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<br />STATe F'IU! NUMIlIl!1I <br />1A. NAMe: OP OECEDENT <br /> <br />F'I...T I , B. MIDOLa <br />I <br />I <br /> <br />CERTIFICATE OF DEATH <br />STATE OF CAUFORNIA <br />I,C. LAaT <br />I <br />I DANKoWSKI <br />II. Sl'AHI"'/HI.~"'N'C e. DATE OP BIRTH <br />1'10 <br />m <br /> <br /> <br />C1ECEOENT <br />PER:ilONAL <br />DATA <br /> <br />Oct. 5, 1898 <br /> <br />'2. SOCIAL sacuRrn Hu..... <br /> <br />.t.... IPL.ACR Oil DIIATH la,a. COUNTY <br /> <br />MARLORA MANOR CONV. HOSP. I LOS ANGELES <br /> <br />alc. S11II..-T ADDR.u I"""'" AJirII) MUM.'" OR l.DCATJOH) :2'D. CITY OR TOWN <br /> <br />3801 E. ANAHEIM I LONG BEACH <br /> <br />aa. DI!ATH WAS CAUSED BY: CEN~R ONLY ONE CAUsa PER UNB FOR A. B. AND C) <br />IMM.DlAft CAUsa ~ .... <br /> <br />aINIll11OOdo...... {::' TO.::~~ ~~~. <br />::" ...::...-:.:e:.:.. \8, ~,lt;\.te-rtLl ~ AC"""D"'S~I( CQ....wtu~ <br /> <br />8TA~ ,.. ~ DUa TO. 0lIl .... A COHSlQUDtCa DP' <br />L't'IMI ~ LA8T. <br />ICI ' <br />22. ~ ~ COHDmON.......c~ To D&ATM BUT NOT RELATm ,.0 CAVe. GIY_ <br />IHlI2A <br /> <br /> <br />USUAL <br />RE5ID1!NC1! <br /> <br />3333 Pacific Pl. <br />'lIO. COUNYY <br /> <br />Los An eles <br /> <br />Pl.ACIl <br />0" <br />ImATH <br /> <br />CAuse <br />C)lII <br />ImATH <br /> <br />(})lJe. <br /> <br />PHY_ <br />CIAN'. <br />CI!II11I'ICAa <br />TIOH <br /> <br />aaA.. CD'I'P1' THAT EMATM CJCC:UJaIG AT TM8 <br />HOUl. DAd AND P'I.A~ STAUD p",* TIll: CAol.JJ,U <br /> <br />INJUII1' <br />INPOIIMA- <br />TIOH <br />c:OlIOND'8 <br />~ <br />0fA,y.. <br /> <br />U. LQCA-noN CS...-T AND NUIIUR ClRLClC"T1ON NGcrn Oft TOWNI <br /> <br />state Gov't <br />118B. <br />I <br />I <br /> <br />.,8a. STAn <br />I <br />I <br /> <br />Ca. <br /> <br />88- 103669 <br /> <br />L.DCN. ..-nrATIGN ".TlnCT AND ""1WICA1'a __ <br />aA. DATE. 011 DeATH ~. DAlt. ~ .... MDUII <br />I <br />I <br /> <br /> <br />13. Mo\ftIT'AI. $TATUa <br />Married <br /> <br />unk Walters - England <br /> <br />'4 "AME OF SlllVIVING !5PDUU ... ...... ...... <br />-- <br />Margaret CowIe <br /> <br />18. K6tG cw tNDUSIWY 0It ....... <br /> <br />Gov' t <br />lee.. CITY 011 TOwN <br /> <br />Lon Beach <br />aa. NAMII AND ADDRI!SS OF lNFaRNANT--....~ <br /> <br />Robert Hatch - Conservator <br />320 Pine Ave. 1401 <br />Long Beach, Ca. 90802 <br /> <br />~ tP~eJcs <br />~ C ~ /'IIdtf/ftS <br /> <br />~ <br /> <br />:z&, ..... ""'1M III8'CIII:mD <br /> <br />TO-AId <br /> <br />Huff,M.D., 500 Alamitos, Long Beach, r~. <br /> <br /> <br />S2A. "'''' <br /> <br />,~--=-nt..DA't'."'" 122&'" <br />I <br />. <br />, <br />-ns .........,.,........ <br /> <br />=-~.:::.~ ~A~~~ ~:'."':&:....': ;.::.::.:.=:"" :3!18. COAOND__..----mu <br />I <br />37. OATB............oNIDAY.'dAII 311. NA*AlGAIllCMtU.OfICDdID'I'GIICJIDIATOIIY <br /> <br />:aac.. oua~ <br />. <br />. <br />.... ......--."_--........,.~ <br /> <br /> <br />- <br /> <br />Cremation <br /> <br />~A'J1I <br />~" <br /> <br />ws-..,,_ <br /> <br />, . CIJII1fD CDPf MAt lUll ....ID ... <br />rCHA.GI~~~.-= <br />__" Of fEIIIlIIM. .".....- OR <br />'II A aIM !!! :'I.'fO."'. POI A .....UI. <br />. tTATE~.. ....... <br />..... 81- <br /> <br />P. <br /> <br /> <br />I-ilil" TRUf eu PI <br />R~~ ~LED IN THe CITY OF LON& lEACH <br />OEMlTMENT OF PUILIC H(,.\L1H IF IT IIo\ItS <br />lHlS STAWP IN PUItIU .... <br /> <br />JUN 2 0 i988 <br />I <br /> <br />\- ~Ni~ <br /> <br />R. SJ...J....1) <br />Hellllll ,~..:~!I!'_l <br /> <br />u <br />