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HomeMy WebLinkAbout0577 192582 Verified Transcript frocn the Register of Deaths , a Date of Death----Yt~2'Oh_H _1.g2.Q--- - - ~ s -----ftegister No.--- 9~ t , Name oi Deceased t.~rE,in~_ :.ofloak~r ~ Social Security No._0!^~C•:,-9(;{~7---- War if Veteran : Age ----d~.--- - --~Years - ; Singl~ Married, Widowed or Divorced __K~r1eQ_ ~ Color or Race if other thaa W4ite Occupatloa ~ouaet~if• Birthplace h etw _J e rs~ How Long Here--- - ----------1 _"~~k - - a Resident Ia U. 3., if fore~gn.. Father's Name ____JohII thi~t~?LLeT ~ ~ ~ ~ `"I:znretQ 'eDerer.~ Mother's Name--------- - - ~runewiek ''nspftel, :.r~ityville~ id.Ye - Place of DeatII :.~t~:',cL .LIC ~enof z u:` ' fvar Canse ~ Chief causes------------•------------ - - - ' °f ~e:r.at:~ af t: e : ~~;:~Pc; ~ Death r Other cansea - - - _ _ ~ 1Yme from P~~ ~•oLtLo i - - Attack tilt Death - - ~ Gina L. Giorgini ~ . _ ~i'~t~~dan~_ or other Attestant------------ - ~ _ - arhington I~e~. . :~:•Y. :,or~:-.~ ' ~ .Y. Place of Barial - k.t~r,R=,3rs~ue . :~q~aapequa~ Undertaker - - - ~ , ~PL'P~j ~~Q~p~ ~PBt, That t6is a true Trat~script from the ~ . s - , ~ ~ - ~ Yi il~g~ o! ' PubLc Re~stei ~ iie~ths, as kept ia the--,---- ; ' :~~>>?l11~ ~ l~.y. - - - - ; . - - - - - - Con~#y :oi ~u~olk,'$~.of New Yorlc. ~ . ; , . . - . - . ~,.~itT~ 11~. Dated at - - . . . . ' ~ti__~ ~ liaroh N~~• ~ t6e „ -~?Y 19----- 3 ~ (Signed) - Re~iatrar. i , ~ ~~~i~ _ . . Fi~.EO aN~ REC4aoEo ST. ~UCtE COUNt'Y. FLA. - ^rt-. `i-?~~~F~ 192582 - '70 APR 2 3 PM I: 5 2 ~J~;? Fo1TRN5 CLERK CIRCUtT COURT f00K ~J16E ~ i ~ _ . ; . : _