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HomeMy WebLinkAbout1697 wr " a ' e s . ~ t ' • ~ . ~ . . • ' ~ ~ . . . . ' . ' . ' , _ . ~ - . . . f r.; ~ . . ,v , • ~ . ~ - . ' • - . . r^ ~r,, f't~`; a. ~ + , • , 1 ,1, j - . _ . - - . + ~ . . . r.. ~ ~ ' ` ~ • _ • . • + ' _ _ . . y . . ~ . , . : - ~ , . . ~ . . , . ~ : . . , . . . ' < ~ : . -i~-~•::~ ~yF • . ..~1- ;,L. -j- . ~ . •1(~•~~•~~~_•~ ~t~ , ~i?~." j°~,F • . - :t ~ r• . • ' - r,\~NI~W~~//. S , .e i=t'~~ •l.+c~~StJ~t~1~t"~1 fl~~I ~ ' , . : - • ~ I,~I~i~ ' ~ ~ t` . ~ j 4 ~ i~t ~ . , : . tis~,~ .....,~i,~ _ - . ~~'t~' ~f ~'~vt ~~1~t? ~ ~ ' . ~ : . ' ~ ~-332i2 . - . . . . ~ nf ~e~i~#r~r ~rf ~tt~1 ~i~sf~t~ . . ~ N° - . 206 ~ . . . ~x ~of rrEw sRVxsvv~ xEw - . . - 4~.• ~ c~ r~Y . _ - - . , . . . o s --i ~ ~o . Y County oE 1lsiddleses ' ' ~ Tht~'-~s,t+~•C~•~t,~e following is oorrecdy oopied fira~a a reoord of DeatL ia my a~oe. ; ; NoifM.,qt Ploce of Deoth Dote of Deoth = ; j , - - ~ , xEw Bavivsvv~c$, x. j. . • ~ / q~' 3 . 'ol Seturity Number Sex Moribl Cp+clitian pot~ of Birfh ~ : : 133212 . ~ - . ~,,s ~ . ~ - . ~ co~.. aon+ . ~ I~l.~ DOOK - ~ , ' 196 . - . . Supplur~ntc! lnfarnation if Death Wos Ou~ w Ext~rrwi Ca+s~s . ~ - ~ ' Nccid«~t, Suicide a Homicide Da» of Ooawrmct ' ` When Did Injury Octur? ~t~ " - ` ~~'t ~ Gty or 7own Counh? ~ Stot~ ; ..,ad ~~iu Occur In w/lbou't Floent A+ F , n Industrial Ploce, !n Public Ploce? # ~ : , : . ~ . i~r Typ~ of Plop ~ Whils ot WorkT Means of In~ ~ Nome of Penon Wi~o Certified Couse of Deoth ' ~ . ' - ' NSW aRUNSWIq f ~ . . . ..~~,~1.?' k: . . ` • \ ~.ws~r.~s-`t~~.~ ~ ' ~ 4, ~.r;.;., ~~i'; 3 F~EB 3 1966 _ , ~ ' ~ .•r I . . r i ' t . w'~ ~ ` ~ ~ • ~ / ~ : ~ 11 s, :,ri r ~ ~ : . ' : . . . , - L~r f •r i 1 e • ~ ~ l. .i .v.._ . .r •.•........yr ........~......~~~.::7Y..F.4~...a......«... 1 ~ fl ~ . . • • . . ~ ~ • . ~ ~ !,LAtA ~ W{~ ~ . . . . . ; ~ ~ 'V~~ii ~ . ' . . ~ . . ~ ~ • ~ ~ ~ ` : Fee . ~ A : . - ` NEW UNSWi ~a:o~~ L.~.~.~;~.: , . ~o~K 110 FAcc4~. N' J' ~ ~ 7H p~,Y ' . . . • ~ t`;'; ~s w. ~.us m. ce. l~ • ~~i.~uis~ r~' t. _ • • , ~'~:~~Itj. ~ : ' . .~r...~--~_- _ - - - , - . _ _ i . ~ ~ . ~ ~