Loading...
HomeMy WebLinkAbout1361 } - - -1[ICAOFIL[ 1~1[0 ~ ~ I.e~i~i 1 i~~ ot ~rf tit~. typia~ - ; or priatia~ onsatistaotory in ~ thi s doomMAt !or ~icrof i laioa . • ` i i ,;;.11L FE6 it•oo CONIYECT[CUT STATE DEPARTMENT OF HEALTH 162406 ~ Publie He~lth Stati~tics Scc~ioa-Ha~lford. Coan~cticut U.S.A. t: • . . . _ . _ _ . Certified _ Copy. _of _ Death_ Record ~ - ~ Ru I. rc,.a a Dsate: t~I Sut~ et Cowaactic~t Usu~~ Ruiacxcs o? poa~?sao: fa) Sua _~v~~.• ~ f~) Carat7 ~ fe1 lbww /DI CoYntf ~ fe) lbra (dl 1~ Re+i~l~ne~ In.wtr *Iew t~c'~V(?TI 111eSt HdV@T1 ~CW iiaven ~~~@St }~aven ~ a C~tr o~ Ga«,kJ~ J.+...ie•• " , l~1 Na~e ot NoapitU w lastitutia~ lN S~reet Numbe~ - Ya Q \o C ftf a~t ie ~ 1~oital ~t lastlt~tiow ~in Stnet Na l1f runl. ~ire locatioa) lt ' Ya, aam~ Citr w~ ~ 792~ t~ran~e Avenue 792 t)ran~e Avenue °o'°ij° ; i j, NAM< OI ~ ~ ~~1~~l~ ~l.it~~ ~ IA Cii N~L? ~ t ~ A~~~1NY ~ 64~-~.~-~~9~ . } ~ ~r~oe e~ ..i.t1 n nR~C? ~ ~ I+IED1CAL. CERTIFICAT10NiTyos K orial) ~ ~ pERSONAL AND STAT15TlCAL PARTICULARS C~vss o? DcwtH (Eater ealr one eause :er po: (~1(b) andte)i i. Sac i. R~cs 7. Il~utcs Ntrct llssatw ir~~rws Q « O P~~t 1. Du?Tx r+w3 CAttlio BYS ~~tw[[x : ~tale I~~'hite ~ w~oo..~o p r~~.o.ca p iM,. ~ c~?~~s • o;~ ~.o ~ ~ ~i~ L c~.~¢_.~., ~,tG~:...c~ f~[~L • ~ Wa~s~~j{wa~w~wKS~~a.Dww~sa a~rs ltw~w+ ti~xs o? CG~ . Anna ~3uonpane J ~ ' ~ s. n~?,~ c~?w~ cc.ri <Y~~ Dus to (L) ~+~?*H July 23 1965 ir~; ~h ~ ~ 1~. Dets o? Ittslfi Aet (in yescs i( uader 1 7ear if uader 1 day ~ b . . ~ ~~~r) eause ~ ~ Nov . 9 1(o.u. Ds~. xoua ltia~. iK`v nvs to ce) ~ ' 1895 69 ~ ~ f 14 QItTNriAR (CiV et towp) (Sate oe [ocei~s cq~Atnr) ~ ' Pw~r II OTNa~ Swt+a~u?w's Cor~an~•~cs Co~ru.us~Ka Y1. tv.?s s • San Pr1SC0 Italy so DcwTe we ror RY6AT[0 TO Titt TiR11fNAL DI q~yrsY ~ . i It. UsYnl. Ootu~wiqt~ (Girc kind o[ ~ork dene ~uriae most o[ ~N°~ityK CtKN tjt PwtT I(~). Pcarox~ttot ~ - ~rorlciat 4le e~rea i: mtircd) <`~~-4~-~?