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Death Certificate - Folsom, Charles Daniel_9/8/1989� •♦ {G. � �...s:CdtlpiO �Z�C' � � iwnkn 0: �ni f �,,/� MRIOON e ;F� N,�ituinpt G' a �.�� hro uua . e• w \ !: _i _ -a: o /.�. �K LL �l:F .O PMT�_�f�?�f''O �. "' �,. n 'S�`_" r-S �:� .� �. �V,.,,;a-._ � �, 1Q ��?, 7L.ACG::SVipl �1 � Ofl PENDIN� D � :' /. _ �� 71s INJUHY�TN � u ROa'=h Yes � � �.._ �S X�. �S ,� ) , :f' 1Ja:TOIt. Oue d �� ,u ��i �S9NluA S y � �. ,,- � ., ..,, a _">! , �, ,. ��g�>�� o�� g�a�9 � >.,-• � a � , �, ,, � . r ,°'�'"' �" �` J : � � "' ��'�,� �,,,��i� �*��L �: � 1�`a� � j ... �Y�"T' `?� . , / ' _ _ �, ��t .,�ty `''Z. ' :. � l 1; r�" � "Li` C'�7 �j% .-��1 ' . .. C` !"� ��1 �,�� S` tCERTIFICATE•OF DEATH. _�'i�� VOj�J nv-- _�j /i •: J2.CC�I �7 �� y. / l J..'�i'i� ,.�`n `i .. �'J�"�it-� � ,��'>,��.�'�-5/��'� O494VO� `{�STATtOF� ��_v �r'2 L,✓yCOUNT-1 C �d� � L �� . i � -7. .�4�� y �TNSis-alVUe �� .�yy /�L- .- �J,on 1➢8, � 0'�� ` ^' � � HU!�M�AiNySERV T�� y� � `�'[]� '� .� £ 4 �Y � . >� �:J � - �� ., , . 1, n} Thismp)' na -� � ` �� CAMINATON g -�� . .=��=. \ C ., l�l ly1�� .�i�a .f.�� '�'-v r�a ee�a � � ,,,��e�•..: v�. .:,;.��,�, �.��._c D i 1'��`..:� - :Folsom�� F`� SE.�IFYES,SPECIFYME%ICAN, j 6.DAiEOF91R ( t��BAN�PUERTOiN1UN. ; � _ "t`:(.:f 1� /1/i921 ,ORTOWN�IIwtsiEecltYlimlts.0^?' ' �:NNAEOF�II lnctnu.l�.:�!•',:.: 'e-•.��. . _.�rMOSRTAL°( ?�`::rr-Houston:: ' � J^'�?�?!rT.!9� StUep �11:CITQENOFWMAT ' `1S_WIISDECEC I`�� ' vCp1NTPY?..^�, " �. IN U.S. ARM _'L, �,_U.S.Ai� . =�Yes= tAl"r'FIiJIV�YrvOi.iMOlwO/kGpML�IfYIp�, --�.��y=. v.hq fiie ;e.en u reGreal � i� ',�jL 1 1�Miner- < �.�� ,,:: � �l_j� i6c.CIiY,ORTOwN�loutsiOecJtylimlt4�.'16G: �sV� SM1OwNf11� ' ___'. _} ...^, �.CC �-��' - Princeton `. +� �JO � 18'MOTYNERSMAIOENNAME�-_ .f+`� j � u z„_ ,; , _ :�.i �;^�-�---,/�`--"1 + ;�Lora-Warren.�-- ::, .. -=-'�'i: CFVSE IE^ter on1Y � U�+se C�.uM I« (a1. Nl.lcll-U' - 3..�� _'�1=� . lii�' %ac,=Arre"st '• ` ''.jr!„'%�"-�,�a iR'�^5 A �CANSEOUENCE OF. � �� W L'A)J � �j� / _/S`IZe2,�`i ,.�;. � .%. '�;:c��/f fl �5 A CONSEWENCE OF . i n$� Y.a.; 1 i�'� � � . .� � `- CONDfiqNS CONTRIBUTING TO DEATH BlR NOi�REI% Lr:L " , . 1 . ' ../i'. � " ' , - =v iOFINJUFY.�Tx.Nd1ROF\�- -. 7yi.0ESCRIBENO DayrYr.l �' �_�INJVRV �� ' i "%y-�Si -.:�_ . / M: :i/ J`.i� �UM-A1 �m�e.lum: nt eet.l�ctory. Ylp LOCATqN� et0. RGx11r� ' �.. .. - [,' � n0 �t Ne Iirta. Wte. aM Wace an0 iM;On��M i�v�/ O � ' .00CWfI 'F / '>� ii^i', O �SIQfldlUf!! � J � �� 3 � ` W l��l . ��• . fi�•• $_�,.��, ,� �-- _� - r�. -„-,,,�*_., r - �w , _ 9c.'MWNOFOEATN �- i � � p �2a0:DATE�'. �/1.�. J� :r�'c+'` 6:38J ' 'P.M. Bo� .'t� � «:a�mL�_i�?�=i-. - `.�,, zaa:veoNc n3ril;.'M.,.D`_..:;..�_.� - :�o.:a -.ON � 'OATE-�.�=�,.p.� , .�` iSc.NAMEOFCEME b uaT z`8 1988 �: Somerv �� iY�J =� .�Slatel! " M. �F1 >y�.':Lii_..'"_ _ ' �-.�- -:� . "`''l . r �.- � /. �.� - �� - .,r '. � ^ ' � i } �< ?C`�CERTIFIED�COPY-0F VITAL RECORO -�2 � >. - �!f� �.DATE ISSUED _ F� Z 5�_�BG ^� r- . - . r t,in� uttion of Na Oowmen� oKiaaAy rBpisrereE en0 %. F VITAL STATISTICS: NOUSTON HEALTH ANO - •fi:`j ��,... . ._[4 l,_+� _' '1T� � - i . �= i=- � , ' , . � .= • : � , � �'J2-c.."_. . � -��..�:1 . {`y' % . � •-� .pared on engraved borde+displaying seal and s�gnatur FIGATE�. -'y:-` . . • .. � . n;�� -L1-hj 1 � �.