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. . y• Qt ` CITT OF hEW YORK - ~ DEPARTMENT OF HEALTH ~ BUREAU Of RECORDS-AND STATlSTCS ~`7~151 Borough o~ +~e t+~tu~~. Ne., To.l, 1~. Y JUN 2! 1969 Bc~'c s a Fh,,."y~o~~c coc. :r•r,~co~c ~ . . • ' , , . . . . , . . . . . ~ ~ a t,:+ + ~ " ~ ~~i ~ r ~ t, - ~ y ~ :t• • ~ - I ~q y . ~ ~ ~ i f - - ; , , , - ~ .t r ~ - i: C'~ 1 1 , ~ ~ . . . ~ ! " ~ , . ~ - CS IH.~ ,s fo cr,f~iy t!.o? tF,- ~o••.~_:^y .ti o~•..~ cop f o# o•ecord ~n m~ cusfcd~ ~ ~ ~t` :s. .~.1.~.y ~ ,l"/..+~Li ~ . _ ~ r . B,! ~ ` -tl ' ~ . • _ . ~ w.,;a- ~o;,,••:- . . ~ . 1~ ~ L') ~ Y:.F~:t;. ~0 11~'T•A.:C5FT ^'.:SITF;.~?-PI?" . V.. , - 'V M"~ ..~0 "r :~f AR:.`!-' `P :fi'.A:.'~? nF: :l,~" ~Yc~:. ti . :.i - ' ~n %J ;7.'^' :i ~..`.:liA.':~?( 'F T~:$ ~?w'. P: •L' v•: •c ~ 1 V~ ~7 ~ ~.~i ~r r,~ r.L. _.~r H=~:.:~ _ c..~ ~ ~ N NOiICE In ~isu~nq fhh fronterip/ oi fM+~ Reco~d tH~ Depar/mrnt ~f 11.•oNh of tfie Cif~ of Ne. York does ~of ce~/iFy to fhe tr„1h of fhe t~afemenfs mode ~tier• o~ no mqwry as +o N+e (ocf~ I~of b~en pro.~ded by la.. ~ ' . - ~ ~~U ~a~~ 1136 600K ~ = : - ~ ~ ~ r..~: ~ t ~ . ' ~ ~ ~ -