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t W/ r fILEO ANO REC A E it"~L?9~99 st. ~uc« couN~r . (j9899 ROCEN POITIlA: qEC4tlD YERRF EO ~OV* ~ • ~ ~Uur ~8 12 rt PN'1i . ~ Na 71 Cha~. Nou~hta3ing. Publisber, ~A BesvK St,. Alba~r, N. Y 18E07 A Verified Transcript fi~om the Register of Deaths - Date of Death_Map _22nd _1968 _ _ . Registered No. _ _lb _ _ - _ Plaoe of Death 155_ Conklin st.- ---Farmin~dal e N.Y.- Name of De~~eased _ _ _ _ A~g_'~iedenhof t _ _ _ A8'e.-- 74----~----Years~ __"~-•-----Months~ --"_--------DaYs Sex__Female-----Coloror Race__~lhite------------------•-- Single, ~darried, Widowed or Divon~ed _ _ _ _ MBrried _ _ _ _ _ _ _ _ _ _ _ H'ull Name of Husband dP~ - Hen~y _ W~Qd~~Q~t_ _ _ _ _ _ _ _ _ _ Ifate of Birth J~q_ 7th 1$93 _ _ _ . Birthplace _ eW York - - - - - - Citizenof whatCountry-------- ~,s•-A:----•----------------- : . ears---- ~ , How Long Here-----53 x----- - ; ~ - ~ a ~ . . Resident In U. if foreign----------- Occupation _ Hou~ev_iPe _ _ _ _ _ _ _ 5, S. No. 050-10-2084D _ ~ Father's Name---- George_KrUtger Mother'sMaidenName-----~~? If Veteran, Name of War- ~oronary Occlu~;on ° Causeof ImmediateCause-------------------•-------------- ' Arteriosclerotic Heart Disease Death Due to-------------------------------------------- ~ _ _ ~J~ ~L~!'' .`lS~' ' _"r. ' Time Dr. in Attendanoe l ` till Death ~ --------May_ 22na i968 - ~ _ A~e A B William Ha du M.D ~ ~ Medicalb~ t o orsther Frtm ngda e ~ .Y- - - - - - - - ~ - - - - - - ' ` ~ _ _ ~g _~s~.anc~~a~4 _ _Cem~~e~y_ P~.nelawn IVI Plaoe of Buna ~ 1 ronklin ~t. ; ; E Undertaker _ ~rthur _F._ .~lhite : - - - ~'~~~~gda3.~e -K.~. - - - - - , ° ~ ~ ~ [ iStrtb7~ Sottmnly Htttat, That this is a true Transcript from the ~ ; ~ Public Register of Death as kept in the _ _ _ _ _ _ . _ _ _ _ . _ _ _ _ _ _ - - - , ~ village_ of _Farmingdale-- - - " I~assau ~ County of------------------------~ St~t~.~~ New York ~ Farmingdale = ' ~ Dated at-------- . ~ - . Jr.; ~N. Y. ~ ~ ~e---- ~3~-----------d ~1~ -'=:=-'i-----19---- Si ed)-~'-~~- - •~:f•~ r R~_=----------- ~ ( ~ `::j --J= •w f'~tatistlcs_ Official T~tle - • - - ~ r ' : ~r-r . ~ • ~ •~f. ~ ~ ~ ~7~~?~;- * ~ t _ - ''~-'~~t31~ ~ -~Y ~ . s.'_ ~ ~ -I ~ ' ~ ~ ~ ~~1~`L ; ~ ~ ~ ~ ~ r- ~ - - - _ ~ ~ ~