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HomeMy WebLinkAbout2010 . ~ 21i`715 Verified Transcript from the Reg?ister of Deaths • Dste at Dea r Na~_-- ' - Nasse oi Dea~sed .A t n Q~b~g~;e 3octgl Securlt:? No.fl8,~5.- 20-345~5 _~Wu if Veteru~__ N~-----_- ~ - 72 Yee~s Single, l[urtal, Wldowed or Dl~orad l~rrie$ Color or Raa if ot6er than Whtte p~pa~ R»i lder - retired - $j~py~ ~+-~l v ~ _ 80R ~Ig HltC_ ~~~$rr~ s f~zEO•~~ RECOROEo ~ls~deAt III II. 9., i~ fo~+e ST ~UCIE CO ~lITAS CIERK CIRCUiT COURT ( Fathet's Ni~! T~ren~A ~bgtA pEr_eRD vl - 1w -~-~.-{r~0~-T , MOtb!['8 N~me [''hri ~ti r~ig Tmht~~g ~ " ~ ~~_L~___---- I - , Plaoe of Deat6 k Hosn; . 1_ Amitwille~L.I.N.Y. Gam~ Chiei a~s ,ac?nte mvncardial f~1Le ot - D~th Ot6er p~oees ~'rt~ri nac~7 r3re~~~ h@Sl"t d~8e8~@ ~ Tlme icom ~nur dav9 ~ ~ Attaek ~ . ~ tilllkat6 ?S 4e81'8 " _ Medieal Atteadant, or other Atteatan M- D- - Phce of $o*~__~+iy~~_C+em~t[3r ' No.~f11e~L~I~N~Y. ' Uadertaker n~~ e~~~pa $~ps• B11A~rsil Hnme~Copi~,g~~IQ.Y. ` . ~~trt~j ~D1tritYl~ ~tBY, That this a t~rne 1~aneeript irom tbe Pablie Register ot DestLs, as kept is t6a Villa~e oY __~t~i l le - ; _ Coanty oi SaRollc, State ot New. `s::~- Dated st _ , ~ _:s.~,,~ N. Y. . .f ,;;,Y - i`- . - tbe - ~ ~ 19_ 5.~ _ . (SiB~) - ~ _ : . _ ~ i ~i Be~;atrar. ~ . s , -'?~-,f ~ ~w - ' • I ~ ~ _ S O ~ " ~ ~ i~~~~ _ ~ _ I~ _ . ~ -