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Home My WebLink About2645 r; , CONNECTICUT STATB DEPARTMENT OF HF.w~.in NO g3070 ' . P~~Ik H~dtl~ S~ati~tie• Stcii~a-Hs.tt~.i. Gw~setic~t U.3. ; ~ Cs~tificote of D~otl ~ , , • .:t_ : ' - ~1 Fee: il - RW o.,...~ aa.~..~ c.~..~u~e v,~,?~ ~w~~ M , l~~Rl•. a~µ!, ~ne~ t~~M~ ; ~i~ ~,...e. t~~ ~u cr..a . c+v e~ s«ew# u..~Nf . ~ ,.,_Vew Ila~ en I ~ ' ' ' t~1 Il~ei~tN M ~~tlatbw lel 7il?aet N~a~Mr i,:'. ~ ~ YM ~ rN~ 0 M~~~~~ ~ 1rNlu1 w hntit~llw tiw Stnat Na !!f w»L s~~+ = ''V~. : if YM. 7~twN CIV er n • ' 'i~> . • : •`SsrwtA ~ Nnsp! tal ~f St. Ra hael 4T9 El~ ~t~e~t - . r • ~CYMTIt • YMMt i C' ST. JA t~ . ~ Sl~: ; ' : . ~T..• «.«.u i[ENRY • • 4 ,wy l ?qI~ONAI. ANp lTATISTICAi. MRTICtlLARS 2! C~uss o? Osun~.[E~ Nw•rK M:'tit(N •~(te11 =p a t. lu?wer~ l1~.a ll~wp ~ r~~ 1. Ds~t~i~~.7-•~,I~t'~iwMi~*~` ~ie. uri ~ IMMiMA}~ `~L~ ~ J,•~ ',s-- , , ~N!!T ~N~ Nal O I Nhi te rr~ee..a p O ~-t p~~o e~'`: .~?.M 1 l~IaN~ MM~A M ~tri ~AqQ~ Aflt 01 ~.~~.~ZL~I~~~~Ct' w»••• Alice Halick ~ f. D~~s M /l~h~~il / 1 ~Y~ar) r,~liti~. ~t1~ 1r !?p) • 1~/~~ . ?larch 1? 1967 • •~b ~+b'~,~fib•.~u~~1~"`r' 1 i~ ~tn M BufN Acs ft~ ~eus 1 nnder I lf dlwl~t 1 iv ~ lat Nrl1W1 ~~y w~s 1[Iai. l~). suuw~. ~ • O¦O~• : h'eb. 24 i~ ~:::~v r . ~ .3; 1902 65 a. Er+~l~~ t t ll. ~pt~ll,~cs - ~clw.r a•*~ tsua or ror.isw c...ers) ; ~I~t Pw~t II OTNf~ S/ONqICANT CONMTIUNS pM1WYTINY !3. was . ' ~ rs uutM ~us ~ Ra,?ra n sts TawrKiu. N6W Haven. ~ Connecticut pn~oN CtvsM tM P~at 1 IN. ~ pt ~•1 nuu. oav..n.M ccly~`~es ui: r~ir`.. u• aneirMl•~ • Te~ t~r p t: Si iver. s,iitb - - ~ s~.~.Y x~•.,n cox.~.o~. w~oa,o ~M i~« y. u a.a ~t.n..+ ~ ~ f?1 ww r es Busix fC~ ~ a~~~~ Y ~ r ~ I~ t•t wu ~~~~N~t~!! ~ ~ . i ~ at Aoct~tNt sv~cae lte~~as H... x«uA. ar. r... l~l /t, ~w.;~~~ ' ~ . ^i V~~e .G ' • ~ ' O ? O - , • • : s te) IMiVatr Occ~?~w a.~ Pucs w Iw~unr i• ~Mst ~~.u. ~ ; 11. N~x ~ ~ - - " ~ /a?.ti l~eb.r. ~e.ss~. yle~ NlI.. ~t~.l '1----___.__.- y _ - - 't~_•i: . _ aNtrf) 1NAU~ at Not ~~YLiMO ~ ~ ~ - ~ _,~.~a=~ia~ ~-en- n "~cticu w..a p w~ ~ u. s~n„:~~ : , !U ~ - - ~ • z; ~L~+.; = ` t~) t~ttr. ?owM. ~a i.oen»aM CouKtr ST~ts ~ IR Ii~M • ' _ ~r ~ ~1e'it~Kets~ ~tes1 Cit~l • ~ ~ : ~ y. (tl acws KeMr lNrv~r Oocv~up. ~ lT. 8dnnn.na~', • ' I6wen iwtan •1 t*inn iw ~wt • ~ ; - < ~ w Pae I! ~l it~r sta I NIOItMAN1~s . ~ ~ t ' ~ ; :e ~ j . ' 8 rY. tM~ t tq~tM/ ~ _ _ Wi fe : Mrs~:'~`~ien~~ C: ~ St . Jacaue4 , i ~ G ~ . ~ r ,~....~.~.~~~noacp.u 1'!lar~ ~..53: ~~q z.,c,1~. L :;j . CewNersei0flliitw.- St awreeC - W.t Msc a. dK~e1 ~r u , f!i ~~~1 r~ West ~Iaven Conne ti ut ~a.~ a..+a r. ~ R.a • ~fi r, =a 1? Ben? Kas Sf~u?w1~s Liaw w~e ~_~~~~~t ~ - Pa t i ck . H._ Si sk 1718 n ~ M p""~'"" L. Celeater?o . r~,~es.r. Dno~s.. • . ~ New ave n w~ y • n```~ ~'O ~ i I R ~ Kd1~Ch ~ 1 FORII Y8.~ ~ ' : ! ~ t eartiE~ twt thia ls a tn~~ tr: ireript ~E tL~ iaEet~adoa o~ tLt ds~?t`~ neord u r+eerd~i i' `6i~ eAia. ~ . Ass t. ' ~1'O~1 21~_ 1~~t: Re~iatns ~f Vita1 St~tistiu Dat~i » ................................................................Tewr ~t..........:...... ~ NOT GOOD WITHOUT SEAL OF CBRTIFTING OFFICtAL Forw V.B. 1iC " . . . • ~ . - . . ~ . T~ FILEO ANp RECORO~D ~ J ST. LUCIE COUNTY. RLA. ' ,2~(g 5~~~,~.. RECORQ VERIFIEO ~ ~,G,,~., r.~ 155244 ~ o~ s~~ - '6t APR I 9 tp : 20 ~ • ~ FiO~CR r OtTR~.S ~ ~ ~~K~wr ~E~~ CLERK CIRCUIT COURT 65 ~ - _ - . - - _ - _ ~~~Y ~,_w~ ~ ~ d : - - ~ : - , - ~