Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Death Certificate - Conklin, Junior W_8/27/1990
11�-11-1I =U--1i = -:1_ 11—'!_; I!—;'-; �-A' :_�•_e_ '�i -11=i!�,+J+a� ==11=11=1I=11—II I=11=11 •-II�`�,)II -: ; I1-�� II NAIME i -1� 1-11-11-11=11- �. . � =�� � �� �_'��°� �� �i����=1��-��- �,-":i-'� �•'-�� :-��'fl ��-!1� N:�C.O_UNTY! iNOinNa 11-11 sez= cll-��--11: � � e�u -�i' �i 1: _ ��"__�7" II;II_"_L•::_�� :: !�1" p:. ��_. �. .. ����' �� �i � II I{ 1�—II"���1'—��—II` ��. PLACE.OF�DeAT�-II.DEACONESS AOSPI_T�-II=1I—iI=II II=iI—I1=II=II-11=1I—iI—II �,' k, il ;!� „ II ,� i! , ii �� !1 �� II i, II ;, II — ii , II ii ,=,11=11— It-1!-.-1i—If II— If--11=A =11 ,— „ i �� � PRIMARYCAUSEO�nEnTH.crveruwns- �eart iDisease� IIISCAEMI6ICARDIOMYOPATH1=Ir fi , � i� i� i 6 n�- n-i n� u � II'MULTIPLE�Ml'OCARDIAL�' ZNFARCTIONS-11=1I=��= ,; �� , !I -u ,, (i ,-� i�-II , 11=f�_ , �I . i� ;;��� � �� �� ��-�� �� �� , �� �� ��-II-11=11-II I� �I=�= �. -U �i p-f� ii u�i II-II !i--11=1i li .,I-!! !�=!1=fi=�!=!!_ � � � _ � t ,-��_ �- (� � i. �� PHYSICIAN'O�RCORO�IER�-:�-f�EDW'ARD�MOOREI�i'M�JD'�II.7�I-1-tiI �' jj-Il,� 11 �� fi �� II �� IAUi�aPS�I II [�I i i �� n n n n 1� .0 b' �' �� �� 11 It �I I� (i '1� 'I_Il (I-_II__!I"'=i� ' �� �i � {i � �i ii -�� � i) -i Il.ti �{� i ��- : 1�= �� ,. il ��`II ,i �� i{„-i� �. 1� �i= � �� ��-� ii��,-ii=�-11 i,'�� i: � ��i PLACEOFBURIALORREMOVALt��WALNUT�;HILL,jGEMETERYiFT�BRANCH�'-�� bATEOF�BURIA � u ��� ii - II -li -il 1 - i ��i il' II- -fc -'it— il— ii �1= �;-�,-= li=1i II i(- I� , =a f �_-'� • �' . !� : �i .. L �; I' '; _:y ;i ;;-. II-. ii= �i-=-il �- N -fi-- il—ll ii--;i f! ll I'� �� iluNer+n�''o'E ii �SSODGHILLl304 tW�LOCUST1F�T.�BRANCHJI�IN � I{ �f I± ���i -R''-II � II � 1 ..i !1 i -�� 1{ il�—) i 11�-��==��'=i� �I �i i !- '� " �� �i il ! �� . :1 I� �� - ii .,i 1� 'i� Y� '" �I' �� 1_' I� 1� 'II ' ❑ { - 4 �� �CERTIFICATENUAABER (� 000014%5 S � 'ji" II �I- (I�- I` �I , �II ��� ��j-'1�-' �� =II if � i ��OHVOLUMEANOPAGE -�� .-�� �j (j� j� �j ���� +) �I ±I 'IIDA7EISSUEO 'OS�O6�90��� li I� -it - IE 1,- n�' i i1 1{ = If il —I!=- li � U— II Ii H- �� ti -- H!I � � -'.- � -__'! -.�, - , ,�-. ,� ,� � _I,__ �_,�_I' 'I - 'I '�--II --�� -- �� -�-��-- � 11==11=11==11-= ,�:�.. �I=11-11=1 y ��>.: _1i=1�=11-11=; .,,`� •�; il=fl=1l==�� �& 1l=11=f1=-11= ; ���x - �i�-�'i�'-�� i G !S`�a�� '�� �li�.-��=�r= �.9;�fi:';�'. --!�-=1�==�i==�: �`i��r;,: 4. I�;-11==11 r>.�;:.., 990 _x i., -11==�1=11—l: ':�;�.��,, II —�+ _,�_..II- : �.�.,F'' cE�iWtiite- • .rF'f°.., - �� � ii ;s�:�+�.< 'll�--�i�=)�l�'-f.= ' l�r�"+q-�.,+2�'. If �_li_"'��--!' _ .:tJ:.�i-.. ii=ii=il-11, ��f;,G; li �l=11 �E �? - ���� {� ��_�� '. '�F2`, : I �� ��—I�' �� � 14�T,�47 I,��II��II�;,1� �;�:,�� „ _ � �-�� i� Il i� li if II II I� ;, �- 4 i. -1�=il-�I �t , u 1 � .