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HomeMy WebLinkAbout0948 8'755~0 1N OF VIRGINIA ~ ~ _ ~~ss~~c~ ~ ,~__FE8 24 P2 ~03 (~TIFIEIl ~'Y OF I~A7H. RErnRIt _ _ ~ COMNl~NWEALTH OF VIRGINtA-CERTIFICATE OF DEATH ~ . t • o~~wn~i+r of Me~u.n~-- arvnwN oF rm~u. RECOROS rwo r+~u.n~ sT~nsnc~+c~oric ~drr _ . ~EWfTwwrbw tEi1t1i1CATE STAiE it~E ~ ' ~,':7 AI~EA NUY1fM NUYK11 NUY~E11 . ~~0(~ t.fULLM/lY! l~+W Ie~MdMl IWU . 2SEY +~w Y~u~ ! RACE Oc DEC~KEQ Coralia M. Ran el o~b sucasian 4 OATE O~ /...s.l fMyl Itwf l I.6E ~f VNDEw VEA11 f/ UMOE/~ f OAY • 0/1TE OF I.ws11Y~) IrMrl 7. WI?$ Qf(.~EDEl(T Oc wta~ m~ww~ ~em ~wn -T ~wr ~ut~ ' EVFA Ml U *w ro Ma 26, 1985 75 ~ ~ ~ Ju1y 18,1909 ~"m~~'? ~ ?IACE OR L NAME Of Mpf?IT/1L OA IWTITUT~ON O~ DEATN li1 ~pr. q~yMl ' pu71A1 ~w ~ COUNT7 OF OEA1N ~~~.~e.ow~rn~c~n, w~~a.~?i F+~ M~ DEATM Nothern Va. Doctor's Hos ital' 0 0 4L ~'?rlfn ton lO C~Tr OR fOWNO~ Df4iN .n~.O~c~n W~ownt.T.n' It STNEfT AODRISSOP A7 MO.O~ ~IACf OF DE~TM 0 0 601 S. CarlynSpring Road 3? ~VAI 12 StAfE IOA sORf~GM COUNTAVI O~ OECFASED'S MES~DENC4 i~ COUNTr O~ OECEi.SEQ~S AES~O[r+CE ~,~~.q~n~<.r~, ww~~a~~~l _ b y a"Ei1DENC ir inia ud y~ os uecEOt~ . ,7 it.CITV0~ITOWNOf/1ES~OENCE ...~.e.c,~.o..o....~.w~q~ 155TREE7wDORESSOART.NO.OFRES~DENCE [~?c00[ o p 14 v dence re '22170 ! ' fcli ~~t t{. MAYE Of ?ATMEROf DECEAIEQ 17 MA~OEN MAYE OF MOtNER Of pftE~?fE0 a~ W?TA 01 p~yid Rodri e~ ~ e li ~ o~nwwT ~ ~;jI~C ~1CITtZENCih'NATCOUMII~Y iy.eun+?v,tE~a.»o~oa,~R.~ 70MEVERYAqq1E0~ O~VOi1CE0 ~11f4AR1~1E0011N1DOMEp.N 06YOUiE a k7 a.e.sw ~w~ ~sr ~ x=~ USA Cuba~ ~ y.~~,EO? ,Tose M. Itangel i;~ i7. tOC~A~ tECV~irr r~uNtEh . Si UStJAI OR l13TOCClNATiON 7~. K1ND Oi 6VS~NESS 0111MDYSTIIY ZS. INFORMANT-071lOVl~Cf OF INiO~WAiION ° ~5 u ~ ~ ~ - ~ xjB ]6CAYSEOiOEwTH/E~ee.onlya»c~uwo~tr.~ew1~1.~ .rw~C1 ~MT[AYa~~fTnYE v t ~ }5 ~A11~1 OEATNMASC4VSE0SY 'OMS[~~NOOf~T S / r~~Q wYED~AtE CAVSE ~~1 ~ r~c _ x ~ r OUf i0 ~I'1Y~~ C'~`~7JK- x•~f4 fi~ fh' ~ ' ~ 7p Co..a~..f sw~. .