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Death Certificate - Bourne, Bailey Ezra_9/24/1981
• .i. ' .. ' " � - • . . � • ', . . � . . SiaiE OF iExnS ,' • CERTIFICATE OF OEA7H 9T�TE illE NO. � � :,'•� U i ru�uEO� . � ' pIFnV .. �E�uinaie . lclUel 15E� )O�tEOGDE�tM -. OFGE�SEO � -'�� :';, N Rr,,,,,,,,,q Bailey • Ezra = �' ifourne Diale ebruary 20� 1981 �!11' '�' � A�GE ' Sa. W�SiMEOECEOEN7OF Sp,IF1ES.SPCGFYMFY��N, y I[UNpEA��E�e li H q)�w -. � �'.- Q , • fi D�tEOFq�RiH I.�GEpn euf $��q KH pRl(}IN• U OE �+$ j -1�. �- �Yhlte y` LUBON.VUEP10-1CPN. . lafl ptlay� '�'"�., t/l � ErQ ��� Lz�ly��:( y0 Mmma Oa�e �rows Womn � 1'{� -. � 9a.PUCEOFOEATN-CAUNTYI, PpC�lYORiOWNIltoubiaecnY��'Mb.O^e Bc.N�iuEOFilmi tp nu`Qnesn �. I r rani.vl M u:510ECrtv , : -��; � narris ,•��`�"°� yumble . �osa�.�oa ��� tVOTL�@ASt i�Mite7g `> ir+snrorwn e iCal l.B[1Ler Hosp. i ,l'_;'1.' LL gMAHHIEO.NE�FAM�qRIE�. �OBIPiMPLA�EI51ailo� n,CIi4H�O�wN�I �I.W�SOEGEOENiEVER l UHVrvMG5POU5E�lleiy,0nemupmn�me� .'t;.�:'�' O CIII�WER�IVaCE01�K�111 �^' Iryi. COOq[.ra• INU.S.♦PMED:ORGES� . ,� Piarrie`c� ��o._� u a . rvo Jesse Cockrum ';1 �-!;� � a N SOCI�I$EGUPIiY NO i . y� � Sa.USUALOGCU��ipN�Gn•bntlnlwm�Wnedunnp 15p NINOUFOUSINESSOAINWSIqY ' .•3�. Q 5� OI Hp 4.!rnn d ra1nM� � . '�i�.--.•• � 'Iax �s��ssor � .ldministrative ' ' :11�: m . . , 1� � Ifi,NFSIOEnCE-Sf�IE �6�.WUNTY �y..CRVOR�OiYN�1lpylabnCi1/11TitL IIq.SfREET�0UNE55PIr��aLO�+�beaironl ine.V:yn[(;n. ��•� �'•� � i�isconsin Dane ' • :1a�i�son " 112 Lathrop Yes�s' �;�.. : ��! o V i11MF.R 5 H�ME . 9 SIGNRUAE OP IHGQRNwJ .� �. '' Y tE. MUi11E�� i M�IOEN N�ME 1 : = Ptarrion E. Hourne Jesse tiailey �/ �� ,,,,. .I. '.;� --- • .,- .:.;y... ". . t_" ' O Tl. . , IMNEOIatE C4USE IEn1« pnlY oM c�ua� pw Ym Iw UI. (�I.IC11 � �.• � IntervalO�IweM unvel : C P�Rf . �� � NU tlNll1 ' :;;'.�.;!:'- E � 'r �,.� rteriosclerotic cardiovascular disease:�'•• � ' � � • •�.' CoM�imt �I anY. � � DUE 10, OF �5 A CONSEOUENCE OF: S�.'. -' i� W wnan qa.e nsa lo . . . . ' f . ' i �, � M1�ir•ai D.