HomeMy WebLinkAbout02-22-13 H105.905 REV.(8/11)
This is to certify that this is a true copy of the record which is on file in the Pennsylvania Department of Health, in accordance with
the Vital Statistics Law of 1953, as amended.
WARNING: It is illegal to duplicate this copy by photostat or photograph.
RECORDED OFF' CE OF
REGISTER OF v'.-I-S
OF
i •`~`',1,o~~~p~ Pf~yJ'L Marina O'Reilly Matthew
~C13 FEB 22 _ = State Registrar
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7? ~COURT February 9, 2013
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'9lMENT OF~~
CUMkERLAND Co., Date
X105.144 REV IVW COMMONWEALTH OF PENNSYLVANIA • DEPARTMENT OF HEALTH • VITAL RECORDS 109397
TYPE I PRINT NI
PBI~ACI"M[ CORONER'S CERTIFICATE OF DEATH
033-139 (See Instructions and examples on reverse) STATE FILE NUMBER
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Charles E Steever Male 208 42 - 4391 November 1 2011
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Cumberland East Pennsboro Holy Spirit Hospital White
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Realtor Real Estate ®No 12 0 Never Married
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3448 Walnut Street A"Pawa,7e9ab Pennsylvania LTNeMay „a.❑YrDeoedae"111 TNR
Cam Hill PA 17011 17b.1- Cumberland 17d, k
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Charles Calvin Steever Betty Louise Ain er
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Richard Middlekauff 6375 Basehore Road Mechanics-u-riz, FA 17050
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219 North Hanover Strpp~, airliqla. I)A 17013
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CAUSE OF DEATH (see Inetrvoms wd OXIMI, e) Awd mN w & Fm a Enw oew wthft M DMTobaa UmCaabr m Drat
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On b" Will deuNMlm uWr m y~ erdlaNrplg"Dm,MmyapMon. deelh oaumddlhEeN,dab,andPNp,esdAa 10 ft uuw(grA malm r tNbd. November 2 2011
~M. d Wloc~kpoGaedDesMpsm2gTypslFnd
~a Ad ~Tewnrode, Coroner
W ► ~LIl. tea r I , I l l a l t 101 06110 -ftyw 6375 Basehore Rd., Suite O1
e a Mechanicsburg. Pa. 17050
Dispaam Pend k I II``II )b l l r:3 (o