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oolong 1111 Olen to ntNt 0
li
USUAL
Housewife
CRT OR TOWN
RESWENCE -1 feet "Wren 01 Iocat.ont
/!1t_ Box 21 139 Nield Ave.
Afton
MAIM of hoopoe. fluffing home or other mamma. were Own =wow
111 outs. an .n.ittulNln. pave Hrwt a0Oreas a button i
St. Mark's Hospital
01 not gelded Dy med1.M .larrnttar. was 0Yih 10poned to ham
11 yes. a.tt.r Res chest and hour reported. M.E. Caw NO.
HOUR
0smo RNraW
li
Entombment
Gemat.On
Othe.
;DATE
Wyoming
Afton er Merv. Afton Lincoln Co.
Ant. NEATN WAS s IMMEDIATE CAUSE:
w
NAME AND LOCATION Of CEMETERY 0M CREMATORY
COMMIS v ANY
WIUGN SAVE MN TO
TIE ■IIINMTE CA44 11)
W OATEN THE UN.
OMILYNIS CAUSE LAST.
0 .t s.ete
Amines
Suicide
HNa1.1d.
MNIOLN LAST
Lorna Hurd NIELD
MO. DAY
lCl
ec. 8, 198
Y.I. ItiUnc type
YEAR
M
At Home
I/ M
ECp{NITT
!hoe. Lincoln tuldvomino 83110
{STATE AND ZIP CODE
MEDICAL EXAMINER: 1 hN.by o.rt.ty Rat te Itw best of my t.to.tedp. Me dwth occurred at the now
Oat end Oboe Mateo above from tat caufw .fated beton Weed Or ..am noon ot iha body artal01
«wwtpatan ot na cmoonst*IOes
l D.os.O.r wes porto.xtoe0 Dead at' HOU
N.t /a.Idww. crt.: oat to s .0i Ot my knowledge tar Death occurred at
Olt. taw. OMe and place Mated above loom the Causes staled Wlon. ttat I attended "n►
and M Wm the lane on Yes
manta
MR ►1E.07TMN ENMi1CANT To DSATH. WT NOT al'ED TO THE
w11EpATE CAUSE /OVEN IN PANT L
CERTIFIERS
TM{ NO
Ietpswnl CITY OR TOWN
D E.0 Pawn" I Salt La
DOA
I PHYSICIAN OR FIE
_iz n
ICER RTI to Y it.nN end ut ow n. p.nq
NAME. RE LA
I>�e KEITHI.. RITCHIE, M.D.
Sok 'take City, Utah $4117
AND MAI rte ADORE
Mr. Layle H. Nield (son)
Box 562
Afton, Wyominp 83110
COUNTY
1
e City, tap Salt Lake
NES E,O ATYRr
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Nxepte* for roossaMwn by
repairer
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R AMO ON LOCATION AND CITY OS TOIII.
Dec. 12, 1984
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WARNING: IT IS ILLEGAL TO DUPLIC
MS COPY FOR OFFICIAL PURPOSES.
MQ
SALT LAKE CITY COUNTY HEALTH DEPARTMENT
08(iti e DIVISION OF VITAL STATISTICS
18 -4172
owns NN MINIM NI ma 00
This is to certify that this Is a true copy of the
information on file in this office. This certified
copy is issued under authority of Section 26 -15 -26
of the Utah Code Annotated, 1953 as amended.
Date Issued JUN 17 1994
118584
CERTIFICATE OF DEATH
PAM Of WAM OOMRIRIM! 01 NUM
Thomas"L .Schlenker, MD
Director f Health
EPUTY R TRH R
563
moles INONNAt.
N A..ENR 1* r1.rN. INNOMON