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HomeMy WebLinkAbout0573 J~ / L~ BUREAU Of VtTAL RECORDS " •t{I!f[A MYY~CA . ~4803 CERTIFtCRTE OF DEATH ~ f ~ 7 TYPE ALl ENTRtES OR PR1N? IN PERl1AHENT BI.ACK INK. 1. NAMEyFIR3T WODI[ - LA3t , ~ 2, ita ~A, Oatt O/ O~~iH ,S. MpYA • MAtt ~[MAl( 40MTM Ott TC~• p:~O ~ • v Narr ~ et F. Kear ~ ~ p~, y r~~ ~ 97 p, ~ . 1. A~CI: IMNIT(. N~GAO. s. ~i( 11 WIO(A If YulO[f ~ O~. ~A. V[iCA~M 0/ 1~-s. 4~1M[O /OAC[3T ~0. ~I ~a! ~ f~~Ct/7 NAA~ OA rwt~ICA~ IM01U~, (Tt.l MO~~Mi, O~rt NOYwf' ?tly, ; O~T(! 0/ ![~V~CC I - Y[! MO YN~IMOYrt~ ~ - Vh i te 67.•,. : ' O P9 O ~ ' 7A. COYMT• (Nrs~ I1s. ~ORM j7C. t~tY O~ v~t~~cc~~0. tcMtTr Or at~r ~r ~7E. Np7117A< pll O~MC~I INfT~TyT10M ~ p ' Ner ~ ~ TOwM~ ('IfT OA Y/LtA6(, ~1/ M ~~M[A~ CIY[ !TA[~T ~ NO.~ ~ ~ ~ korz hern f~estchesf er ~ • chester ; Cesf ie ,Mount Kfs~o 6 da s ~ Hos i tQ/ ' ~.lTAT( O~ ~IATN O[C(O[NT ipR~ ~Q. ~~T12~N 0? rYN~T M~AIf~I fT~TY3 1YAr11/ING fIOYiC (1I 1r1/(~ 1~A~O~M NAY(.~ V N ~ ICOUMTA11.IfNOTYf• ypKiN OA1/ •[tf ~oyMi~1} 4 Nev York an, ~9,;190 V.S.A. • Mar~ ied Hctvi /and Kear - P~~• v~- 17A. Yl441 OCCY~AT/0M ~[1I~N 1? 11[TIwC~I , 1~0. IlINO 0/ WlIl1[!! OA IMW3T711 ~~P. fOtl~l fLtY~11N M0. _ Mochine Opercrtor ; Pccbt ishing hocrse ;080-OJ-9026 ~ ~ ~ ' ~tA. 3T4T[ ~ts. LpyMTf I~C, TO~MM ~ 1~0. Gl~t O~ YILL4C( ~~E. N/TN/M TN[ I~~. STR([T ANO MyY~(• ~l, O ~ • I I I COA10~1AT[ lIM1i3T I :-.Q' New ;Yest- ;Maunt ~ Pleasant-- ~ ~ . ~ , ^ ° `.~Yor ~'ohester ' Pleasant ' vflle t X$ O ' 324 1~lanville Rd. ~ e r ~;t~ `3 r/wt; 136. uorM~w•s ?aa~OCw M~M[; ~ v. . A7~t ' MIOOtt Lw~T n~sr M1001~ r ~ ~ +y'~~-'a .a-.-' ~ . tAii H~_ .~ec~jrge CI jne Emmu 8oyd ~ o , y,~, )aw. ~k~iiywu7~s ~ru+e: ,f~s. ~w~~~rs aoo~esa: ure~ues s~? eoou ~ : • t ~ r.,~.Hc~~„~1and ~ Kenr t?2~i Manvf!!e Roud,Plecrsanfvf/1e, N.Y. f0570 ~ . ` ~ ~ . • ~ ~ . PAR~~:,~ ~ o[~rw w~s ~~usce iMt~R OlIl1~ OM[ tM1!( ~(II IINC /OII tAl. 161,~ AMO (CI. N~~01/MATt ~~IT[MV~L . . j ' • R •cTwccn orscr ~ O[AfN ~ ~7; ' u.~.io„ic cw:c FILEO dN~ RECOR E ~ ~ r~ y'kt~ ~ -C c1~ tAQ`l rr si. uc~c couN~r ~~'-pa~~t '•S _ , ~ ' ' ~ x out ro ow u w towscoucrtt or Ot~1ney~, ~i wMr, wMitw REC tERK C~Hv(~It ~iQQRT l ~ ~C.'~' • f. _ ~Y~.R~st to wwcourc fe~ . 