Laserfiche WebLink
� � <br /> � <br /> I <br /> �`a• 10dQ61 <br /> � 33. NAME QF DECENOENT __� <br /> For uso by physician,med�cal exam�ner o�county coronet. <br /> FQR VITAL STATlSTICS USE QNLY <br /> A v m o c� ao > � c � z � <br /> � y � C1 O y M <br /> , ; < S � x, () s m 9iS <br /> N ;= m <br /> M N $ <br /> ; 212� <br /> i � . . . . . . . . . . . . . . . . ���-1� <br /> p • , . . . . . . . . . . Z <br /> • � ' . • • . . . . . ' ' . . . . . . • . . . <br /> � y • y ZJ � �1 n w � ��o X � V W � � <br /> � = F toMC�M�M i � �� � s GJ O�F y Q� '�i a y � � <br /> a C t $ """"y�"rx"" �� $ �o � „ �� �� m `� l+��� v' rt N � 1-+ r� � <br /> � '� � o � a � t � � �' �/�^���gp pwi � 9 D �� ��' w ,� 'z7 � 0 � ~ N � <br /> � t-1 a � � �o (0 � p Q� � � � �--:l -� • 1r r �� ; ��i � �A • r'1 � 1J� � > � <br /> b '; n '7' 0 � �� � � n � �' � T 7 s w s .�`7. V� � C T �i <br /> � � `k�, _ � n � nrlt' � .r : mA t� � � � <br /> �i �� � ��° � �� � � � � "� � � 3� � �� � H � a = <br /> � � L � � �� � � c � (0 . � �q; c r y � <br /> � � y tfl • �S i y � 3 � t�D � 7. � <br /> Ip � � y � � -� � � !� Q S � � v. G "�1 <br /> � � �� � � <br /> h = � � F-' �� � �� �� ��+�f � � � 'J � ' �� � � Ci �w-+ � m �Q. � <br /> � � y ° m �i�i � <br /> � O �' c � �\R � � �� S $ � n W q+ ; � + N � � �j � <br /> � . � _ a � � � � <br /> � S . � � � <br /> � r � ; °� _ � ;� : � 'L '.' s � ��: •, � � <br /> � � <br /> � <br /> .a � � N � � � ° � ^ � � �. � � � rs � <br /> a' � � �, 5 � +� d � <br /> a, � � � � � e � �� � a a � _ � � � <br /> " � � � .v � �e � a � <br /> � $ � ( �r � � � � �, �� �b-n 3ri # � rG'`i R s► � w � ny a� a. � , . <br /> �L � 1 ` � n� � a � �° N i 'n • D1 � W c G~. o G. C~ L V � � .� <br /> � � �, � � !r r'► � F-+ z r'� W � � * * , <br /> h� � � Q � e s � S `� � .jl � � �. Q A m � � � � 7Zd � �G�it I - <br /> w � � ; � � 'O V� � � � �'NQ � oA � " � N � � 11� � CNi ��'f�i 7► .�';, c <br /> � s <br /> ,� , g � m � � g � w � � � � � � I <br /> � � �ero.�w�r � �� o M � � � w � �w � " � a � ° � �' p�� ' - <br /> a � � <br /> � ar+otitwsv+ersaw � 3 ` °' � c�i � $y� � �� � W . - - <br /> � 4 � •WtMt�IIOAIEr � �T G. $ 1RD � (�0 � �" ��s' fz0 � � a' -- 'y p�� _ <br />• ei � � -� � L � � u �� � �` m � � � woz � _ � ��� '' .� <br /> N =� � �'� `��^ r W � ' a�� ►r 8 N � � K N � '� <br /> � �1� �P � � y �p �c+� �,,. M �° m o� N a � ��^ d � � � _ <br /> � �� r� � � � � :�s W � �� � � $ g -� � � � '� <br /> p � �^ m � ~ a <br /> � a'j � $� y� � � � '�r '^ N � N ' z <br /> o � � <br />� � W �� � ,� o � � � � 'r1 � � R e rP.�o �' i <br /> � ' 7i Q1 n m �vt^i u <br /> � I "' � � � ; ` � �i 1 ,� $ rs � � y � � ''' H yUl<�3 aC7 p ! <br /> � � �$ p, y pt s 00 R 1-+ a' 1� t+ o tD > <br /> o �^ �a ` � �i . v � � M $ ',J' � W � ►'1 � 4; F� m (D n' , <br /> 4 a .. . s �` _;' ' � � p' w a � � 'C � a � �N �a � � � <br /> � ' ,�� C9 ,; w � �-+ 'c � N � � ,;�u <br /> r'' � u � , � � 7 � - - �' - a ►�-� �'q' � ^ ; Q c � � s c� � � � : <br /> �r a ; � _� � , ., � '; ` ' g w a � r a 6 0 � � � . <br /> �� . � n'c $ _ f ,� � _ �. ~ N o LL �+� $ fD. � -- n : w � r � � . <br />. '; � � § '�r �q � �5 n C � � � p� ''�" $ 7. ~ � } 1-+ Qi � pV � • <br /> m�, ..N. o N a �-' <br /> � � � o y aa � � � j G� •� N � � � µ � y S' !` �D ! <br /> � � j ~ <br /> 5 = n � S OD <br /> . oY �$m q �y � •y M o� � N _ � ►C�� _ �D <br /> O 3 � y �'Pe i � �� i ?i Ol OD +y N' � � Z (�� <br /> a > o � . � : fD. ro oo s� Q - +� N�� <br /> � � c �C � <br /> � �°o S � ��a p�• p� y p tp ': :`7 <br /> Q o � � � � � Q0 m ►i .. �� <br /> . � � � o �H <br /> . � ; <br /> �CH����� � :_=___ - - <br /> � <br /> �. <br /> L. � L. _J � <br />- � <br />= , �.�� <br /> � <br /> �� .. <br /> � � <br />