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HomeMy WebLinkAbout05-11-15 IN RE IN THE COURT OF COMMON PLEAS OF CUMBERLAND COUNTY, PENNSYLVANIA ESTATE OF YOSHIKO S. BLEW, ORPHANS' COURT DIVISION Deceased © rn C> FILE NO. rsi , c� Affidavit Concerning Death of Gary W. Blew, -n Son of Yoshiko Sanpei Blew G, I, Susan A. Brink, being duly sworn according to law, hereby depose and state that I am 56 years of age; I am one of only two (2) biological children of George W. Blew, Jr. and Yoshiko Sanpei Blew; the other biological child (my brother) was Gary William Blew; Gary William Blew died on January 8, 2013 of cancer; a true and correct copy of a Proof of Death Certificate is attached hereto, marked Exhibit"1" and incorporated by reference; and I have no other siblings, half or whole blood, living or deceased. � ► f Susan A. Brink Sworn to and subscribed before me this 11" day of COMMONWEALTH OF PENNSYLVANIA May, 2015 NOTARIAL SEAL Y LILA RESSLER,Notary Public Swatara Twp.,Dauphin County My Commission Expires September 29,tot DEMARCO FUNERAL HOME (Keele Chapel) Inc. -.NOW 3725 Keele Street,Toronto,Ontario M3J IN4 I'Aa Co Telephone: (416)636-7027 Facsimile: (416)636-5337 De 'Aar ERALAL HOME Co DIRECTOR'S PROOF OF DEATH CERTIFICATE NAME OF DECEASED: GARY WILLIAM BLEW RESIDENCE: 89 Ridgeway Crescent Maple,Ontario L6A 2R5 AGE OF DECEASED: 56 Years DATE OF BIRTH: January 26, 1956 PLACE OF BIRTH: U.S.A. DATE OF DEATH: January 8,2013 PLACE OF DEATH: York Central Hospital Richmond Hill, Ontario INFORMANT: Kevin Macnab Friend 2777 Langstaff Road Concord,Ontario L4K 4M5 TELEPHONE: (416)457-0802 PLACE OF FUNERAL: DeMarco Funeral Home Toronto,Ontario CREMATION: Brampton Crematorium Brampton,Ontario We certify that the above information in this document is true and correct according to our files. Date on the loth day of January, 2013. DEMARCO FUNERAL HOME(Keele Chapel)Inc. Funeral Director