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HomeMy WebLinkAbout0778 CONNECTiCUT STATE DEPARTMEN't' ~OF HBALTN ~fQ . P~blie Hsalth Statistie~ SactieM-N~rtf~~. Gwieetiedl U.S.A. ~O 152~2~ ~ ~ ~ ' D ~ ~~ti ' ~ ~ M Cerri~cars of Jaearrh . I.c.~al Fee: '.QO l. tu?a a Dc~?tt: (a) stale et Cwneetiert ~L Vst~iu. Restes~~s w Dsw?sa: t~) 8tRte COYl11t3CtfCut { l~l Car~b (sl 'l~ev~w t~1 OMnb /t~ 'l1w~~ ~ r'!p _b IGs~7lri~e f' be -BMe+li~ Uwitat ~ , New Huven N - r~eii :~aver_ ~ New li~ven~ . I Na+ae ~t Napilal er Isstitrtio~ (~1 S~eres Nrr.?er t. I~te ` !It Mt ie a hapiW ee 4ntftotfo~ th~ 8treet t1~. llt n:~1. tin la:dio~) - ~ ; ' leeatiw~) ' ^ ~ ~ ~V ~ Herita~e House C 13 3uttcn Stree~ . . _ ~ ~~ex ~liven ~ ~ ~ i. N~~~M l1*Int) (NNdNI lL~tl ,•~,4 Soc1~1. YItM~ ~ J~sQ h ~ ~~o..r ..~.t~ P .far one : . - , _ > . ~ ~ _ ' « t~ ~t~lONAL ANn s7'ATtSTICAL ~ARTICULARS " " ' ` ~ ' ~2. ~:AUf~ 0? DtATN j~~l~'! Mb 011t taM! 0! ~_~i)~~~ ' . ~'J; ~ i. Si= Wct T. M~~uts Nsna 1f~Mm p P~ai 1. Du?Tw wAi,CnVr ~~t•....••`'~ } ' ~~N ' 1 r~iale ~ Whito I•v,~•••p o ~ e«,~ ; ~ r N~wsrr ars Ii~~ H~MS o? Ir~'s ~FrI G~~R~~ ~ r ~snrM wae HA~ ~rs' .diC~~ / ~ } Florence Manna f. Dnzs fMo~ei) (D~s) `~<Y~arl Dos» taay i5 1956 G.~~~a.. If ars. v.bieL ' l~. ~TR ar Burn Aes fin ~ean i[ under 1 ar I[ af~der 1~~~ ap~ : i I~st birtbdyl xp~~ p~ Nia~. (a1. ~taties ~ . : 7 -7 -1891 ~4 ~ ~ D~ ~ !1. ~tr~.acs tCltr or tnwn) 1State or toreise asu~tq) ; PwiT il OtMii SICMIIN:AItT COMMTMNi C01+7Rt~VTtMC 23. w?~! 3an t4aria A Vico Prov. Caserte, Ita ~ NOT Rt{,ATtY TO T11t TOMMAO DI~11 ; if. ft) Vav~w Oocurwnor (Ghre kina ol ~vork aowe duria a~ost K ~~pt oodctns U[e e.ea U ntirod) ~l ~I ~ Y~ N~ Qj ~ i I' I a c h i n e O p e r a t o r . ~ x a Y A N c o K.~.~. x o o.~. ~ x u. < u~ ,x,~,m? ~ s~~r inchester ~rms Co N,...c..«.~. D.~..~.„..~ ; - . !i. ~.1 w.s D~awtt, ~ vstes,?Nt Y. x rre ?IQ ~ ; i Ibt' T~xs or (w~car 11r1 It 7e~. st.e ~.ar !i. (a/ Aaosx~ 81ttane HorKUe N~ ~ prl. ]'rn . V¦it or sa~ O O O ,u,. - y !f. Nwxs~~9.lO.~iT.~`~,~ te) IN~ucr Oav~so la/ Pu?cs o? iNauar la~•. i. w•?.at A~.N, , ~ ~ (Ciyr or tows) (State or (~eeei~e ew~trfl Whi1e at Net MlLile 1~+~. J~~M. N~n M11., ete.) ` Brarnru?cs j wo-t ~ at wort p . K~na~ ~ NLl Z Z O te) Qrr. 7bwM. oR Lou?trox Cou~r Srwrs ' li. Nwlle JA # l~be~w~~r~7 (S~ste or lAetse oewltrfl • ! s ~ Bnrnrua Ita]. (ll Dsace:u Nor IrauRr Oceuuso. f6ytsr wst~n ~J H}~crp fw Pa1 l 7t~. wxs'a 2~I~~s Psrt 1l ~1 ites t!.) • 1~1'3 • Joseph !~A ~~j ~~f? CEItTIFY. Wt I aetea/~y ~~.~y~a t~ tt~ ~eww t~ ~ ~ ~ i~ ~6 ~a~J~~Ct~ $6 " ts ~t ~ . w nB »f 6 e..Ke~.s or e...~.wM t. Lawren~ r~ u.e t u~e... uK ~ ~~g ~ t - r~.K W fi ~ icut e~.e a..W is ..W oo~Xr.ea w.~, L~i~! t~. .«s a Ew~.~ss n wns ~s. tteew am~rr 3tI4 P.1~{..c 3 ~ yb p~?. J e h E 1 rr. « PNT 'yarPia p. Z~ne~aetn,lt.D. • _ 8~r~~ns o~ Eiuw os ao DuR~ua - U ~ ' • 6 6~ ~ a~~.~. l. Ch s+er.. S ~ ~ D.a IS /f~ < u cs ? . . , I . 16~~ 1966 - s. _ Foxx vs?i , : i •<<- _r_~.. - ~r.~~~ 1 e.~rtiE~ ttiat tLis~ t~.a trri tt:aseript ~f iwf~ o~ tL~ asat6 r~eoe~ u r~eeri«I ia t~i~ ~R~e~. ~ _ - ;!,;s•- . _ . ' . ~ ~ i?tt~.t~ . R~tnir ~f VipJ staN.tie. , _ ~ . ~ . ~:e.a ».:.....w,J~,nu~.~'9-:~~i:..1967...........To... ~E FILED ANO RECOROED . ..N,e~t..Bav~s,R..... 1E..CGLlN~X. , ; . • 7 . ..{;,~vlrU~ ~NOT GOOD WI?H011T SEA1. OF CERTfFY1NQ OFF1CtAL . Rr~oPOL5~a26 . Tw~ Y.~+:1fCr • , - . . ~'~<< . . _ _ _ _ - ,~r--~~- rn--~ -~-,~e Y . .~,E?~ " 600K~~ PAGE 7 (5 ?tOG~F ~ OI~R ;5 C~ERK CIRCUIT COURT - - ~ a - p kT,~ `~'y:'~ ' ~