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HomeMy WebLinkAbout0955 ' , OHtO ~EI~ARTMENT OF i ~LTM ~1~ - p'? ~~'w • ~q DIVIf1~MOF VITAL iTATIl~fCf cwe~?oNw w...~..~• ~ ~ , • ~n Z GERTII~'lCATE 4F D?EATH ar••~~-3~------ ~ . . ~ ~ D0~1?i.D ~ '~ii~'l~il lt~a 4p~'i12~,7,9?9 ~ . ` ~'~`~"`r `r`~ ~ S Oct.2~,3921n, a:~o~ ~ .1iu ~OG?t~M 1M A?Owd1Ml11~'11YffaF~rlr~r~~~M~~wwr~+Y ` I~nd~ drsros ~i~ot~al ~bsp~tal - ir~n as ~rnw p~... aa....... a Mw?t eo~ra+wr o~~r a~~ ew~~er~n wrv~..n.+.?~..~.~ ~r~. or.. ~oe«~ raMn~ ~~r,+w~r ~ ~ U.g.~• ~~wM~'~~i~ T~'~~1 ~7 ~ Y~Ma ~Ct wlli 0~olArP M~1 q W. MMO rC11t~t . MaM ~MMw0. M~ M¦•wr•~y - ! UYRM~~ t,-i~ V~~~a~~~/~~MI . ANY/ _ti~~ ~ ~ OOC~iM~~ • ^~d ~1TN~~ML Mli 1AIM100p1~1qr Ar W rre 4o M r~/.~Y f~t w~ I~~ RMOO! ~I~N~ 011 M~01~t~1~1 ~o~w ~ ~O !'~~P~d Q ~S • ~.1' iblOS ~O `.r ~e~s~wR emr.v~u~oao~~ac.a~o. ,~~.~w 'r"~ w~.~~rr w~0 1rAM 1'D 3~~ L~ ~ r~t~-~ w. .rr~ ~ w~ w. ~r i.. ~{iD~1 ~O"~i00 H~1R a!'~ ~b1tl'!'! ~ -~Il~f~~A~ ~001~~ OAR/iM~! 1'O~~ ia~o~ E. i~L~ton 1918 Lt~q Dri~s ~ lat~boria,~o 4~~t ~ .+w.~ OtAfMwiltt~lA~1'?w: ~a~ra~c~r~+tRUMr~aar~~.~ ~ ~M/tdAl1~! ~ `^"O1• ~ ~ ~t i ~ ar~alw..~r~ /'V,'f/^ ~ ~ rir r ~~`r ~Yl70.MII~• ~L r ~ RCl1~l ~f~~ b~ r~rrw.r/YRily ~ ~ r ~ i a s .r.. ~ i ~ • 1{0~ uOOMY~MIrO00Uw~~p~+a~~~/~7rAw/w/ML~w ; C( ~ r ~ • ` ~Y1R1rA?~Olr[ YrMMM1?~r~/K~s~rr~J~MA~~ ~OCAt~OM ,~wn~rtl.l~rMr~r~?Mlr?~+.~ f s AY+~lw~ww w~.1~~? ~ ~ r. r a.~~ A rw r ooQeNM ~ 7t?A~~rMw~~.~?rt~w+rrwe ~r M~~w~~+~~Y ars~..r...+.r..~w~i..~+.~r.r~.+r.wa.~.rw~.w~ ~ .r.r.rw•r.r..~r.~.a rr+a wr r.r ' MTf iN~o n M~~M /1~. ~w tV~ Or OM7M ~ _ ~ ~ ~ r - M.e iw ~ oae ~ w ~ j p~ ~T r f~~ n/1rM !ww ~ I.I.t ~r. A~ ~r ~ra ~M f. ~ ~ 4 • Rr rr - k~'N,~a . b~~o r - ~ ~ . •r...~.~.« i... ~ ~ ' 1' y Q j' ' hMM~ ~ ~ ~ ~ ~ ~ TQ4~i~ ~ ~ 1t ~ ~g ~l~~1l.i ~B I~ ~~0 Dqton Zetrls A~ad, D~y?t,o~n,tl~io tS1t3~s+A~ € # , o~ ~o aow?n.~e c..x~.o. ~+.w.wn . N. ~ ~ • ~a fa - . _ --....w..~,.»o~oivisa.::-, _ . . . ~ I hereby certlty th~ abow to b~ a trua and coeeplete photographic ~ repraiuction of th~ c~rtiticat~ on tile in the Office of the E - Gresn~ County G~nor~l Health D1~trfct, Xenia, Ohio. ~ 5~ _ _ e _ Local Registrar t~ ;,t~K ~u~ pacE ~ - _ . ~ - - - - - - --~-„c- €