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HomeMy WebLinkAbout0614~~ °`~~ , SU9;~ 8'7 ~~ 1980 OEC -3 AN II= 32 FILED AN~~CppF~~ECOROf 0 S ROGER POITRA~A~ CLERK CIRCUIT COURT RECQRD \'ERIF F4 t1 __ .._ ~}- ~- l 5U91$~ WEST VRG WIA ST~'E pEP:~RTAAENT OF HEALTH ~ ON1510!: Ct ~ iTAI STATbt1C5 .tru nr •r,..u. MiYSI[IAN'S [E2TIF1[~TE AR DE1iM tTw-E rEr Nu..w OECfOEN!-NAME iD11 rCrO:E WS SEl[ OATEOiOEwTN;~b.,Dry.r.~ ,. Arthur c';arence ror:er , '•ale , 3 6 SO RACE-p+, wa.r, Etoe-, AGE-tea -+~ee~ F ~•t~E+ 1 rEAR ~.£u T Dar pwTf Or LS'M,M.,. Der, r.~ COU`•fr OE DtATN -A•..ti.aro+,, Wh n~- .,,s ° DAYS •o`s rra n 2 F l h ite k 7t3 • >< . 2 I 0 a ei ~~ CA,TOwNORIOCwTIpNOEDEAiM M06-RAIWO'~1M61~04-~v'1et~rMq..fr..O.MM+rl+r1 flg6f.OEMSt McutioOl~ Of~E.w.6., r•p...rfSIwE1, ~- 5P ev h "~ '- v ~.a ~i al ln~l7 ~ (~a'•^•.-:Dad Ave ~•. ?nnt srwTEOfs~TNCf,w.us.a, en~Naww:car•-+. wu.fo..c.i+~ns.m. ' : s~.r..wsaouse~r~+..r....e......, wwsaccoc~arEne..u.s. ARMED EOKESt Atra• 1~,, S wDOwED. Dr7 D ISDw1,! .J i d I * ~i !` (SMiy Yu •. w) a . +. UI To- :parr e TT. o:. er nc 0. T:- SOCYLLSECYERtNtlMRE! USUAIOCCJw"A'G.•i+rQ,Ewtd.~w,wy..,/d [llaOiWStESSORW1ISltt ~~~~~ Ti 718 10 1741 ,.~ Electrician ,.R Minin 8 RESR,ENCE-STATE CCaxrTY C41t, iOwNCI tOCwTON S'efET w•O Nt;MREt •bDE CRr lMU1S '' TSa ..t A, ».. r * -ave_te •• ~~•- t. ~ooe 'il4 Rrarm St ~~•- »•. ves fwTrrtR-NAME EwSi YLp,E l/-S? rp"-Ef-MAOENw/W2 E~Si ME)OIE LAST ,.. Edward Dower „ Mary Samuels lfOtrMA.`Q-r:AME (TH• •. r..ry AtAtf.C ADDRESS STiN' ~R i f.p. NQ C4Y OR TOwN STATE II , William Dower 2S8S( Mt. Hope W.VA ,, - .,._ ::z:~:~•:...:.:Gi :/•tC:nLC':21::i.~.b. CErl7ERritiC7w-.~O+r-wArE rOCATDN t/rORi0A7a STATE Burial HighlEwn ytea. Pk. Oak Hill, W.VA ,,, „~ „t EurtfaA- KE w.s.s •.AMEOiWKLT ADDREssorEACIYr 2Dr. ~.>,. ~ ~~'~1~~~ r~. 'F_tirpe °u~eral °or+e ~D.. '~t. Hoe ~.~.~~a~ .. rr rrl ~/..s.MOp..Iws ~.•wra •w•sr~~. pA:[ac.~ca uq,.•oA.ry nw.Marcw.n sew•h• ' / _ ,r. rs++.r.,, - Get ~ /~-t ~ a;-. 3 ' G ^ ~ " :><. /q c''--- K ~'~ NAME 9i ATTENDMG RtSCy.V f O:-ES : w~ ~i. ETf ry..r r ii~~ ~~.. T?r, T'.~• JereZ2A 2n0 °ailrO~d .'~?., °ect-?ey,rd.`Ta. ~SQOI ~ ~ NAME A•o AoDREU a cEr. f ee n,a... Eti.•. ~~ :T. Pr. C. Lo'ez 1~'-7 S. nai~-oc~d .A-_ve. ?ec'~lev ''.t'a. 25501 REG6TRA! .` DATE T!(j ArED it REG6TRAR (M,_ Dry. r•J 1 U/, J~ wviL.t1E CAUSE ~ et+"Fl OYr CMt Ca:'SE rf1 T1f v f ;.. ~l ~. Ar•D rra Y+n.o16w..ww o.rar a.A i.a~ f~":., F~~senteric Thra*.5osis DUE TO. OR AS A CONSEOt.'ENCE Or- W..d lr..••w,wnr e•/ d•A ~„ Generalized Arteriosclerosis t ouE 20.Ot AS A CoraEOVENCE ots - y~..d M..+.,..+.r.•A e..~ ,r+- Ot.ErSGNiKAtRCOK)+7C~b-C~+d.saeve-bw~.p.nir6MVwa~d~ee.t.f~.~~ATI..~ A11TOKtrfpc.tr-e "; Cardiac b Cerebral Atherosclerosis ~~ ~o ~ ~tIICrr. ;.,;,.;.y r« w N.j DA!f ps rrr_w - t_ Dom, r.~ NaJf or wrA+r DES7reE •.Ow rwrtr OcCUfRto 7Ae f tEi. r+0"ir MlDhiAM•~E• ?!A 74. ~ pl'JRY AT wOK /Spr/, r•~ T7wCE Or f.A=7-Ar •ow tit r.,•r, 4o.r, jr~ A•id.a. _...q V9 n0. yrwrNN ~~(.~ Crrr pTOwN ' ~ ORKaINAI ~-' f': r ~ - -- .~E:lr.:.. rr <<:y •_..~ V S R,c i li:v-.: ~,.~ I hereby certify that t1~e above is a true photographic _ ~ :c~~ ~•"" ";;•.:, ,~.•.,,r,-• .-copy of a record .rlec3 cith the Di~-ision of Vtal ~' r ' ' "•' '~•• - y',~ ~ 'Statistics 1'Test Virginia State Department of Health, w LLL~~~ •~ .#~YiS:'~ r' ' ,':'~r~ `__ •: - Charleston, ~'~est Virginia. 0 -, ;d ~`Y'~j? ;. ~ ~:'' ~' Z?fitness my hand and seal this °~ r ~'`. ~ j A'1 t ~ ~s~ C=S~~~{mil da Of ..a r h , 9 8g_. -.. ~ ~, ;,,':• ~ Ar ur BartheLTness, State Registrar •. _.~'°__" .-- ".~ESR~'~7~~f'f+~isT-~T'~.7 r a~ri .r ~ --.r~~Ewiti[w.w......r • s _ , B~(v't~ P~Cf ij14 ~~_ YtrT_9~ '