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Death Certificate - Kays, Anna M_12/30/19544 y v l Y� )1 + �. .` ( t ry � � R l .,'�y {i. j(�� _ CI� ��d t �..�. �� ..L �1 Gi il'. ' �� ey.�� p � ,j �� y} y XYi = t M u � �.Y �I� . } t �G ��1�� 1�1�5�1+� p�: 1 �� iE � .�y��r �� f �J� �1h �. � � ��.. E� M� � W�c� :: �.�� I.00i'�j. �I � y ��"' �� 1 ��„� . . 9 �� vi r� � b9 � IJ �j�1�� ' �a „_� rY Ui �" f ��; *3�� Y �� _ �. + ( i � t9 I .�f ,rRECORD OF DEATH � �ti�-., � �s �� x , h Y y '� i � r r " �' � �� . 11 (/C I +�s �. . k r . '. o � � } - � I _ i 1� r y . � t' I 4 � : _ f _ � ' Iry i : e _ i �,. � 4Y�" Lao i% ° i �� ., E:p w.. � 'I i� , f! 'IN h�� ' � ; 'r '� ° 1 `. � �-p CITY •DEP�FT\IE1^P.OF'HEALTH� , u ' � :' � y, 1° 't; � 1: ., ( �,yn; . ,:� e.r�.•I'"p u '�a �. .PRIACETON IADI.LVA� Uu.- ��:d h �� ?�1 �.�:�C �-`--'i,�-: � Pl.:��-. � 1� � . ��'" --�ii-�{ �.� 6� :1� � . °u ( . � • r �.�' � °�y i� �� . �I� (F �:nA � ir � •4G � � � �i�.u� � �•up N � e-�., �� n �..' i �' :�� :. � � � � J� -��, _ � - � ,G� �r� �� -� � � % ^ ,y b i ° , THIS IS TO CERTIF,1' �that our.`record's show' g v'� t0..��,,.�or "YY1°�^li' �� •� died+ °. t A �4 ' ��7f�� fKr i1 76: !N w-o� � i r � p � . 4y n' � iE �, �' Np " y � f � y or ai 1��C% � n' u 9.:� 't6 � �..�� + 4 �� - „ ° , �.R4 � d .- �, .�. _ � a M -. q � a � 6 .wk R._ r� r�,4 at�3�w.�i.A ��i.�. 1�0�_ ?r_ P r' s.�: • q' � � _ {inonth`�� n�day � .± �'7(-. y-ear ' w4 �� p� hour of death� C�' �1 �� R. 'street'�hosp�tal ruial q� �,� �' n �� {� �� i t� 41� .� �9�.i Pi.1tl lr � R,� �� Q� ��.' � a N� OL � �� o� 9� � I � ' �1.�. 6 �, � �, �T _`'� i�' i�� i� � I��j` �y �.n 11 � •�,� «h 'tk � � (E" �+�� ik� 4R ; I'Ageatdeath�q�Sex�'ow:. �� 'Color+�.–�'n —�+�� "� ` uv v�� " .,� E ,�-�-, pl i Y �s-` f n. ° 1� ��•�� • o �o ll p'J�q E' i1x �-�wi�te.�vliether'married or smgle�� 8�•�� h �� . � ih ��. Y � r.�i d q tU_, �� .�a+-� l��,ilh � l� r� aiL � �i � Q�� Y�. �� ai` �� w �, i p� � ��Prunary,e.suse�of death gi�en"iaa�� u�+� SQ��n+'ti a��0 �s��V 4� t i .-.Y G� L'�.� �1 le-�` '�� Y� ��,_�� a�� u� . � I ��: Hi� P `� � -.�Y. L Q�� Yw T'I ��i 6) z,*-..�K.. _�E--�..�. &�+ ��=�—%x� ,jt...kit .�l;i�` �1 �g:�� iti '�i6` �. i;� y it� y�k� '��_p� -�'L '�k ,iC'I � �J J� � � � �'. Y �I �, Y i � ��. Il �� .