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Death Certificate - Lancaster, Matt Manford_1/3/1986MDE�In � OCCUeeFD w Mi�UiqN, YF n�!+p6pps PEGUrowG ca...iErioN a 4FSOfNCF IIEMS � � NiSTVIRGINIA DNtSK iaurur+u.neEa MEDICAIEXAN O[CFDEM—NMAE FiSi yDp� � Matt hianford PACfye.p..wM�.NaA.�ertaneGf—bntinMry UNDERIIf�P Maq�rc.11Spe�il�l pn.J MOS. . D�TS �. idhite �. 28 �. CRT,iOWN04lOC1iIpNOfDE�iM •Xp5�RLL1 � .' z5 3 �-5 ,.. ca 'WTFOilWnplroi:U.i.w, CRQENOfwneiCOUMVi q�mtED.i row,�, U SA- w��o a ' o� o. �o.r:ax SOCU{ YCUOR\ NUM!(R USU4 pC� � STATE DEPARTMEM OF HEAITM N OF VRAL STAT6TIC5 (� O(] 7�� INER'S CERTIHCATE OF DEATN �j J� i f NUM6Ev 1A51 SEA O�LEOfDf�IHIMe..�.Y..) JJ LAI�CASTER ,. P?ale ,. 07/02/85 UNDE4ID�Y D4fOfEWIM(Me.,pa�,pJ CWNbOi0E4X � nW[5 ; Ml6. k. e. 10 16 56 �o. I:anecaha 401NEPWSiRUiION—Mem'(Ilr�a�inw�Mi.pn�nw�oMn�wib�r) � RNOSP.CYVJSI.Wi�eM1DOA, Cl/Emer. Pm.. Fpo��m�ISpR:ly1 D4C - General Division �a.�Snoatient fvFYM�R9ED, . SUWIVWG5P0U5E(II.A�,p.��:dm1wm.� M'.ItOECEDfNiEVE9w11.5. DN09CED (SpMI�) �CwED f04CE5t ried ��.Doroth i;all ;;°"'''""°'"°'Yes UY�iqNIG.�Y:Melqri6�n�dumpmey�l [WDCiWSMSSOYPlpU5iR1 �orAnp{b....nil.MrN) O � ��. CrtY,iOwH04lOC�lpw Si4fE1u0M1M![9 MDECrtTIW115 rse..:h r.,,, se� ��Indiana �se. Gibson �k. Princeton� y�yd �,,. 216 East Oak Street �,. Yes '�iXE�—HM4 fR$i MDOIE llSi MOIHEP—M�pENNM�,[ ill($t MODLF l.t{� � Ben'ar�en Leslie Lancaster ��. Claudia Ruth Chilson � iRO�M�`�l—NMe�(Il/p�e�ytlnq i:.ASh:GwD05C$i S:RiFi:nii.D.NG. CR�OfllOwrv A4E IV /` (��'� iae. .DOROfh G N RS E�C �es. iv � �• P'NCP— ON �i✓d; i9iv/� � BO41µ,C9EM�1pN,RE Ovµ,OinEN(SC.dM CfMEIE9YOR<PEM/.iO4Y—N4ME lO��iqN C OII10M'N $IAIE �,,. 3urial - ,,,Woodlati�n CemetPSV „� Ohio City, Ohio fUNFeqSfevKEIiCENSEEO.Yer.enM�nq a b NM�fOfHC0.rtY MDCE550ff�CRrti f5:yww.el �.P W• �,Charleston Norr. Svc. ,�4th Ave, So. Chas, i•v �n�F.bv�ia{�avmmiienpM/w:nwuipai m�OprmnaeetFx[vnMa�Menme. DALESGNEDIMe..Lb),I�.I NWPOFDFAiM � (/eme oM pla.. eM due �011w m�ne�i� nmed. _ ?� • • �1e. 07 03 i�5 �,.. 6:45 °M , ' aYC ' ^1�^/ VRONWNCFDDE�D�eb.,Do�.YC) P40NWNCE�DEaDpbw) ' , U<� ]Ia./FO�oru.el� �•��—"'v 6 'o ���.wwooessorc � ��a.o�Q7 02 8S ��...r 6:45 DM �f ' • 701 Jefferson P.ce. , So. Chas. , F�lV 9 :u..Vasudeo Fi.- Kshirsa�ar N,.D. Assistant State Nedical Exa,�,iner QEG6R�v cpw�ripn; _ . o.rEVECErvcoervECarv.aiM,..o,,.•:� _ li ANY . Vl41C4 GFVE 7]o.ISqrw�u�el � � � s� �. � aise ro xae. 0.l:'cD14tE �]. �EDI4EUVSf 1 40NLIOMGUSfIEPIINffOPjal.Ib1.�N0(a}1 hrer�vlber�ememr�andMmA C4'J:E ���i 1,G . _ . $iFiWGi4i � �°) 1'tultl.�le In�uries � UNCERLYING � q�E 10, OQ h5 A CONSEOUENCE Of. C:.JS_ VSi ` ;( � : . � �.rmaiee._.me,�raa�.eeeam � . I Ihl \i DUEIO.O91$�CONSFOVFNCfOi: ,Flervalbet�enome�a�dd�alh 1\ �� Iq �' � OinfGSpNiK�MCOt+DRqM—Cw.drom�e.nn �1�i �'�"'a �° a°��` �^^� reN�N b �oxe p.en in V�Pi I(o) AU.OPS} (Spwrl� ie� er Nel II }�� O_/ ]I. -Y� 1 �Y /.CC�SUKDE,nO�UNDEi� pqEOFeUV«IUa.,Dvp4J HOUtOiW�U4f pEXRilEMOwwNTOCNV4E0 L �1/ OvRVOWGMVESi.(Sp«�ly) I . ��.Accident �s�.. 06 27 95 :;�. 11:00 :„�. Driver of vehicie, two-car acc. ' wNVi�iwOV[(S��I�v.� it�CE0ie,1V9i—ulw��,iv.n,urre�,lonvry,oHKebWdvq, IOC�t�Oe� SI4fE1009.iD.1+0. - CTOViO�'N S1�iE 1O"""50"`" n.. No ���� �s�. Road ��S��h� :,,. St Rt 17 near �thel Y7est Virginia e[v.,.�9 i OBIGI�\�AL I hereby certify that the above is a true photographic copy of a record filed with ' the Division o� Vital Statistics, 4Jest Virginia Deoartment of Health, Charleston, West Virginia. Witness my hand and seal this twenty-ninth day of Jul , 19 85 : �� ��i1�7`4;G»a�.dD . Arthur Barthelmess, State Registrar