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Home My WebLink About2408 . ~ ~v~ TASr ORANGE DEPAATMII~T OF ~AI~H EASP ORANGE, NEW JERS~YY r;~,~,:' , r . i, IInder n~y haad and Department Seal I certif~? that this i,s ~yqr~;~~+~ ,~t- , o a ~ phot~atia reproduction licom an image of the or v~, ~ t- o~o o ~ igi~ j' 3,%~t`~.~;`~' ~ ~ V ~ f 1 ,~?~~1 y ~ W2 t- H . ~ - ~ . ~ i - - . ~ ~ JUN 19 1968 ~ ~ ~ ~ X._,= ~ o Q°. ~ . Robert~.i~~ Y . • , ~ T . o~~ ~ ~ ~ ~ Q W~ _ w U Registran-!A~_,~(~S'~ati~bias o . - =Y _ - - c~ ~ ~ Y DO NOT ACC~'i' THIS TRANSCRIPT UNL:'SS TAE .3~? . . ~ J~ ' ~ W RATSED SEt1L OF THE CTTY HEALTH DEPA~ MF~ ~ ~ • ~ IS AFFIXBD HEREGIN. aa ~ ~~IC~ NEM JERSEY STAYE DEPARTI~IE!!T OF MEA~7M A$~ TO ~ot~~~~~twuwtw N~~,.~ CERTIFICATE OF DEATH STAT[RiVtMYM~[II VA SPACES l. NAI~/E OF (Fnsr) (Mi1db1 LoaU 2. Sea 3• DATE OF UEA7H . ee~owsOR DECEASED 5'fATE VS< ~Tr~ a, P,;¦~~ ROHFRT WTISSAIr: S.~1UE4 Male June 1 1 68 ON V PIAC~ 1. Color or R~ce 3. Aae y~s. If on4er i Yr. It w+der 24 Hrs. 6. a~e o! Binb 7. ras dKlatNl ttlf N U.S. Arsed ForeeaT f~it ~irL~lry/ Mowt s Dqs 1/orrs Miw. (Yrr, ~o, w rw,k~wswi yts, ae~e w~ or 6~es o/ strM.1 White 6 _ • 6. Bi+tlipt~ce fSare or /orrip cawtry/ 9. Citizen af r6~t eo~r?cryl • 10. ?Iarried \ie~er ?larricd C I1. Social Securiir ~o. New 7[ork U.S.A. ~~~•~c~ n~„a«do ~ 063-O1-3520 RESiOtNCt 12. PLIYCE OF DEATH 13. iSS?lAL RESIDEi~CE (U iostitutioo: «sidcoce be(ore adsisiiota c.~.~ ~ s~~~N~ a c«~r 6. Ciq (CAeck bo: ud a~~e s~e) c. Ciey (Checie boa aad 6ire oa~e) Bero[] Ti'. QI'~1 e T~°L 3 PSI's~ e. .~t o ao~ u spu~l o~ ios~rdtiow si~e suea ss d. Svtet Addresa (Ii nr~l. P.O. llddre~~) ~ Veterans Administration Hos tal 00 Parsi Road A t. 2C ~ l1. a. Us~l c~iow 4iw o ra4 o~e /r?~s ~os/ o vor4~w~ G/~. eww i rrt~reJ1 U. 6. Xin~ Bruaes~ ~r 4dwtry Shi it1 C @ ~ ~ ; 13. Fn?er•s Nre 16. Ibihe~'s N~?den Nirre Jacob Sauer Ann Gutsan ; ~.r«..~•. H..~ .pa ~aan.. Veteraris Administration Hospital Records, VA Hospital, S. Qrange, N.J. } c~~ 1~. PART 1 D6A7'H RAS CAUSED BY E~l~? o~fr o~t c~ss~ Nr (iw~ /w f~~, (i1 ~(t1 Approsi~ate ieter~ai beirie~ Pulmo Dnbolieaa 831ateral Maedive ••a a~«, ~ lyedi~ts cw~e.f.1 Cowhtio~s. i/ ~ry. oiic~ f~w ritt /e ~iew cus~ Dw a(~1 Y.I sr.t:.s tM w1.N ca,~~.~«. 4~It cws~ bar D.e io fc1 .•,e~.nw~ r /N~ o',k~'~~ PART tt 07HElt SIGNIFICANT CONDlT10iV~~ ~,,Ia18_2'y 8S' j 19~. ~~topq 19b. If ~c~. ~erc fiadia~s coo~iderd ~ ~ lt i1v.,••Y ~~~Ya.~j Perfon~ed~ 1~ dlt~n~Mit1~ CiW! OI dt~l~ _ • ~i0 ~ Yl~ ~ 1~0 .~?t s o~ 20i, ~t at Sricide 'c IOS. D~e rd F{ert o( j~ IOc. Ha~ MjYrp Ocurred fE~/~? ~rtr~ n~vy i~ Y~rt I e?11 e/ lte~ •ccroar• ~ ~ 0 te ri~ ~it • R~or1~J 20d. lei~ Oce~reed IOe. Pl~c~ ot lwjrr~ lr.~. r~ o~ ~ior~ io~e. IOt. Cic~. Tew~ er l.oc~tiee Cew~r SiKe tliile ~t 0 Net ~Ailt /~na ktfory. ~lrr~t. o/%~~ N/s.. ar.1 fork f c~oi~ t?~~~. 2i. ta ed ([tor. e~) ~ c~ Os~N oetwtif ~iY1A~ o~ e?~ !us if~uJ ~bw: rJ to ti~ i~st o/ ~r lwarldR~. /?o~ !N c~~iii i~~t~J. C[wsu• j ~~in h. E [^j Cw~t~ P~ys. 22b. Addais I2t. Due Si ad •~~c• ~a$~ 1-~.y~Y,.~ ? Hoapit~l, E. Orange, h.J. 6-13-~6 U' 1H. sari~l. Cte~iN. Rewnrl 23d- C~~eser~ ~r Alre 23e. Loc~eie~ Citp Sc~te ~ ~s~"`n' Burial Gat~s ot Heaven C~areLes7 8anover, M. J. r 2I~. ~ri~l O~ IM. Dq Y~. 2M. Frserd lio~e N~ lld. F~wer~l 1Nr Ai/rs• 6f1T 68 Pst~troy Frineral Hom~ P4twippaa~, l~. J. l~e. f Du .r N) ~ce~~e M. 15~. Aej.wr i~wrs P.ee~w -~in =Si. D~n Ilsc'~. t.~e~{ [ f . ~•L!~ tI ~li~l ~/L ' L ~ ~ Re~iwv . ¦to. i . i ~ _ _ - J~ , . • r. H a , ~ ~ ~"~xxv" i~ia~~ ~~iY'3-"~~s-,~"--'~'"~~.~.2,.,.~ . _ 3 _ . . a- ~~-.s_~._~,'