�..m onui ' p vnmetl�eH uux . . . � aM Ms�n � I I. _ � ' . m ` su�mc me om�np � �ei . ' . :; � -. . � ' - _:. '_.i O «q cauze ust . WE TO.Oa �e � r,pwecn���y,�c �p_ .. _ . _ _ . '----- — � „�,�..,n...���,n —� : �� . � - ;.w�.,� i!�- i r: : ° . K, � . .. . . . . . � OTMEA SIGNIFICANT CONOIftONS - ? � � �.: :'�, H W��QT (pNpi10N5 WNiRIBViINO TO DE�iM BUT NOi aEUTEO 10 GAU$E GNEN 111 PMT 1 p� jl, �{JTO�St7' • n N ��� .: u� . � ' ' V� :('_":!j; � V =7+�CF.SUICIOEMOM.,UNDET.. ZTD.D�iEOFINJUPI 2tc.MWAOF � 7�.DESCRIBEMOWINJUF�OCq1P0.E0 OR vENDING INVEST. �Sp�p11Yi �MO.. WY. Yc� INJURY • ' '� 'i� -' M. : \_•��� I]e.INJUPY �i WORR p$I P�ACE OF INJURT—�1 Mn�.lYm.61rM.IKtOry. I]p.IOCAiqN $IREEi OR R f D NO. GITY OA Ip�YN StAiE' �5wx:�ir rn w�rol oiic� OwM�nv. ��<.ISOK�IrI �� ��'�Z"' . . ;�i .' 1 � i' SL ia lM Mal al my Vqr�yp�. pyl� oceurnE O IM Ilrry, yl�. W qK� an0 ]4.On �M pul� o� m�tion arqb� wdt�qaupn. m m� ooinbn a��ln 0V! 101�� GV]l11111/I�IU ' I ,� I�'- i �'. • � F. ' xcenae a In� e bau. �na 04e� �nu aw w �M uua �u�M ' I� . < R�p�slm �n0 OIMI - � b I9pnalw� aM LPeI / 1. � .- f � a'V � 1;' � 't I r � -' t i' .' � - ' 6 i / ( /( . ! ' f � �. �.�. . � I 'i.; °w. ?' . /�/i' . (:;:� � W Y� ,'. ;. �. Y�` Eduardo Bellas, �1.D. - s ` :�° ( ,. a . o�W . . •�� �' ��� W u? ° 1b.0�iE LGNED INO. Dar. b.� Ik. MOUR OF p[AfM . �"�p NG D�iE SIGNED I�..OaY. r�.l 1�c. MOUR Oi OE�iw � �l _ 1 � U > �6 :.�.�.'r•�:. EW u. oo`�' - - ' I � 2J0 H�ME OF �TlEN01NG �lIYSIG�N jTyp! v pint� . "W $b. FROHWNGFDOE�D M �'� ' p = It4.PROnOUNG00E�OMovl � � �uo. D�r. r.��� ; .� � ON _ _ ♦i �l';S n` M. . ]5� �UAUI CaEM�npN. REMOV�L �9WahI m aTE 75e. N�ME OF �EMEIERV OA L'AEM�fOtiv � ;I,; � ' � Cremation 'eb. 23, 1981 � .OU6SIDE CREbWTORY ��'.':�I�;` w 75a.loG�troH (Gir.�o.n.acounirl� Istatq �e ,�i�F.��+E Qi�� E fi�..s tl�%I�; ,�. ¢ i 1 , Houston Texas ; r�77�9 !; : �; � + N ; . '�'•�'+;�' ^ 7)a.AEG�SiesF'SFI�NO. P1p.01IEREG'LBMjAEH{�,RECJSifUR Dc51GN�IVaE L PLAEQI$i�1>R � - _ � N n ���/ 4eJ •i � � I 1�' � �I �i .. . t . ' p -'; �I��PIa���. . , .1 � '�4' • . . _.1�1 - {i' ` ;�i IjI : li '_v� � Ii�' - Ij � '� • . � � . '.� . . - ' �� ':.��i•� 't� '�. :��' ' ii%'.n: l�� ;' "j'l,� � • ' ' ' • , ' _, 1 ' :: ...