Laserfiche WebLink
`���: <br />�'� <br /> �.._ <br /> _,._ � � <br /> ._ � <br /> f,� ()�)c�l�O�J . , CERTIFiC�'iE C3F �E,�,1"W 34�0_ <br /> STATE OF CALIFORNIA-OF.PARTMGNi OF HEAITN <br /> � _51.^��������.--H���Fp'--'----- OF��ICE OF THE STATF HEGISliYAft OP V�T/�1.STATISTICS LCIrL I�F�:.1S-ATI�N O15TRIET�A1D GERi1FiLALE��VAICEI3 � <br /> _.__..._-. ---- � 2�-OATL OF DEATH�-«onrH o.r rna�-T2s_Houn + ' <br /> ���� .. iq.NAME OF UECEASE�.D--i'�RSiNFMC�Ie N.ID�!L:M1PNC . �Ic.lAST NAME L_�}/� � ^ . <br /> ��� 7 ' yyi]L � I <br /> i Pe�rl i CROSSER .,,o. � ,��H, ,,,Hs <br /> . . .r -Eian 5. DATE OF 61RTH . 7.AGE�u,�.. . c.n__ � . <br /> � 3 SEX� � 4.COLOR OR RACE 5. R7RTHFLACt� r:.nv � . <br /> Fe,male t7izite Nebraska c L-11.-1904 73 YEAiiS <br /> ' DECEDENT . 8..NAh:E AND BIRTFIF'LACF_ OF:FATHER 9. MAIREN NAWt FND�IRTHPLACE OF MUTHER . <br /> pERsoNA� Sadie Penwell Missgur� <br /> onTa Frank Curtis_,LWiscorisin_. <br /> . �. 10.CIli2F'.N�C�F WHAT CQJN7RY� 11.SOCIFt.SECURITY NUMBER �Z'�q<c. sNc S�ER MpHk��o.r.ioowco. 13.NAME OF SUkVIVING SPOUqE��r N�re..E:Nrcamn�o[rv�.nuc�. <br /> Ugp 50G 46 1746-D Widow,gd--- _ --'---'--------'-- <br /> ��14.LAST 4CCUPATIOM 1 ,,.,,,,,, 1' NaNF or t.a5t LMPLOYING C��1f�M1Y OR FIRM 17. Y.IhD OF IN6USTRY OR 6USINE55 <br /> w• Adul._t Life FS�lf Em*�lo e <br /> � � .18n.PLAC£OF DLATF{---`Ii%�NE OF NOSPITRI UI?OlV•l:H i 1 Pf�'f�FNT fP(:ILIII �13H.$IFk.LT avDNE$S'--�STHEET ANO NUMBEN.UP IOCAIiUN� ���ptC�rylvES OP ND�.���TF Lf�f5 <br /> .�P�aCE � � � i� Yes . ,. . <br /> y_�9�Y_�.1�.��.���.�r�F cil tX----�4054_..�tYs�t <br /> . OF � � � �IB' COUNTY ii8v «nc��o.�ar.,�.eo�x�r nr e�.,� �i8e. �.:=,r�. . . . . <br /> DEATH . �a� QTY OR TO\4N � � . - <br /> . . . . i ,S�3crament 1 +enns � +rAAs . . <br /> USUAI �9A�U�UrL f2EilUEI�CE---s�a[Ci AooRE55�srxr.ei A��o+'�HeE�k au�.o<a�ion� ��s``�H D s u_�tr,CORroRa1[�IMiT'S 2U.NAME AND MAiIiNG ADDRES}CF ItiFORMANT� . . <br /> F�=��� �� c ; Gloria Tussing <br /> 9iCk:ATXO a eoYn �y],..L.G_GT-$3d�AY_C.' �t�7ATE <br /> u�ninmok:a�rfR ��9�'c�n• oa Tor v T��-�4-�cb�,-r,Tr-- 2327 Garfield Avenue <br /> . qk'SIDCNCE BEfOFE � ; ^ O 1 `.� . " <br /> •OMISSIov� . ,_,� S..Ts.�^1£:Sl� �..n„u.. t..<<..n..... . �ATE S M1tn . . <br /> ' i Plil ICI\t . ' 'LIc. ��(iClnY olt ConONCa . � . . <br /> . . T7 CUH(if Cfi .. -� ' � ,-'' ' <br /> ,.. ...... . ....� �,� . (/tti;c,.°acf �f�'acc� �1�J 9 8 1977 <br /> �PHYSICIAN'S F i, _ _ �t'r--- � <br /> �OR CORONER'S �. . •• i•��,-u�...�•.��. ��,•�„� s+ .:.�.. �. ,,. zi�. no-nac.ss VINCENT Cf+G IANO MD .� ". .°, .... �. <br /> F��, za _ <br /> �a �� .. ,�� 7-77 9-7-77 <br /> ..CERTIFICATION i �� �� <br /> ,],-20--7� .. �61 Scri s Dr Sr r�+ment i A2��5 <br /> cI�� 4 a�'`t7G�13St'353'.,� _a n.i_.