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r <br /> _ r <br /> r <br /> e � e • e <br /> z.: <br /> "R SAN JOAQUIN COUNTY <br /> PUBLIC HEALTH SERVICES <br /> STOCKTON,CALIFORNIA <br /> CERTIFICnAwE�OFMDEATH <br /> fT•T6/tl6 NUM•[R Yft w1.IG•w e.•a..+.0 WWwt•.Yr111TLOVr•OR KT•RArgMf LOCAL 0904i0FATION NUM06R <br /> 1.w•.• s•.wrT-Ilwn lanawl s . a.L.•T.r•nLr <br /> BONITA IRENE WALLER <br /> A.WTto/e�rn MM/00/GCrr a.floc rR• ��a-o..l...w n i(O 6.•ca ).Wrt Or OCAT« NM.D olccrr 6.Nouw <br /> 04/24/1919 81 ""`"° •"« ""��"" F 01/03/2001 1225 <br /> ..r DEC[DENT 0.fT•T[OI WTN 10.LOCMI•LCYw1Tr Na 11 IuiAwr f[fVKt la.M ffA."ATY• la.[aYCATq Aff CeNHITte <br /> Ot"860 AL OH 554-24-7499 ❑rLa ®Na ❑vMf WIDOWED 8 <br /> u,wAcs Is. wK-fIa<Vr 16._UAL[wrL01[R <br /> 1 <br /> CAUC "ETT ®Ne SELF-EMPLOYED <br /> T <br /> OCCYHTIOn 16 iw0 0•RYt1N[N 10.,[••f IM OCCYMTION <br /> HOMEMAKER OWN HOME 67 <br /> 20.PCMOLNLL-1Rw6R ANO NYMOGR OR LOCAT,O.1. <br /> -- uSUAL 22865 HENRY RD <br /> Rt6106NC[ al.Clrr aL TXYrrr 2a.LI COOL a•.rwf 1M GOYNTT 26.arAT[011 row[K11 GM1wT•r <br /> E5CALON SAN JOAQUIN 95320 50 CA <br /> [1.t so-IiMIL,w[uTglµwll .._ 87.. Aoewcs•« ...':,;.s. a•WA...a i" .a.<r.a.. -...�.u:,- <br /> ate` a NronMA«r BRENDA NIX-DAUGHTER P.O.- 479•tbOLUMNEwCA 95379,vN <br /> ®=G 2O.w•Nt rIr WRV1.n16 frou•a-11R1r >R MwaOai <br /> 30.-1 IrNOtw w•Nt1 <br /> Q Sr usE 31.w•M[or rNMLw+OIw•T >a Rgoat aa.4K <br /> I.Rt«T HARRY JOHN HUGHES CANARA <br /> IN)ORNATON <br /> Q� <br /> MI.-w NYM[w-rlw6T S•,repOLt 71.tAII.NAgoU s6.R r1•rt <br /> a FRANCES. LOUISE DICKMAN ON « <br /> 31 DAT.NM1D 41CCTY AO./aAGt e1 IIWL e.•rosmow <br /> ° rO"TOM1°' 01/13/2001 LAKEWOOD MEMORIAL PARK HUGHSON CA 95236 <br /> --' •1.nr-i o.e«roMfloW el u.M .TYwc or[NR.L«aR <br /> As. s...wo. <br /> olYwccrDw CR/Bu i► NOT EMBALMED <br /> Lot:AL u.«•tut a iY a«wAL wwcerew •6 uLfw\[NO M.em«A:Ye,49? <br /> s AA ww•rwAw •).R.,�[N«.c o•c c r <br /> PcGlsTRA- WALLACE-MARTIN FUNERAL HOME FD-7 ► 49 /ll�_ f 01/09/2001 DH <br /> lol,race or eu« lea.i«oer.Ts'•eeNN owu Ioa.rACLRf oTgw Tr•N la.eouw•r <br /> A <br /> -CE WHISPERINGHOPECARE CTR (11f ®`ON'"`• waa SAN JOAQUIN <br /> or ER/OR DOA •r. " wotrOmew <br /> Df""ATM 100.•Tw[[t.00RC[[-�•Tw[6r•"O NUre[w Ow�OC•�C«� 1p6.C1Tr <br /> •.twt� 5320 CARKINGTON CIR STOCKTON <br /> lf� -- 10;.R:- v.