~
ow N.. DIVISION OF VITAL STATISTICS ~rr~~
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