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� f a • e <br /> f = <br /> ti JOAQUIN COUNs <br /> !� PUBLIC HEALTH SERVICES <br /> STOCKTON,CALIFORNIA <br /> CERTIFICATE OF DEATH <br /> An"CA—— <br /> g $TAT{FILM NOMe9R YAl eLKw»,w 04r Aw.wN1TtoY•{Oe+CRR+TqM - 3 <br /> m0�11 Aav '� LOCAL R[O•eTRAl10N NUMBER <br /> 1.N or aac.rrrr-wrwaT lata». a.r a.trl NApr. <br /> BONITA IRENE WALLER <br /> e.WTE OF tMTM rr/DOICLYr 9.ASE•w '. 6.{{ 15.a+tt of_A Nr/00ICC rY 9. WR <br /> .. 04/24/2919 82pI""""' Fl 01/03/2001 1225 <br /> OtC[D[NT e.ETAi[of wPTN 10.SOCIAL ai.U.1 T+O 11.NILITMf teevKl f L Ww1TK tIATUS la.{DYCwTgN-r[wes COrlait(O <br /> P[ A .IwL OR 554-24-7499 r{{ >• Nm ur, <br /> WIDOWED <br /> C $ <br /> LATTA <br /> IA.pwCt ISN MMIC--{K<In 16 I/NAL{MM1OTn <br /> T CAUC n r. SELF—EMPLOYED <br /> I).OCCYP+TION f S RING 01 ewlNln la.r{+M IN OC<YMT.O» <br /> HOMEMAKER i OWN HOME 67 <br /> a*,OWONIe{-1a�tl{T w«O NuwtN oR—AM», <br /> — USUAL 22665 HENRY RD <br /> .[$'Pere[ al.em {s cevN:Y za.a1 coot ze.vas w eowa•e am.{Tali <br /> ° ESCALON SAN JOAQUIN 95320 50 CA <br /> ss.r::.a atwq$m.,.P ..- E).NA1L«P.00a{•{...«...w�,...».[s,..a i».I..aw<.— .�I':. <br /> co e N.°AMA BRENDA HIX—DAUGHTER P.0• HOX'479 TCOLUMNS CA 95379 <br /> �y cup <br /> T zm.pAre w wArirnrG Aroues-non s..rgoee am wr INAMtp rAM[I <br /> m Ouse ]1.pww{01 IAfN[aJY1eT ` IEE.rlOOte yT.LAST a,.M.•r M+.[ <br /> PARENT HARRY t JOHN HUGHES CANADA <br /> - IN/ORNATIOM <br /> Q am.HANE 0I«YTw{R-IIa{T M r1eOL[ ]),w1 wwq(NI Em,t,p.»te•tt <br /> FRANCES. LOUISE DICKMAN OH <br /> 30 O+•{rN.a OICG•r.A0.1-90f--- <br /> 01/13/2001 <br /> lr+y aero•01/13/2001 LAKEWOOD MMRIAL PARK HUGHSON CA 95236 <br /> AI. -s oarewuo Nlo Aa.NGNA) lw+lraw <br /> FU«FRAC <br /> Dlfltc)oa CR/BU. Ii, NOT EMBALMED — <br /> LOCAL "i.»wNt o.r««apo oNrcc»R Am.L[araa pe s.FwN.rvpa p n.otTi N«.a o I c c v Y <br /> R[cl{TaAR WALLACE—MARTIN FUNERAL HOME FD-7' 1��1� <br /> .C/,c(..f '""'vj 01/09/2001 DR <br /> 101.KAC[OF DsafN lOa.V NOSNTAL{PCCMY Ow[. IOa.IIgNP OT.IIp tw•N w{fRM• <br /> i~li1 OIO:AF1N 10l.siw{{T wYOt<eH aTa-tlT Awa NYretA o+ 1EflIOP DOA <br /> IOd.CCYMY <br /> —All WH � ANSAN JOA <br /> QUIN <br /> O+T.SAI <br /> .00.