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~ ~ i f ~ - - _ ~.1.4 . . . ~1~i~ ~TATE .OF NEW .~ERSC~V f1~E0 AND RE Rp~0 OFFlC6 OF IZE~ISTRAR C~F VRAL STATISTICS st. ~~c~~ Con~~r t~~. - - _ . ROCER t01TRAS _ . • . _ C~ERR C18CUIT CO - - ` RE60RD IIERIfiEO o f P~easant Boron~. Ocsaa Co. _ ~ ~o .Q9 ~ ~ ~ ~ . (5tv. sa.u.~k ~ 1ti...li.,.a oe..Rf - - - TJ~ia is to Certily tlut the fOUowing is o~rreetly ooPiea lrom s ~ecord of Desth ia utT oII!~e N..~ o. o~cwo nxK or si.n ~ o.~ ar ea?n~ 23?lt Oo~iole Ti~Q FLOli~TCi J. 111tt3SL~0 Jaiuaty 23~ 1971 , pbint Pleaaaut Boraa~? •A~ITU iAlOlT10M Ai[ OCCYIATIOM C~Wt Oi ~L?ill . t ~rr~.d 63 - Factory-t~t4r~c - Cardiac ~rrast ~ - + ~ - P~~T e~ r of V i tatistia ~ / Hoi'o .H~?lls Poditt Plesaant, N. J~ ~ - _ _ - - Add~~ _ _ . _ _ _ _ _ . _ J 25 19_ ~ . . Drte ot e~ue - .