~.:c~ Nw.~w ~~1 ~ . ~ ~ ^ o IHY~IAM: tp MMlwbyy <i,M 1~1. IUM~ t~N . 2S o 2 wow~t~~w~r4at _ Y O OUE TD - Cw~pMrV ~C1 ~ ~ Y[ '^~w~ ?AIIT 11 OfMEMSIGN~FIC4NT CpND~T10NS GOMT/II~UTt+~G TOOEATM ~VT NOi RFLAIED TO THE ~ENYINAL H~ AVTO?l~/~ ~w a~ ~'~x~~'~~ OISEO.SECONO~TI IyENiM?Ar1T~lA~ . AUTIq/lllE0~7~. ~ f ~iCa capM b WM L j ?~Ktl/ Y ~00~ M ' ! ~ ~ ~ COY~Or VM~ ' ~ _ ']~b/Rw~GM ''~0~"~ ~ AD If FEy11lE. W~LS TME1tE /IIRECMIINCV ~ ~F EIITER4Att/1VSE.It W4S T~A OESCAIif NOMIM~V~11I wElAi1MG~00EATNOCCU11wF0 ~ ~ r /MIAf17YOMTW) • . ~ta+rrwn+c Q > ' V m<ew w o~..+ `F J ~n~ w.ano..n? wO~~~~f[~I~iMatC~+AI.~O~J~WD~~~My• - Y c < af. twE of IM~UN? ~~.e.~ ~a.y~ ~y.r~ ri~ ~MNwr p~CV~REO 2/} ~lI1CE OF INNwv Ine.n~. ~rlw. lfw. IcMy r.+~1 ~~ww.M ~•u.~ ~+O'E A ~ e O ~ y wn+N ~yt w~W ~~c~Tr. wwt o1~ e NAl. i ' er~w~e~.c..n.~~ r w? ? w? • • . wo~ w oo~s~ ~ . ~s,. To tne best ot oeeurn0 it ~ (a rw (p m. on tne efan an ptace srxf irom tns uuae~s) auted. - - - wcru~~ To~rt o 11GMA~VAE ? I " ~-->-----1- - - MI.Y Of;TfEHOiNO ICI 1Mrn~ T T/1DO/~EfSOf ~TT~ND~NG ~MTSI ~ 1 Id ~ . t°VPM Cf T! . ~ , k1'~U' t7 ~t1/11 l ~EYOVAI CII[ A7tON M KACE Iw~ sl u.~~rr~ ar crrw~pry/ I~Ny w spwNlrl (~c d ' f~~Ml O~~V111A1. - t' p~E~~ ~ ~ ~i~v~` fTC P. s tnu rove Ceme ter Herndon v~• ~ ~_~,...~e.~M /~M N/1YEO~fUNEAAI Mur h Falls Church Funez MOME AMO ~ ~ ~ 1102"~':~Broad Stp yFaZls Chu ch Home ~ aa t r~ owtc ~ccawo • • " ? ~v~n .~~EQ , ~ ~ Sr-- N tt > ~lzis is tA ~ertify that this is a txue and aorrec.-t renxbdt~tion of the original rea~rd filed ~+tith tfie At`lington Department of Hunan Servioes, Arlingt~on, Virginia Date. Issued ~ ~ ~ '~J ~ ` ~o. ^ ~ J . ~ ~strar or DeputY (seal); - , ~ ; AN~ R~F~JIXJCTIOiN ,~F THZS DOCt~Z~ IS P%~iIBITID BY STAZ[TI~. DO NC7r ACICEP'r -UIa~SS TT BFARS ~-iE fi~HESSE~7 S~~iL QF ~E A~tI;,INC~'ZCJN D~~ CiF' Hi,i+'~N SEF~TIC~S Q~Y P?F~'7~ Section 32-1-272, voc3e of Virginia, as Ame.nded, 3 ~ ; ~ ~ j~~ ~ r/ 'J ? ~ ! • _ , , ~z