~'~-f~• L~~^~~ Ya QNo ~ Rarbcr SYRC[tY RL4ErwNT TO CONWttOlt! ~H ~nK n. " ' l~) N~~ o[_operajion l(D) D~te per[ormed cti) ~Kwm,r oR aonaw S~, lf em lo ed • - P Y p (1 ~ ct~G- L ~ -~~G*-t _ F i! l~1 ~Vas Dccusia w Vsresnt+! Yd or N~ ~ r (b) 'C~HC or IMlI'tY ' fi ~ 25. (a) Aayns„s Sv~cwc Hou~aos ' (b) II ~a, tire rar ~ N~+.r J~fewtk, p~Y. Year j - . Un:c or Ship ? ? ~ p~, ' ~ ~ iw rr.~.e rr ank n~ nr s o c~ti ~~,v.,r o«~..~ ~a~ YCACL 0/ TYliliY c~.a.. :,....a.y: ~o.,. : /a.w~„ laetary. ~eresti ojScs i!l~., sq.) j. ~rilly Ot ~0~0~ (,la!! Ot ~DlC~l'A lOYALi~~ 11~1~k' :(Ol ~\'~1i~! ~ is. s~.~«.ucs San Prisco, Italy K~k ~ ac Work ~ xM6~ Martha Patern~stro (~e) Cmr. Tor+K, o~ Locwnox Covtmr STA76 . _ : I li. NwH~ . (Gqr or town) (State or torci[o couatr~r) ~ RrE~228 Caserta Ital Dcuu~e How INlittY OCCVa~t~. ' ~ ~ ~ 77. Btisn~~.wte y IE¦te~ watrre e1 i*i~*v Pa.t'l . . : ~ IR 1Nrot~suYs NwHS or Pari il o/ i~ew ?P.j : - ti~ _ j ~ ~T.• - . ' ~tTl f e~ ETr C. Anna n~ nr SO 2i. I HE Y CERTIFY.~~4~t -~w ` ~ deeeascd t~om ~ Ju2~~ 26 65 ~ - _~eo'~- •3 t9~7 If. 8esiw c.e+u?aou.wt.itcuor.~. D.ee t19_ ~ • - ' ~ - + f"~ ; ' • Cemetery or O~ee~twr ~'t . i~aVlrP_T1Ce t I last_~ati ~e ~eea~~ ai~n' Pl~ee ~~~@S t t~aven , ronn. ad tbst destb ~ sa~ teila+t,~c ~ ,~1 ~~I 2;.irQ . ~j M N4lrs w EHiwtxn u Boor rrws E~~wuteo Lieeaae aumber ~~6s ~ i~ ~t + 6~'~': A. m. hlario Lupoli I 876 :r. s,oN o.~tn~x. 3 , , 21. S~cttwiuus o? Ltw+stn EH~ oa Iicev Ksw. L ~ ~ Lunoli Rros.by - li f1. If~ ~ ~ waan.. 2g6 Columbu~ Ave.`1ew ~iaven ~ ~oaarcu ~n~ ~ ' a~'~~D•~-~~3/•~~~ 0 TH18 CERTIFICATE RECEiVS A RD GN I ~ - - sstwt Ju~Y 23. 1965 t BY ~ . r~uax vs-~ : i cerlify t6at tl~is ia a tra~ trasseript oE tb~ information oa t6e daath record a~ recorded in this ofC~ce. ° ~ Atts~~s Re~istror oi Vital Statiatica / ~ Datea .......Q~~i~M~~R....S.~...~.~~i7 o~?n of......~1~';$T...tjitv~............................................................................ _ ~ 1 I~tOT GOOD WI?HOUT SEAL 4F CERTIFYING OFFIC[AL ~ F~ Y.~ 1iC _ /Q~ FILEO ANp RECORpFOi p~ ST. LUCIE COUNTY. F~,A, . - ftF COR~ ~/t RiFIEO . i~;e,c,e, - ~-62~06 _ ~ ~ . '6l DEC 7 IUI 1 f: 59 ~ _ ~ , ~~-~CU ~ 60~OK~~~7 P1~GE~.349 ~~ERK CfRCUIT COU : ~T : ~ 'a f i - -