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Issued August 8, 1956 , <br />i <br />w <br />MATE 01 XMMUMA <br />DIMPAD'OMM OF IMAUIS . <br />e <br />swam d WMA W&UNks <br />sTANDABD CSmncATB OF DEATH <br />OF COYYQCM <br />9106 <br />DRPARTKXNT <br />BUREAU OF THE CIDISUS <br />-_ <br />la.11 <br />t. PW47 air. <br />L U M t <br />IU t74 ar <br />(I .wL14. V • <br />la•ly wW —1 -., (er Ckows w <br />fel N « <br />"l ar 6atMnRi.n. <br />T_ Ilt afinl 4.w bPVd1.P) <br />IA) /� <br />�.2. D <br />Id) Lrmth M 00118 <br />w Is U. a •? ._.� <br />r. w..eemW- -... —� .wab:r <br />:r"-- ItliDl OATi(IN <br />a0. Itw o[ dWbt •-- A4►+�-^•= <br />SW RILL NAN <br />- !1, t MniPwtT w <br />--- <br />,. <br />$ <br />..1r .�. _... <br />� Cblar or <br />__.._._.....__.... _.._.. <br />4111 9P4y "wbbw.4, rtrMd.. tlut 16N rw h�:'ra_.otiv. 14 r 1 <br />i <br />"d tb.t 4.A omon4 to an <br />• <br />4, <br />o[ <br />...n. <br />. <br />L AO)•s lna4 Month. <br />If 1m ws er ds D.r w- <br />( <br />I <br />9. lilrthplae. <br />(:Plod. I1rpnPaa .IWa 4 rontm of d.Mb) P8!'iQthhl <br />to. IIrl occaplran -• <br />.. • lddor aladrnlot D.d.etre. i <br />ofop atlo ... . ...._....._........._ . w wor b <br />�._.. . ................_ n I►�j. <br />O[ <br />ffirth4t.....fL�s <br />aobpr -- Cdr <br />14. Y.Ideo o.o>ti _.. <br />'tt. it drt4 woro dw b e:bmd ru.eb till N W loYow6ss ,. <br />ta. IIirthpbon .._........_.........._.c <br />lCi4, town. o <br />......._ <br />) (s) Acddon4 .oicWq oe b.mldd. (apN7) <br />4 <br />34. (.) Informant' aisnot <br />D b of <br />b) a oaorreoao.._�_.._....... �. -•••1I <br />S3 <br />(b) Add—_ ... _ <br />(e) Wbw4 did rniars ocem't......._... ._.._....._ ... -.... .. <br />(IIOt c . or val) <br />thma <br />) (d) Did ItdM Decor 10 oe a0o4t Dom.. an lavm, b IedttNr141 0d4.4 Iw' <br />(a) Pl a; b. i.I oe .ramatim <br />Oahllti 96.t . _.- ... «- •.- _..- ....- •_......_.. <br />ce4.an spat tu.a) <br />DDD <br />la. (.) sit-to. of rtmu. l <br />; •4t ...... (4) Now :4! . , <br />Y <br />(b) . <br />AL 81snn 4e <br />n <br />(r)a�In�lWw ,:Y Mr(I.bt.!) <br />(Dl3rBrtYt6�iQnnt4l'4) .�.I <br />f A4 <br />Issued August 8, 1956 , <br />i <br />