'i ~ ' ~~ViC ~A1 tTAT/MG TMC ~ ?9 WC ~'O OR ~3 ~ COMSLGy[M([ A? . = ~ N ~ . WIO[111f/Ni C~Yi[ IAfT Q ~ ~ ~~o z . O_ ' rART {I. OiN[R s~GM/I1~aN7 CONDITIONt: CONOIT~OMi COMTRI~y~1M~ TO 1{A. O S. f1~ ?IFDIMG! (p1~St0[RCO IM ' • ~ y V - O[ArM ~VT MOT w[l~t[O TO C~I/s( GIY~M /q PR1tT 1 IA1 MO ' O~T(RMIMIMi TM( (Ays[ 0/ OCATMt r .}t n r~ f~ ~\r- w ~ ~ ~ I x ~v V~~t~ V~c ^ ~~V l\C I Yt! Q YO Q ~ ~ = l ~ 4~ ~ N IOA. •CCIO[MT. NO~IIC~OC. IOB. MOMiM(OT? ?CtR 19C- MOYR ItO. MON 0/0 ~~iv~~ ottv~t 1(yT[R MATYA[ 0/ IN14i~1[! IM 1~7 J. O~ II.I ~ ~ V~ 3YIC10~. YNO~T[IIwINCO ~ ~ ~ Sj 1 1 ! ~ ; . 0 ~ M' • 1 ~+1 ~q ~ tAC. IM1yRT AT M0111T Iti. /I~CC O/ 1M1Y~1~. l~OM[, 1tG. IOCU~IOM IiT1~CtT ~ MO.. C11? 0~1 VlllAiC, TOwM. ~OYM11• tTATtI ~ ~ (n "N ~ •[f tl0 1 IAC107t1. OIf~C[ ~LOt.. [TC. 1 j t~ C/ • ? ~ , ~ ~t I 4 ~ r. ~ 1 TO 6E COt.tPLETED BY ~ u . ~ -0R_ TO BE CQtdP~ETED 8Y "~;r ~ f.Jy ~ • 20. PAR /~ERTIFY(N PHYStp/W ONLY t0 p~RT CORONER OR ME~ICAI. EXAMINER ONLY ri 1 I1 A.TO tN •(37 OR ? Il Mll(DZ~. OC~iM OCtY~111[O ~T A. 04 tMt •a;13 O< <i~MIN~l10N A~1p/OA 1NY[lTIC~TION. IM MT . ~i~ V Y~ , 1M~ 1~t' O~f;~~ O• •CC ~~i~_DVt 17 tM[ UOY?M O~~ ?C?• 0~1~110w O[~TN OCC4~~C0 •1 ?MC T1~+[. O~it I.NO II~Ct AMO ~ . . cwscs`1TR"t[ ~n f ~ nvc ro TNC c~us[s srwrto. . w~ ' ` ~ a~c¦co.._ .......................................i.._._......± ~ ~ ` •~tw[0....._ T~Tt~................« ~ . S. 7wt ?M13iC1~N ~~1cNOL0 ~M( O[C(~SCD C. l~!• !([M •~IY( p. •aONOYwC[D DC~?O C. MOYR p. O~TL llGn[O M01~1M o~r ~I~• 40h~M 0~1 ?C~A YOrI~M O~? ?(6A YOMTM P1T Y[~• YON~M DAt •(AA 1 ^ ~ + 1 , ~ ~ 1 ~ f/IOM: ~ • T~' 1- 1 ~ ' l~ , OM ~ . AT Y. 1 ~ 1L_ __.j__,1_ ? (1. ?1Tfl101 i~MffIC1AM.l/ OTM[• AM C~~TI/ICA: F. COAOM[A'~ ~Mr3/C1AU~1~ OTM~A TNAN L(Ail/1[R: - ~'FJ:p E. ~t,?~~ M•~. 1. r~w[ •oO~css O/ tt~i~irtw V+r~ct~ ~wM, CO~oa w[o~ (t~~J1~1(R, COwOM(A~! ?MtSICI• [o~tat o+~tcso~): ~ ~d•~ J~ • , ~ l' ~ . 2A_ ~V~~?t CA[N~T~OM •[VpYAt MpYTM D~? Z2S. /t~C( 0/ WA/A~, [I~[MA,T10w 0~1 ¦~MOVAt 22C. IOCA~ION (CIf~ OA f0f1IN, fTtTt1 , ~ ? ? pr.l , 7t Kensico Ce,nete~y Vulhe!la,New York : ~ .,o .oo.~ss o..,,~~..~ 4lQ BedPord Road :~e. .«~..~.~,o..e. Beecher Funeral Home, Inc. ~ P! eas4n f v i 1 I e, N. Y, t 0570 0014~_____._ ~ 4A. Nar~[ or rw[~al 0~11[CtO~ 1=~w f~Gr~su~[ Iu~ •l ~~+~c'~p• Z~C. •[H3T11A~101t ++0. ~ Samu~l eeecher ' ~ • ~ 00309 ~JA •~+y~TyA~/ ' G/1T¦ A ` =38• MOMTM 01• •C~~I 2SA. ~1~1 YOY~L (FI~Sy~O I~E. MOMtM llAr ?~AR / 0~1~ ...'.''t~ L • ncco L i ~C 7 ~ ( ~ 1~ :t..~.:...fi................. ~ ~T~ ~ ` ~ t~ ' . - - . . . . - . _ - -