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HomeMy WebLinkAbout0987 ~~r`!~ ~ , death certiiicate of Phyllia F. Roeaomondo 9AI.ID O~LY ~,1 THB D2VISION A~'AQ ~k RECOFiDS~US C~ OF A RECORD . u~?I'Pfi . ~+SPRESSED . ~L 20 1931 i DATE I5SUED: FebrusY'Y ~!':t i; FiDGI~ 0 Vrl'AL FiDCOhD i~i1,RNING: It is i~.~r~l to du;:lic~t~ thi:- ccp;; b~r pho tat or photograph. - r e ! ~ - ~ - - - - - `~~rIM~1~ r... st~TE oF ~~ert~o sa iE Dt?ARiMENT OF NEAIiN AN~ MEN?Al N~GIEN[ ,~~,~,~,u CERTIfICATE OF OEAtN REG NO ?SE~ NuME ~n~ ~oo.~ ~ ~•s~ I~ OwtE Of OEwtN ,.o.nw a.a ~t ~rMe~~...+i ~ r 1,, , i ~Ss;;w,r~•tL`t''j v `1 'S i r? ) SE~ ' ~ ~ t~CE S UAlE O~ ~~iN • wGE ~r.un~.si Mr.wn •.ru~ ~ .w • „~•c~. ~..+s +.o~aw w• .eu ~•o w.s wu.s .w tR1 7~qt?VI~CE .~~.siawntr~ t~C~1QEr:O~ti?M~tCOUNtRti~ 1 ttAtTW10tEC YQ~COUN1rOf0EATM (qMw~ MARt(D ~^'~~RMI~tR~fD ? ~ ~ wOOwEO ONOtCfO ? µD• 1~ Or+~+Oi OE~iN NAµE Oi MpS1NAt, M1~SwG/10+~E OR OTMER Ir~S111UiqH 1)~ uSUAI OCCU1ATqn Il~ KMOOf WSwESSO! ~/rOiw~SYCw~~C~/1.4Mfn1~1~00~l1S1 It~MOrr'O~1~0~/~O1tp~rp~M(~Uf) MDUSIRY U K~fS~N(t 11 M/SI~ ~Or40~ WN~MIRVIQw.4M MSOtKI Y~O, nOr{f4q 1~ S~wiE ~71 COU~+ir ~A U~r OR 1ow++ ~H ~+S~tiiE Cnr ~w?n5~ 1b S~REEt ~p~tESS tES ~+O ? •~1~ fA1MEtSNAME IS MOTMER'SM1ADfNNAMf ~qyt rQ01i • ~lUt /~St ~OO.! asl: 1 N~ wwSOECfwSEOE~ERr+uS ~MEOrOiCES~ tN SOC~wtSECUYrtr~+p u~+iO~twwt w RESS ~ns.wwv~..owM l~~[1GNwuO~O~NS1 ~ N ~ ~M I ' 11 CAUSE OF OEAiM ~E~w.. a+~ w~e cowe pe. e.,e ~a ~o~. ~A . o.d ~c. . ~ ' '.}~f. s, . ?ART 1 pEAiN WASCAUSEO ~r ~ - ~ W1Mf W~TE C~USE ~O ~ ~ DuE ~O Ot /~~O?+SEOuE+iCf O~ , ~ ~ i Cwda.ewa. :1 ewt. +dre~ p. L~t~l.l~11 . ~ qow r.r b wwrdw4 ~ , ~ ' tovi~ ~O•. fb~.^9 ~K ~ DUE ~O. OR AS A CO~'~SEOI~~'K( •f 1'~-~ ` j~ . . ~ o.~de.ty.wq iov+e bs~ ~ . 1 • : ' ~ . ~ ~N/? OIMERSIGNf~CANiCOHD1iqN5 *~IRI tN 1 1NO1REl~lED101ML i ~(O~4ffASEORCONpQIONGNENN/Atl llo~ ~ "1 ' , ,f. , . - . l b OAtf pi 0?Et~l~ N~ CO'~+O~i~Or~ fOR WNKNdEfAT~ WAS If~~ORMtO AU1p/Sv~ tN f YES, wERE fNDN~,S USED . N CERi f f NG CIWSES OF OEAiqM ~ . . _ , . • rES ? NOQ rES ~ NO ? t~ 11i •:CO[Mr~SVOIh~Kr ~ ~I~ Tw~EOFt~l1URr tli N1URr C1J~RE0 te,nn.~.•una..~••.~e...~?.n.ar.n» w can.wn.+~ Q cw~e a oe.r~ ~~01lR A M ~?OatM • o~r TEnR ~ ~ . I (flfMN,~OI~~~{OSYltJ1~M~i ~M ~9 iu .+wmoccw~~ ii. n•cE a.-uuRr n~ icc~ ~a1~Qb{ f~~llt.~KlQf~.Q/1(l.~~MlKI t~~lll CRtOf1pN~ <OWA fi~ry 1 ~l~ O M~~M~~~ Q ~1 wQ~l ~1 wpR + ~ tt~ 1 aA~ Mo~ Ib Ir~w I~wp~d: ~ded ~M d eosM Law 19 . b 10 Ib inlbM ~ w.~ eord Jt 'L ~ ~ 19~„L~. o~d ~~o~ .n ~w~rl lowl op~ww deoM «ar..ed on ~Ae do~e od bw o.d I.o~w rAe ~owes sb~ed _ ~ obo~e ~ 1, ..t Idd da ~ou ~e.. ?tie ~ r QewA i I!a 5 ~ ' DEGREE 17~ Dwl S D ~ AtTE+~D?Ks ~ JµEO~C~?l STAfF D ~ ~ MnSKuw C9 DNtECTOrQ?„rSCuN tt1 ?NrSKu~?r u~E i . ~aw.~.~ ft. ~DO~SS I) ~l~' ~ • ~Z~~l~/~ D ~ ~C ~ `'P"'~'~.~ ~ ~ th NMUI. CRE~uTqN.lEr~OvAl 1A O~tE !H ~+~ME Of CEMEitrr OR CREMwiOR1f ~u ~«nro~.w. cow~ s~nt it GAT~ ~f ~~AVEN " . ~ i r. w~wowECTCe CIS . LLI~, C~'~ ~ ~ ~ - $ _ _ . _ ____~"_._"_~___'_~1 ' _ _ " _ 1__ F - ~ ~ . ~ ~ , 4q i t , ! ) ~ 1~'i ~•n`. j? • 29 . J~ f - 1'" i. ^t ~ t l,~ ~ M J' ~ j (,;I;Y. ~t.ii~~` R f'G~?F:..S ~ "t' C`•~ GE~~~ ~ , ~ ~ f ~u~353 ~/Y~ ~ ; _ _ . _ _