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CLARK COUNTY HEALTH DISTRICT <br />625 Shadow Lane P.O. Box 4426 <br />Las Vegas, Nevada 89106 <br />._ ~ SO-~l(Z2~t0 <br />~~ <br />w ~~ r pED+tTw.R [ Np _1 Z. .__ CERTIFICATE OF DEATH SLT[ F+L[ No __ <br />.C wlaC[ 0/ D[ATN: iTaT[ DI N[VADA [ UiUAL RELID[NC[ ~.r.r..•A 1~+-rd If+..rf.rur~-.. !f.«.tewrr <br />~~ COUNTY II f• .e+ad+n u.•••+.1 <br />z ~, ~ _ _C`ar_k ', tT.T! .zebra sk9 ,.. _• cou NTY_ ;t..all _ <br />f f rJ 7 • CITY. TOwH OR LOCAl10N C J.rnafh of Ifal ~C CITY TOW H10N LOCATtON <br />.y!`f~ ~ rw rD ' <br />z r j :as 1;egas_-._ _ -_- 11 .nas-s_ ' :,rand Zsand -- -- -._ _--- _ <br />v ~ D NAME D/ +1)..,,r .u t....p.fal. Y.+, ee.Kf udJ.r..1 O tTw [[T aDOw Ett <br />Y- ~ +-~ I MOtwIT Ai OR <br />:J ~ './: ~ IN[Ti TIITIOH .,o1_'evad_a ?±enor?a~ }14Byi t~.l 3<J i,0[. c~ _ _ _ _ _ _ <br />L• L 3 = [ li ILAC[ OF O[AT:1 FNtID[ CfTY LIY ITfI [ IC PEtIDEHC[ fNt1O[ CITY LIM 1T{1 f{ REOrDENCC OM . YI•wY1 <br />.n Y[f ~.__„-MO f'1 _ _ - _ _ YEt ~ MO l-`_ _ YE[ ~ _ _ Mp '~' <br />V _ - ___ __- _ ._. <br />.~ ~ ^~ [ _..- S.L. -- - - - - - 4 - _ _ _~ <br />..l ~. m i. NaY[ 0/ linrrl t>L x+l,llrl riril3 4 DAT[ r\tunlRl f[)wTJ l5mr) <br />n[cutcD yN~Y `".A~;i.~~.~T ^,Z?7aTTE D[.TN ~ 7 <br />s ~ Irvwr ... rnw) <br />u m W u - ----- - ----- -- - - _ ~ s_ .35... <br />- - - - -- --- --- Feb [ <br />3 :J ~ `, [ tEZ [. COLOR Ow J raw w.ro ~+ weno+r. ED C ~ • pAT[ Oi 6IwTM • AO[ If. !ra•+~ +• u«oa+ 1 Ta.w "r Vroaw .. wwa. <br />~ 3 `_ . wAC[ Ia.+h+.ladaY+'-\Iune hE+ f.nY. JJrVr ~ !liu <br />-~ = z ~ er+.ale White n..lw.r.n.•[o r~. nr.n.~rn G April P.,_-i~Ds _ 56_ _ <br />~ J • )0a UtUwl OCC UfAT10M +I; rr l.,.' J ~. i - 1D• w+ND 0I tUtIN lit. It wIwTN~L AC[ +.~in.r ... +•.m+Y~r..vnr.y) - I[ CI TIZ[M CI WHAT <br />'./~ ~ ~ N J..r d\n.a •..1 x)au,}.aY I,Ir. rvr. rl ,cl OR INOUfTwY •CDIJNTwY[ <br />_ . none VakPr ~nrte Y.askssi lslard Illinois <br />J F <br />L vJ X ~-.-__ -_ _-__ _-_ _ _ _- _ ______.__ ,-. __ ._-... -_ <br />-+ ~ ~ 1t fATN[R'{ NAY[ 1. MOTHER'{ Ma1D[H NAM[ <br />J s ~ o ?lo^.zo Vinyar3 4nna -a~~'ale i <br />J ~ it Wat D[C [ai[G [ti [w iN IJ i ARYaEG It LC+C IAL [EC NO IT IHiORM.NT I.L'i3k2 n~'L ADDw[tt ~~r~ra e4C3 <br />wa ~[tT .Y-+ <br />,., z : ;r.r..n~,pw+ .) .,..,, „ ,° na,r, nntrown ^.lare,~ce J. .._i~tte-35r `=oa51m= rand Inland <br />_ » , <br />i ~ r. J . I[ CAL t[ OF DEATH ra.fr .