�.CwUTLo e..,•N.01 6«L,e.L G.ln[wn a-wc.oR A...G.ANO RI -�aw«nw 1D..W,T«nr0.r -w[. <br /> 1 N10 M[' <br /> fasrf� MMm1ATa CARDIOPULMONARY ARREST DAYS <br /> cave[ IA1 <br /> lof.ewer rurow.iau <br /> ouE To 16. CONGESTIVE HEART FAILURE DAYS ❑ru _ No <br /> CAUSE 1 fa wrolf,MwrowN[D <br /> �® DEATN 0'C�O K. ARTERIOSCLEROTIC HEART DISEASE YEARS ❑ <br /> iI n I,wo a«TcfMww•awe <br /> DUE TO 101 LY1� <br /> • rc• [-1 No <br /> 1 112.OTwaR.MNMK•«r CONOIf1pN•CONrwltvrwq TO OfAT«•1R wOT Rp.•Tt0 t0 C•W[01,{w M IW <br /> r� LUPUS OSTEOPOROSIS <br /> 11 a.Mw•waw•rlew nwrowMco raw AN,eoNel.w Mw loa a 1In \t0.ULT T,rf M oMw•rgN Ano o.Tf. <br /> -- - - 11A.1 ooRfRr TIYr ro 11K 6f•1 er wr twoML. 11L flfl•• nrLt fMVI[R 116.YG6Nf6 No. 1'01/08/200 <br /> wn tl tl rOO.o C r r <br /> INTI• Leo[-- ee'o m.I.N[nelnl arc ► A31079 OI/OS/2001 <br /> •wo n.c••nlaY fan Iw[eAufa•Ar•r1a <br /> . ml.flc •K..'ArwR•o IMca oc•• .r o •eaN ulw <br /> I C[R\IIICM YY IO•IGG\r � Y•1.01Ct,r 110.T,•`d•TTy,Y1Mf Iwf•KI•N••MME,MARINE AfORt••,2N• <br /> no« 11/25/2000 + 12/29/2000 DR IOBREROSH DAH 2800 H CALIFORNIA / 17 STOCKTON CA 95204 <br /> 1 c.-rM•I W M arwlgw PfA,M Ia0.Af••\r A\aT0Rl1 IL1.fawn O•Tt M NI.OIGC T r Ia2.IIOYw 1aa.TwJK[W UsN s, <br /> OCCVfwAO M 1Nt YOYw.O•ft AMO RAC[ <br /> '�i� 6T•ftO A110M Nlt CAYMe•,•TIO. , NO <br /> 1 N.M•NNLw a w•A,N IaA.OCYCfMt MOM MIYwT[KGYRRtO It••MT•MTYCN R6aYlfLO Y\INIYRrI <br /> O MTYIIAL El WKgt a nrlNKgf , <br /> CORON6•Y wawa COYIP wO)It <br /> Wf KC Nl q°r[•r••1 KwwYRO <br /> DWLT 126.LOCArgN grw![t•w0 MYMNR M LOCATgw AAT•aR,aql <br /> 160.•NVM)Ywt N fawoN[w OR W.I.C moo 127.MY M N/0016 C t 7 IM HMO MYL."no N t•Rewt•M p6wa)v cORON•R <br /> 6Twit A <br /> r-7-7 <br /> C D t I C N /A[AUT".• G NfYf TRACT <br /> R6a16TRAf 46312 <br /> 243030 <br /> CERTIFIED COPY OF VITAL RECORDS <br /> STATE of CALIFORNIA <br /> ° COUNTY OF SAW JOAOUN <br /> fvw•wA TNs is a true and exact reproduction of ft document dt aiy registered and / O�':•a••••,�' <br /> Owed on So wb San Joaquin County Public Heats Services. KAREN FURST.MO,MPH <br /> DATE ISSUED: ---v-1 Z 01 201 LOCAL REGISTRAR r. <br /> e . • This copy not valid unless prepared on engraved border displaying date and signature of Register. ;, ?• <br /> La F _.. _ ... ..__...__.._..._._ _. __.._....... ._. . _ _ _..._�..__ ..._..._.._.__.. . A4•(FO <br /> .••N Qr <br /> f f.q WAd Ij W. <br /> 6 a <br />