�.11. <br /> ®® 5320.CARRINGTON CIR STOCKTON <br /> elEa>.1� Ioi.07 r/wt e/wsso er.,[«•u a»Lr o.a c•a.c Ata L�»c roa w,e,L,Aw oI N.[.rnwac Tos,a+r«a.o.n 76: <br /> w v <br /> Ef~R 1 *N ae.waw oNl Oµ r,..�•.�Ite <br /> •� ...a wTE CARDIOPULMONARY ARREST DAYS (�L <br /> os.S.A.F[p:o.+w <br /> —a To .s. CONGESTIYE HEART FAILURE DAYS ❑r{I pa NO <br /> CwY$m 1 to A.ITo1$Y P[wfORr[p <br /> oorCAT" ou[To 1°' ARTERIOSCLEROTIC HEART DISEASE YEARS ra{ �«e <br /> $cra.:.w/eAwa <br /> OYE TO 'a. <br /> ri Yaa <br /> T 11E.OTwtR{gN«KwwT GONO.nONe COptu Wrrq TO Ob1TN 111f NOT RKATtO TO GAYR aav(w w Ip <br /> LUPUS OSTEOPOROSIS <br /> .. I t a.wwa w$a+rqr w[eroAMto FOR ANv es+R.Twaw w nRN tw ow l In n raw a.ts T•aR aF owtAsrgll AM arTe. <br /> —... 114.let——1 To rl•enr mF MI. I 1 a NtwATU •nT►{ tIn11Ke "'k <br /> tKaNK leo. 1 la.Mn r r r o e/e e <br /> ntvsl. tome aMT«occuMn.T Tp{Naq.wn ► A31079 Ol/08/2001 <br /> Aro ILAct wA•w na..fM auu.tt n+na <br /> . erwN•$ woman*fleet[Mrs *wan w.SM r•w <br /> C[MINCM -*elect, I Pe/ee/CG•f IIm.nP[ATTµ01M FweuGAn•e cart,Maal$AONq$e.liP <br /> 11/25/2000 12/29/2000 �R MEHEROSH DAH 2800 N CALIFiMWIA f 17 ST OMI CA 95204 <br /> 1 ete•N•T•.AT Ip M•OfpwlOw mfA•M IEA xeRa1•M Rill IFI.ew..Yl a a/e O.ee•r esE.Ilwxe Ta&PACE m►Ra w• <br /> OCOYRR{a.11- <br /> wOY14 Mf!ANO f•JCs <br /> ..:i�,�.. mttfw tela TM tAwae m•{w ❑�u w <br /> ' I1$•NANM[R a—1.. IEA.e{aeP.Rt IIOR gaNp•f ocewato.t.e:Te Rlawl.McIILfY w VANISH. <br /> ONATURAL(3 WKIRE O N9N1CIae <br /> GORON[RYI I{pew6 t�Yae Mfw <br /> WE ACC N1 p.fanRATte1I wlAlllrl[0 <br /> omT IaS.COCAIN*MTBEa•Are NyNetR OR a6tATNpI AIq WIS.•P. e <br /> 144'.—UP6 oI¢eeO.Me OR wPw•esRw•s. tat.Mn At N/e 0,c C•• IM.TIMe MRL N•ts am,e•wn{a 0•M•vn 4PPSPeR <br /> 1101 <br /> • C O { F a IIx sOTN.R CLN$Ye TRAGI <br /> REa16TRAe 46312 <br /> 243030 <br /> CERTIFIED COPY OF VITAL RECORDS <br /> STATE OF CALIFORNIA I SS <br /> COUNTY OF SAN JOAOUIN <br /> TNs is a true and exact twod xtion of ttre dompent officially registered and i Q•,..... C"�. <br /> placed on Me with San Joaquin County Public Heal Services. KAREN FORST,M0,MPH <br /> DATE ISSUED: __�1 ! Z D f ZQQ� tOCAIR1 REGISTRAR c* • , L <br /> ♦ This trot valid unless prepared on raved border d' • <br /> copy engraved a9 date and L nl ,. <br /> J36 . <br /> emu <br /> �O <br /> t <br />