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~~lllTitecl States of Amel ica --Sta~~ •tW Merico-Vital Racords ~ 1 ~ 7 5 8 9 <br />CERTIFICATE OF DEATH- Czrtified by PAedical Investigator Li `";;; _,~_ <br />~~'::: ~: r.:e,e,:, t, ,,[<. e.np :. C.•.Ow.T„vm4 C?rtifie.l oy ahy9iCiil'T~ Cu.nrv of DUln mGn TC«.LZ,ro., <br />t .. .. •....•,. '-' ..e .. . <br />],J:r.r .,• r. p .. ~.G.r Lul yE• vA1~.: iiAfH,-; ~u r. a'. <br />•c i:1Ci:': d ~Phpaa ~ ~rarv -. ,J'W•@ ~:, r 1'J3D <br />d UniE Ur J:., L..~na ay. vr• I ayE bu nnl•oh LLVOF+I rF•ad U:gEdI JaY RAL..xxdr sn.... i'w.:.,r.f .r'.-f .c:a~calG~n....[.'. li.e. <br />Mo,. D,Ya NDUI, M1nn, AmlI.G/n~ fl[. \~I.F,;.,n le.i ~•.. J.Un,N. `.1. yn, rl <br />. S/"_7/1913 s.. li3 r., se. k 9,. o;itite <br />:, <br />J <br />U <br />O <br />C <br />J <br />G <br />C <br />w <br />~. <br />N <br />1--• <br />F <br />"' ec. O t,e.n <br />a <br />V jT..IG GB COUI,:I <br />O <br />e Can:.Ga <br />FATNE•l-NA.'.IE <br />,F f?arrv <br />mvOl NU I AL Ua Nk Ilb I f N-Namf II' nnm.r, q,.r vrrl mJ nun>fn - <br />nnD Rrtm <br />Holy Cross <br />,, <br />Hospital 0 a DD E -. 2.• mm . <br />1n <br />: <br />ti <br />,M1,,, . ,a <br />r <br />: <br />er. <br />IIZEN 0f 1'/NAr MARRIED,NEVEO ~\:ARRIED. $URVIVING$JOLSE III..,le. p..rm, yrn nynel :ra ~'-'.r pa,c I <br />VNTRY IYID0IYED, 01V0RCE0-SD,OIr Ui AarIfJ FOA[E$• <br />USA Divorced idone <br /> <br />,o. <br />n. ; <br />19 a , nn I <br />R - - U$UAL OCCU°AT1091R•-nor,.nn eun!Oe,~n,:-mr al.mn.ry,. .. ,.en .. ,a+ql .- L65c. ~_i .. ..- .. <br />?5 EquiFment Operator L i <br /> ,,,. ,,, <br />o~~ r.~ <br /> Cwnp CITY, TOYIN ORL A10Y k AN NUMB ,rypi'JE [;rr <br /> <br />o <br />Isa ii. <br />• <br />IxVelarde <br />,,, <br />F•. O. box <br />3C1 LI\9:$~ <br />~ <br /> . ,L , <br />.., <br />e40JN LN, :.fOTNER-MAID NIIAME roll !oaa _ <br />-n <br />Arnold 5r. <br />Crary Jessie D:orri on J <br />di <br /> , „ s ar <br />ne <br />0r Dr.n•1 L:AILING AOORC$i evevrRFD NO. [nw loran 5~,;f av <br />wise Rowlan •,,. P. O. Box 321 Velarde `iew `•:exico 3753 <br />'OVAL, :iTNER-$gG.ly, CEI.IETEar ~CPE414T Y-N,m• LOCATI :1 <br /> <br />; 119, w^~al ,9D.Cemeter ,x. Embudo tl~w ~[exico <br />i <br /> <br />° FLNEaAI$EAVICE UCEN$°°Dr AURDrigD R!p.- <br />s;w•ID., a <br />:'•"' <br />' ~ <br />~~ FACLLITY_NAa.E <br />Lujant Taos <br />l H FACILITY-ADOREii <br /> <br />P <br /> .c,.< <br />-,; ome <br />9DD.Funera . 0. Sox 2Ci5 Taos <br /> CHiIFlEA $$IGaAVE-On mf m,a offv futon uglw DATE ACNE Imo.tlry.v NDUA OF OEATN <br /> n.<,19.1`0n 'n mV OD VJn Gf,N UCVrrfC ]LP.fom!, UFN <br />,nD D'~,Gf FnD Cuf li L I.]uY:a11NIfD/ <br />1 <br />71t y~ • <br />z IY~~ <br /> <br />71d / I <br />~,~; r <br />•r ~ ,. <br />U - , t DP.ONO~~l1CEp4 OEAtf ImD, D,r. vH <br />/ / ~ FRO.•.JUFlCE0 E.O lnq,rl <br /> C-f/ / <br />r- <br />II 1~'I 0'I¢f oIIM LYERtl ~I uu 1 <br />,U Wor u <br />GruIiM DNy,iGi,n REGI$i 514:4 f1,NE <br />. .+E CE~a'.V <br />] <br /> <br />4~ <br />I .~!, avtr DI ENr Mui ~~1fE:yl ecNOOI, AlppVfrp.4 NM !7171 _ <br />/ <br />• / <br />--__ _ <br />~ ~ -~~ <br />~= <br />OUE TO, OR AS A Lyyc~y'+SEOUENCE OF: <br />D. /~4Z:~ / LGti1 h i <br />`' DUErTO.0R AS AC0N$E0UENCE 0F. <br />a ,G <br />] Dyj x,11-Oi HiR SIGNIFICANT CONDITIONS-CD <br />L !/ to <br />I I D.nD~np m.ol <br />~.~.. <br />9x. <br />- ~ noun .. nee+':+M,•r~ <br />;Of.IN 3 C..+• <br />n <br />,D.,m ~ <br />i <br />I,.n'• <br />AUf Di$Y .•. .n f ^ ~ <br />u,~.~..../;/~. <br />74 ~ ~ •:0 7eD L v. ~.:In <br />N1rwa1 LA$i 6t:'c iJJ[$l~ :nyln p~~!,n,rQ, <br />7l ^Yn !]NO 7FU <br />NGURO I:JC=• GATE :: I::,UNr <br />1,rro. De. r•~ <br />~~L17L ^ Yn No I ZTI. 1719 _ ... -.._.... ... Gin » , u r , <br />I. <br />' ~~ CERTIFIED COPY OF VITAL RECORD - a <br />1. M l <br />.• r a <br />,'moo ? j! STATE OF NE!d PIEXICO HEALTH SERVICES DIVISION ~ r <br />- ~ ~ it HEALTH AND ENVIRON:IENT DEPART:IENT SANT,1 FE COUNTY '-= <br />T - 7 <br />- ~~ This is a true and exact reproduction of the original document officially <br />' ~ ^;~~' ~ registered and placed on file i, the Vital Records Section of the Health ~ ?- <br />.~ ~ i! and Environment Department in Santa Fe, Neta :[exico and issued under the ,. <br />- ~ ;~ authority of the State Registrar of Vital Statistics. <br />-' ~ ° ! <br />_~- i <br />u ~ , _ ll <br />- ~ _~ DATE 1SSL'cD: 22 JULY 198fi ~RR CE D. C`iL~ L i - <br />u ~ a v: <br />•r. ~ ~ iii State Registrar E,. <br />"'-`~ - COJNTER - Vital Statistics Buceau <br />~- ~ n c _:~ Page 32 L' ~ <br />'t - <br />