+.+Y uur rnw •. M y+r J+n la hjF l+I 1 /n er r.r l,.twTw <br />r' ',;, r.wT 1 DEATH W Ai CAU[[O ^Y "~ •jrwl; <br />!~ ._ z tYM[Di4T[ CAVt[ (A(_-1~75'.~~>51feL~ ' ~"'"•~=----I ~,r.~4E 5f(.~ TY, ~t-rt:'.-„~-,JS~j- <br />... y _ ~ //?f` ~ i R Y <br />x ~ ~~ <br />3 O - a .,..Y a - ,.[ <br />< NRT a Oau t,cr+rrcawr car•n rt.n«w Co.r *.«c *o Da.T« tuT Nor wan. ran rn t«[ Tawr+«u D+ru as t• WAi •VTOMT <br />F V Cnrclr.nr Grvrr .r-Iawr I(AI .[R EpRY •O[ , <br />~" - Z t ~ Y[t~ Hp~ <br />'T _. ~ F [OA. 1GiiD[NT~ tUIClO[L-f-f 20• DL[C11!lC hOW tHJURY JCCUwR[O ~A•f•...iru,...l••+•-•v+.~f'nrf l.•. fort f/..(ae.r!!1 <br />r <br />- 3 ~ ' W MOYrC1P[~i <br />_ _ u __. <br />-~T- - '~ L zo[. Tlr[ x,... --- sr.,.,l. ;,..- F.•r - ~ - -- - --~ ~ - - - - - - - - - - - <br />_ -- r ~ o. INJUwT y ~ - <br />r <br />_y ` .... O U _ _._.._- ____ - _.. -_ - - <br />P -. .~ ... -- - ~ - '" '- <br />' a _ } ~ :a•. INauwY xcuww[D zoa RL^c[ or tN>D wY +• a •- •, nh .-.... zor CITY TcwN oR LocanoH cpuerY •rAT[ <br />n s^ ~ wNILa AT ~ NDT YYN1L[ ~j n. ,« r Y . rr ..lar.. a . r + <br />J ~ _. \ [i t ctJaTa,)rd tar daLY:aJr nrw! f `j J~~- ~- ~?r. 2 ?~-~~ cwd 1,1,1 ,.ar `~T~Y !h+ r .rr« .,w 2-?J-~~L. <br />_ '~~ 1 0 )lfr:J iTrA .i~~i F• m •n taf •tu t..aC1•d Yr„n+ wd J+. 7A. hrrl r;/ f,ly k+rt•.r:'•d r, Jr.,rR lha cuvYr. a/ntrd <br />J % ~ j ti. s ~ - - - -... ~. - za Dcwats - - ~ec• .aac o ~c DHm <br />~- - r ra I•". 273 :~. Ssn ~-enciscn-Ls+ `:ece~ '-2?-~2 <br />TZ 3fa wraa. DAi[ 2>c r:.AV[ OY C[r CTlw• Cw Y>n LOCATION+. r .un ..u r .. tY+r. <br />4, , ~..q4~[ ~p~. c.rrENAYOwT ~ •: a. <br />~ Z -, . ~E^~48 j-~\ rla Y R-C~.`\ ~ r 3~ ~ eSE, *i al ~: 2-'yi .1i91c'.-:lja }3E u: 85L1~ ~ I <br />_ ~fl7~ClT 17r6b~c y Y e ry •T[ [L D sY Y[ [GIt iMAP t(a/rcH(//~ru//~[ ~~ <br />2' ~ _ . 3' <br />"CERTIFIED TO BE A TRUE AND CORRECT CpP3' CJF THE Dt)Ctib1E;NT ON FILE t4'ITH THE REGISTRAR <br />CJ'F VITAL Sfi.~TISTICB, SPATE OF IvEV_ADA-"'T'his copy was issued by the Clark County TTealth District from <br />('~li3~ d4eument5 a6 $t1tT)flrlZed Uy the State pBoard of Heala§ pursuaz/t tc tiRS •1.10.1 t 5. <br />-. .~ '~:7t:r luuea_ ~~~V ~~~~~7 <br />:.„;, <br />`~'' NOT VALID WIT'HOU'T 'THE oti~T°u T~av1~TioLr, n~.n. <br />Eteg(strar of V~tat $tatistjcs <br />RAISED SEAL OF THE CLARK <br />CUUNTY HEALTH DISTRICT f,> ,.:.~,, <br />-~ .~' <br />