��r c,: e t�r � c uc M <br /> 22� a�� c��++u.�.cN. �22n UA7[ 23 N�UO(1 �� <br /> � FUftiLRAL �niMnn�N 1L� �..��✓�-�--;�fj�314 . <br /> oiaecrorz Burial__� 9_12-1977 Came.ron Cemetery - .,� .. <br /> AND 'L5.naHE or f'Vra[za�oir+tC�oR�o,-�r�e �.ti�ivc ws s�cH� 'L6 ,� .�. ',;.. 27 L��Cf.L REf,ISTA i� .vivat !8. .�.r�>., . <br /> �LOCAL ' . ���� ' . <br /> ��REGISTRAR SIEARA VIE�'� CkIAPEL ho _____��r/ � �J- S`77 <br /> 29.f•ART 1.� 6EATH WAS CAUSf.O dY: FNtFk(St:IV �'.NE�CAUSL PEIa LINI�.tC•li A.P.. A!.'J C /' / JI�) �/! <br /> � Yt 'J IAt:AEUTATl CAlISE��G�G%/PL C"' /�7 I�L O�J�'.�" � I` ��^�/^� .�APVRO%1 � . . <br /> � �4 A FY fA) __.__'_ __ _ �_ . MFtC . . <br /> � � 4 •It�fERYAL <br /> DUE T0. OR nt a CO!�iFU�ENCE OF UE�IWEFN <br /> c[ � CONOIit0Y5.IY AtiY�nHICN � QYSET . <br /> F- � CAUSE� GAVF R35F.Tq THC���MfM�I�61 � A�� . . ' � <br /> q -- DGATH .. <br /> � OF �AT[G0.USE�A��Si1TI1:G I.�LfE TO. JN AS N COf.SFOUF�.GE OF � <br /> = pEATH � THe urvoEF�rine cAuse <br /> J � . tnsr. IcC) . _ ,. . - . � . . <br /> ,� .. . . . �_ .. . oo.,�uurxu.u�..,� �.�e.nr..ri 31Ln" .�.� uv.,,.�c 32 132 �.i"... ,.n� � <br /> %+� 40.PAf1T II� OTNF.R 516N�ICAFIT CONDII'�ONS--���. � � �w �o r r. ' � � <br /> ys � <br /> "`:?o /fi��o�o�'�r fx'.ac�v.er Lcfr Fc-n>c.e - �/ra�. Drs�,��'� 4��rirni J�,✓B/�' o. E, � <br /> v;z � � 35. �JURY AT NORK JG•. DATE U(INJURY--��+�� �i6b.NQUN . . <br /> }a ss.sr�rurr.«.�ver:..����oeo�H..�..�n� 'a. «�. ,_�.. ,.�..., �..,., r�.<< . .�,,,.n�,. i . . ... , <br /> J � M <br /> ,U . . .. r � r�„�. '- IZI �o� 30.0�,,... ..u..�.�s r .,csox.c, 3..n. �. ' . . � . .. <br /> � INJURY 3%4. PLACt ur��iv�U�:r„...�„��u.nc.... . ... . . . . . ., .. � . _ . . <br /> . .....,. ,. ... ... <br /> � � , . <br /> �?-� INFORMATION i ";�Es _,_..__ . . <br /> 40.bFSCNIDE NOW INJl1NY OCCUfiRED .�+��x_�.ui v��r.w��cxnis�i+io x�«ivxr«.,�x�or..�uxr's+�uioe��xi.x�o�x rk.zon . . . . . .. ' . <br /> £ � .. . . . � E F �� . � � . <br /> 57ATE <br /> A. � C. �� . . . <br /> �REGIS7RAR � � .. <br /> THIS IS,.A TRUE, /#ND' �r`JF3R�CT COPY OF THE DOCUMF.NT ON FII� IN THE <br /> . /� ~e <br /> SACRt1N�P1�0 Q.9UNTY'3���t4`�'I�Si�NT OF rUELIC 13EALTH, SACR.AMENTO, CALIEC�RNZA <br /> � ; ,,� . < .. <br /> ��i-Frr`���"�`ttC,��`::^'�c"��.� REGISTRAR f Y � <br /> �Y' fp l,��t ��4���� Deputy <br /> Regist�.,Vit37. �tatietiQs �EP 1.3 �971 � <br /> � Sar.ramento �o'S.tity, Cal.if�rsiia <br /> . <br /> t ,:., .•, <br /> ,� . . *,, <br /> .. �. �. <br /> �. <br /> � ' � � � ' <br /> � <br /> � ,� <br />� _ <br />` � � � <br /> � <br />�; <br />� <br />�-� <br />