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Home My WebLink About0374:, 516133 . . - - - - - -- _------..~. ._......~,.._.._ Fu~neral Dire~tors Stateinent o! Death We certify that ..........M~S....IR~itf~..G.~1~QQLIN..PAW£I,I, .............•-•-•---.•-----...----........ dicd a: Tc»rot~~c~...Fa~~..G~t7~e.x'~:t..~s.g~t,al_...on chc ...].9....day oi..A~~~~............19..T6 The funeral of che abovc namcd deceased person was conducted bp this Funeral Ilome on the .._.....22nd ................... da~ of...._._..---..t]e~mber...._......._....................... ~.................---~9..?$ a;ch ......Ztltex~itent .....................ar.--•-•--P.iI~~..H~~.7.s...C~~.e.~.y..........................................-- Our records show the nc:c-of-kin co be : NA~ff:: Mr. Alfred Powell ADDRES.S: 831 Kennedy Road, Apt. 402, Scarborcuqh,Ontario. -~ ' .`~;`~: a. ~:. . RE I.ATIU~SHIP : Husba~nd _ ,~ ~~t: " ' ` ,. ~e certify che abo~e to be a true statemene trom our records. ~•c~' f-~'~'~c -- , _ ~~• ,~ Y /c ' s ~ Duccd in.._Tox'~onta.......... (lntatia ............... ~ Y-_., - ....,. , . ., . , ~~;~ . ;~ c ~.f, . r . . ~: . . ~ . " ~ . :. . this ....2Q......... day of......DecemUe~..........19 Z8. ~- ~; ~: ` . .~-~ , .,°%'` ~ < Per.,/.~~L~f~f:4~/_~ '.~-~. _ 516133 19~1 f Et'; -6 A~', :~ 58 ~ .~ : - ~~~. -.a~:: ._ ~ ~ _ : ... _ fn~a e.tic ~: c,;- :;~ :. Si.lllC~f CG'~~' Y. f i~ RCGER POI+RI•5 ~ CLERK CIi~C'3" t'~t ~Fp.i~ ::rf_ '~'~~'~ • .- 00 " ~ , ~~ b00K~~0 P~GE J~~ ~ ~ _ - _._ ~~