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HomeMy WebLinkAbout1581~• OFF REC 424 PG 4 79 ~11511 `~ ~` -, ~' ' COMMONWEAITH OF VIRGINIA-GERTIFICATE OF OEATH ~ CEPARTMENT OP HEAtTN-dUREAU OF VITAI REOOROS AND HEALTH STATISTICS-RiCHMOND COr'I • tEGISiRAT10N •• CERIIf1CAiE r, SIA1E iRE f• _.'!• . ~at toui ~~ -x,M.Ee~ ~ G .~w~. /~ - ~~ ~ . - HE~ITH pEPAQTMENt 0 1. fu-l ~+nME 1/.p~ I.w1dy (b~ t. SEX ~aM ~«.oM ~i °f °E~~D JADiES ~ NORMAN FI3HER ~ ~ a. a-TE a w.- t~r- ~r~~ ~ ~c~ a ~-`-~~4~¢ ~-'€-!--~-~SF±R~S L~-Y_ s. caoR oF.rH ]~25/~6 °E`~° ?8 ~, S '.,r" ~ '°r : ~. ~ -:~w« oR a-u Cau ~ HAME O~ N061~TAL OR (A wa~e. w Yon) 7. C011~fr Of (il iwdpMd~ c~r. Mw~ lbnk) ~~ a nsmuna+of oE~rN ~~~dria Hospital ~~~ OEATM ~. an o~ row~+ ~a .,,.d. » .~.~ :~+,s. ~.~„ « ~ c...+ ~. sr~Er ~oo.~ss w Rr. ~+o. o~ oE~rM ,~, ~. of ~ or oE~ Alexandria ~ p 43~~Sominary Rc~.. ~ uSUAI ~o sr~rF ~oR ro~~c-+cou+mr~a ~~. cou+n or oEC~ws[as p•~d.oe~d..+cy. ~e.. ae~y OECEwSE~'S ~ES~OE-KE V1TgID~B I~~~ Fuirta~c o i ~ ~ RESIOEi'!CE I2. CIi1l OR iOVMH wrdt dy ~r ~e.w W~1 17 STREET AOO~ESS Of fT. MO. 21r COOE a a oF o~oe+T °i "ESiOENCE Alexandria p _~ °i~'~ehwood Dr. : 22308 >; ° ll NJ1ME pf fAINEt IS- MADEN NAME Oi s~ a' o~cEws~o Francie Fisher ~~R ~~CEASED Hargarite Curran •~ ° ~ ~s. occEwser. aniK, or ». ~eaEO ~ -+~v[e ~u-.uEO ~ ~a•r ~~ee[o o~ wioowEO. ru~ of sranE. Z, e/ERSONAI NMAf COIR~it~ t*~ i OMO~CED. IEAYE MMi °°° ~~ w~oowEO O o~w^cEO p M87c,~/ H8zt31 Fisher ' -, E o~u of m° 0 1~. SOCIAI SfCUl~TV Ip. f YETEfAN. rou~ ~er. er :/ TI rll(~ACE (s~we w cwwr~) yl pwTE Os MRTH I+y I ldet~ 4q) ~:~°~0~1 M~! 3?4 Ol 9626 °`°`•••••"~r. »"°•• Tjp a oECEws~ CaII8d8 a- oECE~o ~. 7/31/J t ~;~ 2]. USUAL OR IAST ?I IOnD OF WSINESS ri. NfOfMAnf -O~ 5011KE ' ~ ~ E~~e-President ~'~01~"~~iture Co °i NiO~`~~ Wife ; o me ~ ~ , oi ': H GUSE Oi OEAiN IEwN• o~Jp ew~ ceur p« Gn~ 1er (M. (~1. awd ~C~ NIERVAI BETwEFN Z' o /AAT l DfAM WAS CAUSED ~11 f~~' ~ OHSE~ A pEATM ~ i e IMMEpAiE UUSE (Al~ " - V ~li~ ~~'~y(/~~-1 -~ ~~~j~ i t ~~ ~~ t~ ~S' ~~}~ ~ ; O ; F ouE TO ~ ~ -, . e Tp 2 ~L(:-~• /~~ ~) .. y ~-`/ J 1 ~~f .. . i • a' Cand.wow~ i/ onp. ~hd ya~~ riv (~) _ °: °; MII/SICIAN: 0 b wr.