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<br /> <br /> <br />I <br /> <br /> <br />I" <br /> <br />-~ <br />=-:"....:.: <br /> <br />/ <br /> <br />COUNTY OF SAN DIEGO <br />GREGORY J. SMITH <br />ASSESSOR/RECORDER/COUNTY CLERK <br />200807401 <br /> <br />&TA'Y'E FlU NUMBER <br /> <br />CERTIFICATE OF DEATH <br />u.. "LAIC~ INI( O"I,.,'t'tZ~.::..~~lItelfl'::I~~"'oUT. 0lIl ALTBIltATIONII <br />VW;-l I (R&"V. .'-J <br /> <br />3 200137020156 <br /> <br />LOC;::AL R..GIIIITfU.TION NUM.a:,. <br /> <br /> <br />1. N.... _ ~..~Io'r-.-...I.iIl., I"',,,.,,) <br /> <br />0874 <br /> <br />DONALD <br /> <br />.c. DA.TE OF .IIIITH M N/C Die c y y <br /> <br />04/20/1930 <br /> <br />O(C6:P&:"'-T <br />~1E"'.ON.i. <br />DATA <br /> <br />~_ ."A'tC I)" .IIItTM <br /> <br />NB <br /> <br />1'-, ..-ACIi <br /> <br />CAUCASIAN <br /> <br />17. oll;(:u,.,1I,'I'loP4 <br /> <br />UIlUAI.,. <br />.-1:.'01E""':. 2: 1. ~ITY <br /> <br />:l:1IJ....'TA1"I!(J1I1'Q~~ <br /> <br />IN"'Q,.MANT <br /> <br />/ <br />/ <br /> <br />".. 'IJI,"" .YATIJ <br /> <br />OI5j;'-QIITIONl'l <br /> <br />FUNERAL <br />Dlftl:eTOIIt <br />,,,.., <br />LOCAl.., <br />RII"'I*'I'nAfii' <br /> <br />Pl,ACE' <br />O' <br />DEATH <br /> <br />'1.21. q <br /> <br />TLtq <br /> <br />CAuse <br />OF <br />De:ATH <br /> <br />NO <br /> <br />""lVSI- <br />I:IAN.... <br />..' CI!:RTI~I(:A" <br />nON <br /> <br />I ''''. ~g::T~~:e~IIt~~ AT.~::,t:urr.: ~"",',',' <br />or:cr:f):~.t A~~:.:T;I~~ ~~:I[~~l:,. c~~~'::~ <br />I~N/;7(c.;;~( ! ;;I;;/;~.~' <br />I ~!:"'TII'Y THAT IN MY ~lI"lNtclH DaATH <br />OC:CUR".cr AT Tttt! HOUR, DATI[ AND Pl..ACIi. <br />i8TATILD ""0. TW. ~V.II. .TATIl:I). <br />'lit. ....ANN... OP I)UTW <br /> <br />o NATUIIIAI. 0 ..U&CIDK 0 "Cl~'C.IOK <br /> <br />D AeCIDBNTO r::"':'='ATlON Ilon'ERMrlllMiO <br />1 ZS. '-Q!;:""l"IQ..... ,_"""..'l' """ 1111.I1III.II.A OJi LOoCATION A~~ CIT'J'. 21,.) <br /> <br />I~ <br /> <br />, - <br /> <br /> <br />~ <br />~ <br /> <br />COPl!ONII!:It'~ <br />US< <br />ONLY <br /> <br /> <br />t :iUI. 81Ci1NATUAIE 0,. CORONII!>" lOR DIU'UTY ~ORON.R <br /> <br />."""'1"1( <br />REl.iISTRAft <br /> <br />c;.'.,...u. "'~A,Ci' <br /> <br />This is a true and exact reproduction of the document officially registered and placed on file in the office'ofthe <br />San Diego County Recorder/Clerk. <br /> <br />~.}~ <br /> <br />August 21, 2008 <br /> <br />Gregory J: Smith <br />Assessor/Recorder/County Clerk <br /> <br />This copy is not valid unless prepared on an engraved border <br />displaying date, seal and signature of the Recorder/County Clerk <br /> <br />11~111~111~~I~ Ilm~ II~I ~~IIIII~ <br /> <br />*0023720J.2* <br />