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HomeMy WebLinkAbout0942L _..._ ._ - - - - ' ~--s~a~t /~lf ~1YI~~l• '--' " 1A. NAYE Oi 0[CEO[NT-f1~iT ~ 1~. tl1ODLE ~~r•`~ ~ [~[fi\Dii/ ). SEt 1. RACC S. E~NNICITY male vt-ite • DECEOENT ~• ~~~1~~lKt N O[C{~[~/ ~s~~u e~ PERSONAL CgfiiY~,Y~htia DATA It. Cmlt~ or t.-f Ce~~nr United States CERTIFICATE OF DEATH STATE OF CAIIFORNIA i IC. UST ; FORRESTE(t i. OAt[ OF ~IRTN Nov. 11, 1937 - -------- !~~ a~. ~.'iV(7~~ ~ ~. M~~[ ~~~ ~I~1w~~Kl CI /~~r(• Harold Franklin Forrester,~ California 12. sx~u f[c~un ra.~~• q. •~~n-a su-~s 570-52-6482 married lOCal ~~i1Si~~iIOM OIST~ICT 1N0 t(~fl/IUf[ NY~I~L• =A. O~TI 0/ ~l~iN ~rarn. us. rtu~ ~ Z0. .u• NOVEI~ER 16, 1980 ~ 1622 7. A6[ ~r ~~~~~ ~~u• u ~~~t~ i~ «o~~s 43 -..,.. ( ...~ .~:.~ I ...~~.: ,...~ 10. ~1~T~ MNt -N~ ~I~t~1lK[ O~ Mel~~• Mnie Lillian A=mstrong, ~ r ~_ 1/. M/M[ OI SYftiYlMi ~MYS[ iV ~~ ~ I~y'~Mn King ~lfs'ler:°tVi~ Presi c.... o...... ». ~...o.. ,.......,e . .,..~. ~.. ~~..a ~....,.......,..,. ~ ea~` l~enn~d ~ ~`°" " ~ nternal Acc'tng. ~ ~~ ' ~ardner Inc y Brokera e g /~A. Yf~~l t[t~~~Kl-~l~lli ~N~tfS 1tf~lti ~~~ ~11~~~~ e~ aK~f.e~. ~ 1~~. t~C. C~tr O~ iN• 6201 Babcock Avenue ~ North Nollyvood ~;SUAL NESiDENCE ~so. cw... ~ ~sE s..u 2o r~rr ~ro~oo~cssor ~~ro~w~wi-.u...o.,... Los Angeles ;California Mary Mn Forrester, wife - :u. .:.« o, o~..r ~ j~~, ~pyy~~ 6201 Babcock Avenue P~~`e St. Joseph Medical Center ~ Los Angeles California 91606 North Hollywood , DEATN ttC. sr~an~oo~cssanan.^~^...~.«a«.T~e.~ ~i~o. c~rro~TO~• 501 South Bueua Vista Street ~ Burbank -- ~ t2. OEATN MAS CAYSEO ~Y: ~ ENTER OMLr ONE CAYSC ~ER FOR A. •. ND C) 2• . ,.. .. IYY[OIATE CAYSE 1 ~ ro c~.o.u • ~~~ ~ ~ ~-~ -~60 ....o.,. ~:~ CAUSE OF cwMir.s. v ur. Nt q. M~f N{ ~K[M ..e. c•.a m~ n ,}- r~ic y 1YT~~11M 2S. M~s ~~cr ~ ~~ aE~TH . . ~ Q ~' ~[T~C[M \~ ~ ..~........