«l~a~e cww 1A- ~Y ~ N Q V ' Y t w~de.l w~ cevw Iow- OUE i0 ~on~ 0~ ~R1 a - ICI G~O TO ~ ` cwr..w.~. v ~~~»~ y'~ ~ ~ART ^. OTMER SI~iNfICANf CONOIf10N5 CONIbMliIIIG TO DEAt~(~1 ~ElA~iO TIE~111~ T6o AUIO-S1I~ ~ b -~~.~- aa+• r 4...r F~ j ~ASE C G111EN N~ 1(A~ ~~ / AUTMO~IIEO " i • ~.«~w«w~w ~ } /~'/ ~ ~ ~ ~:/r ~`'/ / i ~ • ~ 13l~SR: ~O~MV)'fl. 1'Ir~.~ tY. ^ . e w..r..wn ~ (Z~• `a~ I r ewr V ~~ N rASTtE,. W~~~E A 26e. IF~vE D UJI~E. Q ~ Df NAlt/ OCCNR~fD. (~~ weM~ d r~ t` ~~ r . a.wwa "7v'- ~ VeN 1 e~ po.l /) ` ~ Q ~ Q ~~~~ IOCMlSE O~ 0[~M V MOt! ~ f~tt~uu C~uSt. MO~rt ri[O Eaw~t~ ..ott r 0?M. iw~E Oi w1Uf~ (~ 1 Idol) (1~a) . N1UIR OCGU~REO ~t~ ~IACE Oi INIURY •Mwt. Mrwt '~M k+I «~~) k~-1 f»e») -~a.~...~ ..Mr..~'... r A~ d.i~ wa ~hi~ I~cwry. Mr~M. ~ 41dv., Mcli .« ~ w ........+ ~ rx .~ ..~ ^ a ...~ ^ .« .r w ~.». ~ Y . i- / w r w~Y~ 16. 1 CERi~r IAa11 o M» dec __ (doM) • ~ ~ b ~) awd 16e1 ~~dA ,.. 1 el~ ~' ~ow!) ha. +M cotie .w~.e ebo.~ "_~~____~ ~' ; _ --______" ' '_•~__-_~__~__-- ~' --e-~------- A~,u ~ s ~~~~ (dry A~ STATE) ~ OAtE SK,-+f~ - ~~ ~ j/~(i' r 1 f ~ ~~-C[: -~'r~L= t / '•~ / . , ,• , . 27. ~U~IAI Al~ CREIMIITION ~. MACE ~ (wa~ M . ~ ~r ~ !) , (~~n1/) , ~I+bMI~ ~+~ -~i O D ~EMOVAt. ETC ~t WWlO~ WmB~~ Alexoundria, Va. ou~ccro~ ~' i*c .~ ~.•.~a.«w. ~'°~ a. ~ ~ a runEw iJCID 81nO ~ ^ ~ ~/~~,~,~ ~ ~/1~~,~G/ t~j . ~u Ale~candi'ia, V8. 223I4 ~ ,,~•• ~ r~''~'~~/' ~~i: . ~ ~ 1 ~\ a-tE ~co~u A~ f ~ ~, N REG1sTRAt ~ 70.' ~j~~ ^~ ; \ \. \ ~a ~ ~,1 ~~'~ \ / / ~ ~ 1 / ~ ~ f ..- ._=~-=_i ~ ~)epartment of Healthr ~r~Q'Z • Vir 'nia. c~.~, ' 8, ~ate issued ~~~ ~ ~ ~ ~ ($EqI,,) . - ~ • `t' ~~. s- . ~ .'~,r; f 'i: ~j ;~ ~ _ ~ . ~, ~ . . ~= ~ ~~ . - - # ~. ~ - ~ :;~ - : t . ;~ .: : ._. y, „ . • ;:ti, • } ~ , ~*_ ~ y . `~ ~ : t' : ;• ~ . . ~ :: . :~~, ,~- . v .,. i~,~=Y3... ~ - - ~ ~;~-,~~:::}~:_~ < _.,r_,. = 1~0 DEC 23 PM IZ~ OS . F~ED A~ pFEG~OED ~ f ST~~ER p011RASA. C~ERK CIRCUfT CC~tJRT REtr,~+n ~~Ee~r~,n._ ___~ - S~_1511 ~ ~ . !~i h,- ~ • • ' ~~t^_gist~ar . ,, ~ VOID IF ALTERED OR DOES NOT BOOK345 PacE15`79 BEAR IMPRESSED SEAL OF REGtSTRAR / / 3 S'~ ~~ ~