HomeMy WebLinkAbout0184 _-~__r.___..- - - - - - . _
~ 2Ca563 DEATH CERTiFIGA?ION f~~~ CO~N~Y~~ ~ .
T6s Stab +of Na~w Hampshirs s Rp~ER POIT1lA~ T OS
p~ERK C1RCy~j :0~,.~ ~
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TAi~ ia to e~ertiJy that the toalowins is w t~s oapy o! lscta reoorded on the desth reoord ot tLe individnsl aamed - ~
hereoo, said -ecord beins Sled aoo~rdtns bu Lw
a. cn..e) a(~t~.) a(~) DAT~ OF t~ooc~) tnn) t=«d ~
NAME OF ~ D~T~ p ri 1 26 1966 ~
DBCEAS~D Frank Crossley P ~
. eas ~.~.a a ni..~aa ?
PLACE OF DTsATH ~
CITY OR TOWN Nanchester N.H. Male
x..~ ~c.~.+.a p wiao..a ?
j Date oi Btrth AGE (L Z~ BIBTSPIJI
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t~ os liorris~ Cooa~ss) 3oe.A~4. ~ 0284 ~
A~
6• 21-98 ot4
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CAU3E OF DEATH F
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~ I~°~ ~f °L~ by' Con estive Heart Fai lure *
r~a~?oe c.o.e (s~ g 5
. . ~
~ ~ ~B~ Arteriosclerotic heart Disease ~
~C~ Gastric ulcer with Bleeding thrombosis loWer aorta i.
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Y.aial c~ase.t~a 81s•.a s, . a~w e~atww n.a ~s..a ~
Savuel L. Cohen MD Manchester N.H. I 4-27-66 ;
Pfae~ d Sarfal lN~aa ot O~rs) Loeattos (Qt7. Co~ab) (8fat~) Dab ;
Rural Cemetery New Bedford Hass 4-30-66 ;
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ON IF DSATH WESE DLT TO E~1~$NA~. CAU9SS
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