~..... ~~, • R~ Y~ ~• ObtT tt~~~~i 1~t ~~~[~~ Nl T~. M~f 1 ~Nf[M/tK~ M l~us cnf[ a~~~ J •MO tf- ~~t ~ ~~~. . . DUTw ' • fCl ~ ~~1 s~. Of~l~ C~rMN~s CNn~WnN ~~! M~i \~uil~ i~ t~[ I~~~N~tt 4~H M Opn ~ j7. ^~t wt~~nM r[~I~~~ N~ ui cO~Mno~ ~~ ~f[~s ia e~ ii• ~~' •~~[ N Nt~~ N - Ntj /~ / / J f 1 y 3~G ~~i PHVS~- 2M. ~ Cpner Tw~t Ot~r~ Occ~ul~ n i~! Mo~~. MTt~ 2{ MItIC ~-uc~~t~• ~~ Ku ••~ ~\Kl fi~t[~ I~M ..~ c..~.~ s,..~~. ~ s ~ 2~ . wtt sK~t~ 2eD. -rtutu~•t a~c~a~[ ~.~~n ~ G 243410 ~ CIAN'S t~n^ou ou~M^r s~.ca ~ ~ t.+. s.. euuu. au.c) f ~~ I //~ / CERTiFtCA. ~a.+a..•. w .. , ( ,a.+u ^• « .•., ~ _~~ TTK wn~cur•s ~•^c o~oe~c ~ _ ss TION /. / -' i t i i l ~/~~0 I ~ "~/~ ~ ' r - n ~ - -- ^ ~n Y / 1~/~ C.(1~G~ :~ai ~~ _ _ ~,~. y ....T:~• ~ , ? i i ?.::^:'. . .. ~ I ~ ~ , ~ ~ ~ Z~. ~I[[II\ Kl~~qt. ~~KIN. ~K ~O. -UC[ 0/ Ill/rt1 • 4 ~~. ~V11~~ ~~ ~~~^ 1ZA. Mt~ N ~~~~~t-tM~• N• ~~• 1~20. MOY• IN1uRY ' I IN~ORMA- i TION ». ~ouTwr ~sr~~n u~ u~~u N-wTw ~y cn~ ~~ ~w~~ )1. ~tttau[ rot ~r~r~t occ~~~t~ cnots ~~~c~ ~asran~ ~~ u~~~~. CORONER'S _ USE CYLY ~SA. ~ c~~+v~ rur ~~.~~ ocu~a~ ~~ na rN~. o~n u~ h~c~ s~~r~~ in~ ~ 7Si. tow~a~-s~sut~~a u~ ~auaa « nT-~ ~SC. ~.tr s~caa• ~ r^t wsa~ s*~ri~. u~u~o~~ n u~ ~ iu~t ru~ ~~ ~~~asr.~~asnunai ~ i ~ _ l 1 ~ ' J~ •~fMftiN~ ~7. WT[~N~~~. M~. ~W ~~~~~••~ ~ ~~~ ~•~~t • , ~ 1f. l~M~~[~'~ lK[~{l ~~~N~ ~~~ LK~~t~~[ F3urial w~l afG O R 11-19-80 -~00 Forest Lawn Drive; Lo 1 s a ~ ~~ 6707 ~!' ..~I M I~~~~ll M1{CTM ~N MI{N ~[tN~ ~{ tK~1 ~1. ~K~t ~N~~t~~r~N~~t~~ _ e:_ Mil KC ,5 • lK~a ~fG+ M~ ~~ ~ E ~rest Lawn-Hollywood Hills . X ~:-~ { ~~~ STATE ~' 8• C. D. ~' E. F. REGISTRAR vs i ~ uo.s~~ S~_~~;~~~ t9El J -"I 23 ~:a, .~ 3L FiLEC ehC F:.C~r:.t.~ SI.LUCiECGUh~ Y.F; A ~CGER P01 i R:.S CLEHK Cif:C'J; ! Cf :)r ? csCf`~ : t - . ~ . ~ ~ ~: ,~ ~ . , :-~ - . ~~~~~c=~,,_--.~~~-*~r.~ ,.._ _ ., ~/_ ~ _ ~_ ~.;,, ;-~ _ t THf ~ K ~ TR~iF C: ?Trr,~.~ C^py Q~ Tyr p-r ~ r~ FIIE^ IN TH~ f_'7r~ptTr ~- ; ^ = +':,"lk ~ 'JF .,.,-•-••-.,T pF NEALTN SERi~CE;, IF iT QUi'; TMIS ~lA: tN PJRPLE INK y FcE ~ , ~ NOV 19 1980 ~• ~~ e S • t ~r F .~~. _ -~~ ~~t'"~~",4> ... . JiRCror ot Kr~r.i Ssnlw aN Ibda6~r go'~ 347 PM,E 939 `~ ~`~~_~' ~