=.1_ L=r •.".�••"_. �� i ,�' � _"'li."..1�)....iji'.'�I�"i{�C ��i"-:�i�..'�I�.�. �j-"._�_'.'_ r.--.-."' . "":1 ,. STATE OF TEXAS ��'=,l� . t.i�'= d ;' I �� "- + ;:, ��:� CITY OF HOUSTON , ;�COUNTY.OF HARRIS �:11 Ni .=�If 4 ='ii '�� '''� '�' �� '. RUREAU OF VITAL STATLSTICS ��, �� ,i _ : I'': ',:'I; ,�i ;`? , �. t , . .1f'._ .i �� -:i��' -::�I - • �E -�i11 - s '•'!I� �:-t;��-i_-�i'' 1 NERF:BI' CERTIFY TlIAT THE AROVF. IS AN F.XACT COPY OF A CF.RTIFICATF. AS FII,ED, ��'�t;' �.'„�'. :It� '''� :�,1 _:�I :_ IN THF: BUREAU OF VITAL STATISTICS, C17'Y OF HOUSTON HCALTH DEPARTMENT,•','.r'��,; �.: ��� ::� ,!--�i�; =,�i' '�,� NOUSTON, TEXAS, AND THAT 1 AM 7'HC LEGAL CUSTODIAN OF SUCH RECORDS..:;��:__.:��;:�::;�� _.';'_ �i = � =� ., . . ,. � �I�• �. . .,, . . . � , ��c • .. � �1c :; :� r, ,� .. ,0 � Ijl : t' � � �=1 � � '• ..: I X ic y, ' �! - fJ J( :�� i !�i •'\ � r in . Y �� �. INAitNINGt NOT VALID ONL[89 NACNINB 9IC�'F.D IN pHD AND BLACN INN,� •� �. �( �� (�,-L•:(� -�•!-- n;' ' / -. �•,' '��• � .. AND 7tli QA186D 86AL O► THIB ORICL Af►Ix6D H6R6701." - etI'. C1 �/'� pT �' '�l v �( � .= .{� -� , ' �i:': '� ' �' '.`(' . .�li . � _�����:�:.t��' ;'� . .i� � ' ,�i... ��� .: i�l .'.��i_'�':',�i �: X ihtUrUIf�I1i� �J�.IJ �• '•il ��•' .�, C - . =ilt .r ;i :!l�--fl�=-UI i�t�.: x . pL. .. . . .. .. .. ,�� . .,.i:, ,, .I ' t�1;.-1;! •!� 1'' •� '�I I��.r=.;li. =�i�i,= I�I _ t�' R. S..WrIP.Di REGISIRAR !. � � ' .' DATE ISSUBD ;(!_ FID'.��25', ,19811 , -�il �:,1i1.:},I!!�= �ll�-_ ' �� ".i � � : � �� • _• , BUREAU'.OF VITAL STATIS77C3 1� :i�.:i�•.'i�l=:i.li_iii _•Ili: '.��. .il:'��1:'i�l�•1�1'�1�. r�}�. ����.- .�. �lc;.r�! ',�,'��'�1�:.'1�%.•=�i1'=1��=ii�i=:ljl,=cl�i:::;:1 -:t:�._.i�ic°1�1':'Ifl�'sljl,�ijl-._'Iil:_•���r-lil�:_�iI-_ililc=•,Ij�"�•,i�('�)ji;.-=11i- '�II � =:;i ::t�'::�;i`-1y�::_=;�.':=:-c�i':=;�1�;:_'q;'•::•:�(�::';ii'•�'ili;��i�i:_iii,_=;i�t;=,ih=�:��,::-.;��i:-.;ili�'�;i,-�;;;t,='�p;:.=H�'-:�;fi. ,�_ _"". . .." _ " _ � . .. . . . . ... ... � .�.'-'.�. . .'.o'�'.�.'"� .i.'._ .r.'�" .�. - .i. . : ��.'. .i. -. >- '�b�-. �I. � �6�� .e��--.��li:a�„� �d