HomeMy WebLinkAbout2527 <~~c~.~ ~
wot~~0 tl~?1 COMMONWTALTH OF PBNNSM.VANIA 234629 4
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~ N° 194065
LOCAL BSGIST~AB'S CSIiTIF'ICATION OF DBATH
R~e~t~d Na._._......--- 512............
~ NiO° $ugene F. Sullivan
ot Deoe~sea._
~ . Ylddi. Ir~t
II""~ 523 Romine Ave. MaKees ort Alle . Penna.
eddree~..._._
Nambar Strwt A;y or to~s (~,~a ' g~y
~'0° MoRees ort Alle .
neath ~ ~.....................---...........Pmnqivani.
QRf. ~ or To+ra~Yp C.awb
~c ne.c~.......b-2-b2_ .....................~--..._...............s~ s~~? xo.....7..15.-18.-88~~........~..x~.._....jvhite........~..
acartw sts~, .................~arried ...s~......Male--~--~~---.... n.r~ or 8~..._....Oct.....1.4.,....1g46._...---.......... ~
ooa~~n...Ret.....Railroad SuPt.~ .......:..................B~rcbaaoe._...New..Cas.~le.s..__~'a.................................._............
Ii Vetecsri, WhicL War...-••--....p'~•W• 1 Veteran'a Serid No.w_..260176t~
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MEDICAL CERTIFICATE ~~J g~~~s
Psrt L D~sh ~vas caused by: O.set ana DeatU
i~a;ace cx~ t•)~ .......................Aaute---~oronary Oaclnafon...---.............................................. .l...hr~...._........
Due To (b)........---••-•
Due To (c) . 1
Part II. OTHER 3IGNIFICANT CONDITIONS: c~ontributiag to deeth but noL relsted to the immedis
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Hypertension . ~Q~
(s,...............--•--••--.._............._.....---...........................--•--.................................... :...........~j p.AECo~
sT• liiC~ COUNTI~ ~LA. ~
IIOCEti POitRAS
Aodd~nt, 3nidde or Homicide.......-•-• .....................................................Ho~v did injury occnr...................CLERK.C:&CWt-COIf~I.-............
Name snd 7itle of Pa~son Dr . D._. C O t tOal
Who Certi6ed Csuse d Death (M.D.. D.O., Coroner) ......................................~..................-••-........~....3...»...~3..~~ .i~~........
. av
saa~..- -
~ScKees.port,-•,Pa.'-----~~---~-
ea~..c
Thia is to oertily that the intormation heregtven ia oorrectly copied trom aa original c~tiflcate of deatb duly Sled vvith ms
as I.ocal Itegistrar. The otiginal certi6cste ~vill be torwsrded to State Vital Statist3cs. HarriabuR. Pennsylvsnis tot pe~ma~nt
Sling.
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~ 112-029
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13~4 Crai,~. St. MaKeeaport, Pa.
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