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HomeMy WebLinkAbout0038 1'7~365 ~ ~ y' . CONNECTICUT STATE DEPAR?MBN't' pF HEALTH ~pY Publie H~altl~ Statlatiea $~etlew-HartEor~, G~~eetk~t V.s.A. ~ . i - Cest'~f'rcate of Dis~td~ I. lanat M Ds?tM= ta1 StaM ~t GwMetiwt t)ttuu. ltsseoa+cs ~~p4?aw~ l~1 ha0~ 1/~ ~N~11 ~f~ dN1t! ~i~ ~R~ 1~ RrNAl~ Fairfiold Ridgefiotd Fatrfi~t d Ri.dgePield . c~c, s«~? ~.~wt t .se w w .selaWw (~1 Sir.K Nia6ir ~ ~ Y~ ~ ~ ~ ~RtIM11tiM1 ~~W ~e IYtltotNw ~M shwt No /lf n al. t~'~ +ut~tiM) 1t Yr. t~M QV K ry0 Itigh Ridge Avenue Peacable Street ~efield .~s « ~ c:~W+u.i - _ cz.nei 4 ~ Albert , tl~~;;•.: Henninger 04 -1 -6 U2~ _ . , . _ _ I _ ^ rERSON/1!. ANp STAT~S ~ ~ ~ , , IA,~Rs . a~ ~ ; • ~ v. t±. t.~urs e?,Dtwna_~ we u~we e~r wat fsl u~ ~ ' R 6a c~t e.cqr,~ '.~,f~ 11.~n•p la ' • 's~r~ ~na G?tt~ ~te ~ ~iale ; Hhit@ ~ ~ wwe... ~ . ~y.v,a. ~ t~+~•.au?ri c.we tt1 ~ ~ ; R ~ ~/a~.n~ ~s D~wr q ~ve Jt~sor ~ ia~ia e`? ~ ~ :3 / wwni p ~ "~~~Te t Ts+ ~ ' ~ : ~ , _ ~ oi Du?is M l t~) iYwr) ' Drs t~ 1 ± ~ Drnn 1~Igy 1 ~ 1 ~6$ ~t ~ ~ ~ . .w 1~} w~s Aw f h sMr:~ t•,ndar 1 ~ oiAK 1~a ~1i e~esr e ~ ~ V ~ ! + ~ ~*r~~~~ lloatM ~us 11ha~ ~~_1. ~hq~ , > ~ 89 ~ 7 ! ' ~ t~ ~ • Drs 1~ (~l ~ ~ 11- (Clq?ae ~owa) (State x t-•.~'ss eoa*' 7) i AugSbeTg Gsrma,iy r~ ii o*aa a~o~or~ux~ coxMr.oNS oe~nwunro ts, y } d t Ts Dswm ~ur M~e 14o.?r~s r~ n~s Ts~wr~~u. v _ :It.. (~1.;UsoA1. OoCUt~slwt /tiM kiwi ot ~rork dow~ iada~ ~wea~ Cow11r?I1 GM4t tt~ P~R I ~~1. Al~R ~ _ ~xkiss lite a+r~ i! retlrMl Tr Olf~ f,~ ;CMre taker ff. su:oat ~As~~wr ri Cax.rnex. laaro ra ssu fi. y ~r es Buswsp ~.'8'~'~'S't~ 1.b : •'sw?~ et ~C~rwtNw (~I Dst~ ~«M/ V r . t - - _ , I ~ • ir,- - N ' sJ'~. ta)!~ns,Di~~?~A~VttWMZ YM K NM'~ - • ~ , ~ t~l 'L1~s ~r wesr M • ~~.17l~tIN rrif • ~ S •f ~ , r.w ~k ~'t~ 1/wIr MNf~. rMI ~ ~ O ~ ~h~t ir .f~f~ • t ) i ~ ~~t 13ennin er ~ ~ c. ~ . . . " CQL . - ~ ~f1~ •!i~ ~ ~ ! g - ~ . ~ .rs o? tNi~er fa?-. iw aMrt A~, ~ ~ -V-•-, ~ ...._-_..~.~~Y~ 11~ f$fltw Or ~OT~O lM1~~tJ~ .1 '~^..t' v: • ~ 1 • <<?1~l l~t~My~ I~~MR ~~M ~Iw~~~ ~ '1 '~,^'i C@1 m3rty ' - ~ I i ~ < o @ @ ~ - ~ _ i • .1R;~""~'~ • ~ .w~ covwrr sTw~ ~ : j;1: i. :.;,,e,utj.r a~.) lsaee or t~sir• -~K.. ao ' ~ jT11k210WI1 -`-s .~,-.'rt r I~~unr OcCVwW~ : ~ . ~ s; ~~jrry ta ~l ! ~ 1 !1 • :'sst ~i tfsu !!a Adrian Neaver , is. i~HeREBY caneitr. w~ .aea+.r u~. +«...d r;.. ~ 1!. >eslR. t~[M~?TqN M Rsltar~. Date ~ 11~ if . Y lf , ; ~.ry ~ e.~,.,,,,, Aiountain Grove swe t mt... u~ a.e~w .n..•• i~ ~ r~.ee d e ort Conn .aaguK a a~t a a..e oeerr..a y ~ t~. ~MS e? Exu~.xa~ n Baw vr~s Equ?ute~ Lkew w~sl~ / 6~ at / . Q ltobert A.aane I 1762 ~ n. ~x~~,~ a, p„~ ~ !1. SICN~suts M L1cs„iis swtx Ut~ •/y1 V• Kane Funeral I ~ - ~aa..., Ridgefield, 01111• p~~ Ds4 Sv/-6 17l13 CL*R?Ifl 8 I ~ ~ ~S ~ f ~ 'QAZiI _Y,B-f - _ . . _ _ . . FILED AND RECORO~D ST. LUCIE COUNT~. ~L~• ~ ~F~~n ~ ~~l`713~~.._. ,6~ r^~ ~ 8 qN g: i 6 ~ , ~:O:~t:R FO~TRHS ~ C4ERK CIRCU~T COUR? ~ . ~ ~ ~ ~ ~ ~ ~ . k i ~ : - ' ~ ~VYY` ~Y ~ Lesibiliiy o: writin6, tYPin~ or gp~(1,~4 ~r ~ pr#ntit~ aasstistaatory in this _ doe~aent for rdarotil~::a. ,