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HomeMy WebLinkAbout1671 - _ . . . - . , - . - . . . . ~ - ~ i ~ 2C i56~ ' - ` ~ G' a n ,RHOOE ISLANO OEPARTMENT OF HEALTH r 9 ~ CERTIFICATE OF DEATH • ,w ,~_N, f~?E. Ot ~i1NT IM ~p~u ny ~Mr+~~• vta?~~rtiNt tNK • uu y~Y pw1E W OEwtN trO~tw, NI, SFE ra~:SOlt fQt • ~+ILLI~ ~i:1VF*iS ~'1 OD ~ w4 e ~ J~~1•~ 27 ~ 19 ~9 twC! ~•~••w, .~a~o. ..aMC... w~.w. wGE-ua w.M~ ~ • ~ ~ • O~Tt Or ~t1tM ~ ~o+*~. COut+tV Of GEwtN n ~~t. ~ ww. ~ y,t wwr.• ~.w~~ .ei ~+n wow~ wu ~ - - ~ ~iaite ~ 7~i ' * ~ ~ July 30 189f~~~rt8n~i 7c • ~ • A? iNE~ KS w.o~ uT.u. o.q i~nu w.~..~u ~ _ , 1~ i's •9 7a F ti i} o ~ . TAT! Of WM ~r wo~ w v.s.~., ~w~ 11ZW wru?~ G01R~1~r MALbEO. NErEi ~W~EO. SiIRVdQ~G SfOi1SE ~r ~rw~. an~ ~w~ wr~ i . . t N....~. ~~03 e I s 1a~1~~ U. S. A. wwowco. oMOeceo ~..K~..~ ~ ~ ~ r Y • _~~ecuse~ SE i1? H1W~E~ YS1W OCCIMAT~p+ ~av~ aw a wwa ww wM.w .oa w Ka~ Of WSwEii Os u+WiTtr una. u M+~ vOrwO uN. Mfw r Nba ~ ocr xsn r ,~u~~~^~~ , ,,~Pricultural a ent ~x II. S. Gover:l*~ent ~ ~ ~ .ro.i ""'a"O"' GTY OR TOwN Of RE510ENCE I.WLING I?OOtEit OF ~ESIDENGE-StREET OR Ri.0. ANO NywfER C~TY O~ TOwir. STwi~ Z~? CO?~ ~y ,y~l.Kingstoti~rn ~ ,...35 Libert Rd. Slocu~, R.' I. 02877 IwinE~-n~wE rua w~ MOiKE~- wu ww~ ~u?:3tN nwrv.E - ~ Arthur A*nericus :Yood ~ary - •»oore~ 1wrOw~Nt-++iw[ w?awG w00~ESS' ~tiwa w~...~_ ..o., c+. w w.... v.». t+~ ~ ~ Elizabeth ~I. ~«?ood 35 Libert Rd. Slocu~, R. I. 02~379 OEw1M wwt WlSEO ~11: (WtEf ONl1 W~t G?ufE INt traE ~ hL Al W+O k1! nr.1i+ o.s~r .+a a.n. ~ L ~ ~~'5~~~.(..~a}tt - . . . ~ _ . ~ ' ~ ~ _`~~~irj~~:~tG~ ~ M~('iL ~~•lL.•.l_C~+J~ . ~ ~ifKi~"C ~ i~.,ji{::a~ ~ - _ f~ • - I ' . . . ~ n . . . ~ • , , ` - :w i ho°.~+~'e i si w NI * C--C LCC =~!•~CE-'v3C~~ ~~i•-t~ ~ • x uww.n c.~s~ w. w~ w. w.s • yo+uow.c~ w: ' ftabr6 tr~ •w~~~ ~ ~ . ~ ~ ~nM C~~N Wt , . ~ ~ . /+~T~. OTMfI S~G~WIGwT GONORW~+t: ca.M ~ to+M~..o ~o w.w. wt .a~ w.n~ a cwst om« w..n ~ w AYiWSY V YES ~~n •~..a~~ss ca.- ~ , ~ ns o~ ~.o~ o: ~ii:r: K~~....~u.a uvw . . ia T CwTE OF M11MY wJYRtI OCCu~tEO ~ aw~ .