- �,��0�7�/30/1990�� � , �I -i� II �: i_I� � 1 -il- �i .-i� ;,-I�_;-�r„ 11-�,'s_i=; i1--+;=�1=;:!. ir -�i'=.�i -il= i - �. Ii�li.il ��'�!'�i!i-�{ �f �I ;, � f �i �i II !� (� � �i � ii �I , i = I� ;, � :-!1-=1i_=; iI ���� ;1=-il'' �I ' I'-�'�1;t_;-- i;: `;11; _li_-;-�li �� 1i-'-� i1=-1! �-1i �� If=� i! � li:�f ii==;+i- li==i! �-ii `=;1 ��-�;= p ��=il" � i„ i�- �� �� 11 !' �� �' �'_ ,i �� �i-=1!-!I =1! �il= fl- It II--I; ,� 11= '' =11 �; �! i� !� =;1- i. � 7�, � i E\/.� 1 i t� I -{ I{'. �I -II �f �, +I -1 �I �i� f li �"'F . �' _'i� . 1 q. , ( 11 i i � -I t I � � I I �I �� � - �� ! .�I� `�: � --�' I � ' - �' � NOT VALID UNLE55 SIGNED 8 SEAIED � � � i ' �f- � f � � i. � �� � I i � i i� h � --i .{ { u u i .i �1 � �I I� �� ll� �I t � � � : I I f. �� � 1 1 1 � Ir i I 1� t -� t 1� li 1� -�� ,� 1 i' � il �' .�li �� I. t" �� 1 I - �- � �i ' '�� .i . II 11 �� -�� � J i� i �i �i 1 --141 — �� �/� i . �1 �. '� �,,, t„- � , � �� ,� ��- �, , �, u �� �/� '{y�A � �� , � tl �11 'ii' �i. 1� .�i' �I .�� '�i ��� il '�� 1� �) -�i...,��0'F�(GelA_ �'!fL ! ; �� � � ° {� �_ �•_' t:.L. � _. I _ �. VI �f � � . 7 � � I .MD.� i . . . I� � Ii �� , il II' it I� I- 1 (I' II 71� �1`V�N�ERBURGH UNTYHE�LTNOFpCER �� ��!i � � � ii �.ti i� f i � i �' f. 1� !{ � � 1 � �_ � �� � . t N; t - �i �, i' i� �.��.� i4 .���� . it = i1—��=�� - li -��� ��! -�I Il�` 11 �.i� (!-: V� �1=-��_t�'I� i°II' � ria .� cls f:.p . ..� -1. 1.. �� :f . 1• :1_'�1' :{` �. �� :�_ ii . �..._:, !4 .':-i' 'li .�� . . ... P .1-=__� °_!:�_'_'_n ° :�_.er__`t_'_.ii __r"_.�—v � � ; '__" . . �+�; p.�}.� � ' � . �4.1� � 4 �� .. Ve4: ' . . d� . j:. . ' . . • '.%e�. ' �. i. :.71 .l� � . . . ' .... Y. ] s.: . � .. �., y �".� • °t . . � . `: .. . . � . ' " � 1 ' . . . , . J.'�S� . . . , . s�. i`� ' . . t . 1 . . ' �'• . .� � � ' �'�� .cy',• . ' " ' : - •',�y::�:. _ _ }}`; :S •'� 1. � .� /. `:' _ . . \ . -� j. _ • Y �S � \ ..` . .• ' . . . � '__... �j -. .:: : _. : �.� i:' '"' " " ' ' , - _ .. .F; - _ ' "_ . ' .. S, .$ � � - � C • .1 . . •� , ' • . .l :• , •! 1 • . ' . . . . _ Y�`� .t:ir . . . _ "^[.� . .. . . � i �ry- y^ - �). • f ��f . Y Y . t . �.�,. f�.lfr,:�. . . ' .yt},'. ... . . . = .' , t . ��: . � ;'1 _ � r . ' \ � . . ., jt l. Jt�{G �� �e:`r.t �°�� "`� . r' � ti' . e. . � ..._-_,': _ _. : i':- .-- ; . __'.. `_ . . . � � �s' : . Y�" ' I • `• a \.' r . . . � , � �f.'. '.f}� . �� s�� ' � . i�.,Y. �,R�: � - • .� ' ' ` • ���� . . . . '.. . � •y. .. ' .Yt . . • ;...'=. ��, � - .� " 'r �1��. . : , ,-�•. . . .; . . � ` .. , �r, . 0 � � ,�1� P.. � � ' � . t=. ' . _ ' � � :;5� .. ,. . ' � ; . 'Y''V . • i.pR _�"- � ' . , -.,• ..,.