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~ ~ ~ 4`~~ i~.~.~ i~ ~ ~~w-~. ~ ~t - ~ d 7~~ l ~ , ~ ~ ~ 1510_10 ~ sTA~ o~ ~w ~~s~r ~d stis sr~Q , . ~ ~ OFFlCE OF REGlSTRAR OF 1/ITA4 STRTZSTiCS . ~ PEQUANNOCK TOWNSHIP,, •MORRIS COU , ~ ~ t~b, ~aa'o~ati or To.!n~at~ip a~d oot~t~? _ Tl~is ~a to CerK~y that the foIlawing is oortect~y oopied froma reoord oi De~th in ~qy c~oe. ww~ oF ~o ~ - ru?cF o~ o~wm - acnn o~ ocwTM ' i~~t ~Me~ ~~~r - . : _ ~ ~iig ~N~!1'I ~oe! l~aitM~ ~ X.Js . ~i~- 7~~~~ ~ . . ~uunrw~ ca+omoK . wa~ occ~~wraN - cwusc or~ ou~ _ - . ~ rr~~ ~r`~ _ . . - . ~~~M ~ _ ~ - Begisttar Q~ Vftil3~ti~C! - ' ~ S30 TURNPIKE. POMPTON PLAINS. NEW JERSEY Addreas ~~Ds o saue ~ ~ . ! 1.N. ~01 YNKR lYM.IfNINO OO.. 111C.. T1t[iROM. N. J. ~ - 'I _ { . i FIl.EO AN~ RE~OR~~D ST, LUCIE COUNTY• R~ C~Rp V E.R1F?E~ : oti~~y • 4 20 PM 1 . '66 OEC i5~~t0 KOUCR ~•0!j COV~T ~ C~ERK ~1R~U1'f : ~ ~ ~ t ~ - ~ ~ ~ ~ ~ , i ~ , : ~ ~ s s BOOK 1~~+ PACE ~0 ~ - ~ _ . ~ Y~ ; ~ w-~• . - _ _