~wa a a.wn ~w ?.~r . w?.a w, ~n~ ~ ~VKM~ Mf W~O~ 1~1~. MT, 1!Y! . ' ~ ~M M.7~/- ' w~Jtt1 wT wOdt nwCE Of wltptr .w, r.w. an~a. ..can. tOG?t~On1 ~ swer w~.~.~. ~.o.. a++ a aow ?r.te ~ ~ ~ . swnw ni o~ «o ~ a..n wo., oc. ~ s.ac+. - i'I.. lM. 1R ' ~ ~~TIf1UT1ON~ M/ 1~V ~Ow4 Vt t~V ~li~ ust ~AW NiY II~t M~V( 1 ab OIO NOf Y~EM OEATI~ Y~f MffK4+V- OM .~w~w M~ nu n~! Wot uita Ot~t ~.w~~ .r r.e n.q. ow s4 •.~e. .•+o. ~o +r ..d.,....o.: . ~j,~O ,t~J ~ ~ °'a: : J ~ c.cw:~+' u•ne. ~.aaw~wr ' / I ~ / ` " ~ TIc ~ //C ~ ~ tt~ t ~nn w.a~n~ aau~ a one M~tISKuw+-wUME i~Gw?tYRE . OATE 51GNE0 ~•a...~, *w. p~ j] • _ > n r , ~ h~ id ~ ~ l.l~ ~i~ ~vi~ Y ~ pc."al~ 1~ Q~`~ ~ :T%.. ~v6 ~ ~ 1 / ~ ~ ~ ~ M~ItY~G ADORESS-/MiliS~d.W mur . . - ao~.w . sr . ~I C• / ~ ~C ~ ~i9i E i~ ~ ~~~r1~:'t~- ~ c ~ ; 1_ ~ .z f-rC wtu?t. GtEMwi~O~+. tErw~wt Ot uEw?foar-N~E wCwtwN an w w..~ wn ~ ~ ~wcw ~ ~ ~w. ~a. q•~? ' 1 ~ q t ~ T a ' :l, TE r.oa. .w~ N1NERwt M e?+D ~DOtESS ~ suur o~ ~_i.e. ..o.: un oa ro... sr.n. i~ . Julv 1969 rt~`~~?`~"~ ~a. ~c^a ur. w: s~. K R~~a. i. o~~ _ I O~RECTOR-SIGNAftl~ ~EGIST~AR~• ~y j . Owtt 1tCt~vE1 ~T WUt IEG~Si~w~ ~ 7S~ .i/s : /-:~~_~i~ i~ "~i_v~ 2M 1*K "l•w1Cl,~ 2M. ~A~I ~ • 1 ~ / ~ ~ I j vi7 :~M ~.N - - . • ~ ~ • - . ' r- - - - - . - - - - - - . - ~ . • F LEO ANp REp p~~ . /1-.?S _ , 1 i~,~1iC1E COU~ttR~t~. ~i• s~ to o~rtily tbat tL~ lor~sols~ !i ~ ' . 4CER'4~AS tru~ and oorr~ot oaP7 ot a o~rtiricat,~ ol~ } ~~p V[RIFIE C~ ` !iL+~ in ths Oflio~ o! .tM ~o*n al~rl~ ot tbs Town o! xorffi fla~st~o~e~ R.I. ~ ~ 30 9 i6 t~'~ ~ _ ~ ;,n Z ' ~ - ~ ULLJAN ~ HIyCKETT , , 1OWN C1l~IC - y ~ ! ~ 201564 _ . . -'N- r~ : , - i j; r ~~//I/~~~~., : - . .!'\t'tt S , ~''ir,~_~ . 4 ~ , i° ~ • _ ~ ~ . ' b'iE,!~ . ~ - ~ - . ~ ~ t. f~~ ~ f ~ V~ . ~ : ~ ~ ~ . ~ • - . f i i.'~+::- _ . = ~'i• Q~ ~c~ Q ~ , 0~3.~~~ V0. Q ~~r~Q~ ; , . . %Qt.jjr ''C'.N~~, ~ - ~ ~O,'' ''~~~~!!1?~~ 3r~~~1,/ . _ k' ' ~ t ~i88 ~i6'~8 ..~_z. _ , _ I . , • . . . . . . . . . , . . . _ _ . . --~i'f r ~ta ~~y Yi- t=5s Yf".'tc~ ~':~pieL3~ _i~^-~2':. v - . - r.