� • �'�1` ''1 ° Ml ll�t� I t�. �F �+ed b�r �� 6�l n�:f, �� D`. , ua n �_ � 3� ,: n hu tQ � , tt ua y `S gIl 1—,---,� � ni� �p...v�.an]� � � - J 9� \ raw�.�Qait w+.. �G "�' 'A �� _ �,�. h " K > Ph}a�c�an'i`or comner h o+ �r � i i ua o ��:addmss . � �� v8.. pe ,�`.� r i � d 1 - �I � i1� '�� fl N�I �p4 F?, _ ��r . wn� t��_ � t vP. [ r � �. i, 11 i� ��', r r i i°t�q .%t �.� '� 8 ��u � f� tl p ." �r " . �'�� .� 'l Iih; 49 iti. �P y � ��I ,dP �� - R� �r J ryh Place of bunal orremov_al 'm��+. ��` Lu- �'t� ,dc�� Q•� ��•+:3 ;" r�. ' ��(•_° �� °. �'rC:�"re �.� name`o emete � N �'. VO �p ."� e t�9 � � � �- _ ': rYn no ,R �. r �J �address �� wy Yy� �- Pg � i a . h � � � r �i, � �/'inl � �� oe � - �� U. -. e�d � IIy - �h ��i� �I i .. �. � i� �� _ � . i s3�-�� .�-�p�-•- Pft� �in�.9i 4i 4� �0 f��'��uil �� f p � , ui �4.�. ,,Date �of burval� �i 1 O'=S U .- N�n,.:.� Q o+: I � C".«S r n� _; �' "�l` �� . �u ,� '�� y .Yd Ehineral.Director.�! ��i . iC ^q T �6 ff�l=�y . .addres� _.��; , dl 'yK dl. _ n�� , i — k � - f � � , k � � � q �i� a ,� � . , , � .� e�L' . .n ��', g i Y �Q �� H) � �P �� r-�lf' � y. � rti h � ' .�F'ir�iT. 41y..x, �L� �r� t� � �� j �� 1rf.Sl�R1E(i�N7n As��.ah _Q u -��tiJ-r..aAi�� C� 'SE'CS_ �Mi�� , f '. �.� � � �.�'�1� _#I�- t ..��n a -J 7 , u� UE Y7 ` + ,..�� ,� ��/ �� x� N`s �+'�.K �� a w R �1, � 1 � �� . �� KM _ �Tq � rl " -� ✓ f+ yV a�� l � I� (�/ L� 1{ i V 1 1 P• �� 1 0� .- l�Y �' in �.� yl! ��4� r�`� ��I� N� ._ �1rui.�'�a'�w ��: �' e�ll dd � r I�JL 23' �_t �� i H- � `�\ v �� ..f '�� (o 1,� 'i �• k g � ir 1 � s �.f � �r..ti� , cy. F n '� � �n �� v �>f� N J: raddress�c�1 �� - /r I� � � rN . r �date P� � , { 11 > i ... j�� ..aR �(� . y �� v �� 4 : � i� . L � y_ �{ ..i � y��ie ��r-<�r� [�- p� �ll.. � �Ii �'� a .f�� fJ i J" 4 �� L� .'i� �� f� � -�. .: C.e j Recoided Iocally+vi boa,c,No 4r -� fpage iNo �� e l � � ,�� a , ° � � . M . , n . .� � a �r y � �:w i" . � !� h� � - � r Yn i� � in �ii � ��a�+Ca�� ffp �,I f � p �'� , � yr � y � i �''iF � � �� a� i� �'� a4� � � ti.l•� t� ��.';c Y� i `�.P �� v . �-'1�1 � �A �� . �� A .Y �� , � � t� 1�� t! �3� . ir�- � r dR N ° `�� } i � �, ° . d ' I � �°�, a � �I �, u ' " l 1"�� M '1 � � Q 1d � I� Y�:p � �, U,I Q � i . t: a i �� F ;�� i '�� .I'� ..A�� nr h � . .r, .'� ` «e ..i1- �,.-_.Ca. ��. ,,;�.� _ � `V f,� �i'p'�yl�"n < e;��-�.✓i e .,i� .. � r-GY-�� ,�-N�,...��..