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HomeMy WebLinkAbout1252 i _ ~ 81 ~e~.~4r~•~y - REGORD OF DEATH ~4660'7 ~ ' I!-~.-C~OUNTY D ATH f 2- U UAL RESIOENC IN+~~~ ~<<•~~~' , BERI:F.ti j STATE ~;EV~- )FRSEY b~VN~ FRG~N~~' ~ ~ ` '~---3. ~ITY (1f~~uik c~pnt~ i~~~u. ~rita RVRAL a~~ ~i.e c. IENGTH Of t CITY (if ~atu~e c~+prMt tiwtn, vrte !i)tAt a~t ~i.~ t~~~i~) pjt ar~LLi ~STA~ l~• u~ ~~•1'e OR r eoaouw+TOW1tiHIF' t)F' 7'F.A\F.(:~ tl eoROUCH Teaneck ~ - i - ~ i fUll NAMEQ F(tr ea ~e.~~w ~..~i~¦~a, ~i.e Mr.n .ur... er bcacwwl' d STREET (1~ nnl. p•. ~rnw) MOSPITAL Oit ADDRESS ; 1NSTITUTIOk 510 Henlin ton Rd, I 510 Heneia ton Rd. ~ - ~ _ 8.==----- ~ 3 NAME Of • IFirti) b_ iM~ddk) c~ll.al - - 1. DA7E Il.Iomhl (Dq) (~K1 c ;o ~cE sEO Sioon Strickler ~ o~°~?TH Oct, 9~1984 ~ S. SEr - T MARkIEO. NEVER ?a~RR1ED. I 8. DATE OF BiRTH AGE 1~• " v~oa• ~ rVt N V~M~ ~s 6 CULOR OR RACE ~ W~ yyED,p1V RCEO ~~p~;~irl i ~ ~n?aa~) 4.a~~s D~~~ Nws Yl~. Yale ~ 11 i ~arriec~ _ ~Yarch 8, 1911 ~ ~ I I ( ~ iQs USUAi C1CCU~'AT~ON ~~~I ! IOp KINO QF BUSiNE55 UR tN-' 1!. BiRTNPIACE " 12. CfTiZ[M 0/ r11AT ~ 1;.~-t :r-.-~--•c•?in~ ~=r.an ~t USiRV ~ - ~ COYMil/~ ' C~ n~~~•~ Se 1 f Emp 1 o~er~ ItNew York Ci t~ ;3 r,e*~ER 5 kRME ! 14. MO~HEq'S MAlDEN NI1~AE ~ j~ Jero~e 3trickler Adele Okonoweky _ ~1 1S w~s o[ce?stn ir[~ ~x o S ~1111[D iJS:cs+ Il6. SOG~ACSECUfi~TY ~NFORMANT !tr~~.•<o v-~~,,..n!: ~t~.~..s•...eau~ol... :r) ` NO. ii 1 lirs. Helen Strickler IR. CAUSf Ot DEAT~~ MEDICAL GEATIFICATION ~~~fiM ~ ~i fnt.r ~•n:> :•r.:.u., p•r . ! DISFa~E OR CONOITIpN ~ - - w1~ ~rM ~F piREClLY 1E110!NG TO DE11TH Coronar~' OC C 1Q81 ,~Q ~ ;i _ _ ~ •Tbn 1.~i +;r ~ri, ~ ANTECEDENT CAUSES ? j't4 -:.r i~•-~. u~+ ~ Slc•b:d :c+d~nc~~, f~~, t~a~~~~ C!UE TOIb)__.._ f~LEO AND RE ,~'i to La•: 'a:'~•~. ~~rdr.:e ~ ~ir t4r aArav r~~~r :"i/ .ra:rwl •~~riER tQ~TaAf ~ ~ ~ j~,,,. t: ,a, e,.-; :a.r. DUETO 1v ~IEIIR ~iitCURr /y~M j.' IIV. ~t~~~.. s• .s~f+irll- ~ _ ~I~AA YYYA¦ ,r ~7 ;i j; ~N• u± S-s:4 il O1HER SIGkIfIC1NT CONOITIONS a°r~~R~~~~- _ li ; .a•r.iArt:.~ ro e4t luri Irr .N ;i =E ~.i ~ •rl~nJ ~4 J~vav ca.Jrnne uia~~ d~~:~. t' - - ~ . - - i I~a G+~T~ ~?~t RA i~1~ NAJOR FINDINGS OF OP q ~ 20. Al{TOPSYt ~ i ~ `i - /«r ~ " 't' . ~ ' . _ _ ` i-~"y-,..y _ '~-1p?. MO? . ' y)a Af •L'F7`' - ~'c~~:r•l ~?lc ?t~G~ ~I~yi4~ o•~~. 21c. (Gr• sowOY6MORTO~i1~M1?I tCOUNT1l1 ISTATEI ~T -~.~Ci~f ~:.~:Sf,/i~T tltfi~~it ~l . ~~r:?,~;r i :E \ ~ . - - - ~ _ ~ - - - - - - . ' I!d 1~ME •r ~ t[ ~T~ iYcul IHu~?1 Z~e INJU YpOC1~tR 2~L HOW DiD IN~UqYOCCUR~ ~NR! AT~NOT 1 ' tNJi1Rr ~ • *ORK' L~J AT ~fc . ~_~eatF- tt 1~~~reb~ :n'e/v tha~ 1 at:ended 1hr ~ ~ ~A' . 19 . that I last ~em t4s dre+~~Mt ; r ot~LY o•+_ nbt_2 ~O~ 19~O~laie4 tjwtdt.~7 ' d~~~ nr., fro,~ rAs eav.us ard ow the d~ats ituud abnar. - - - . . _-.t ~ ` ~ .-r~-- ; 23~. SIG?MATURE M k~. 13b. A7DRESS ~ 23~ O~ti fN~[t ~ °i Ne~rton fl. Gresaer Y.D~ . ~ . ~ Backeneack N,J~ - i 10~9~d4 ~ N~. 8UR1A~. CREMA- i 2!A bA~E ~ C~ RA~'TERY OR CREMATORY 21d. l0('J1T10N IC~e~, 6eroiyR, er w~Aro) ~a1w) ~"ti ,~T50 RE ~V l~Stn'~tl! ~ . • ~ ~nr~af _ _ I10/11/64 P~rk_Ceueter3 Paramns,N.J ~5 j DATE REC~ BY IOREA~I REGISTRAR'S S~G'+ATLR6 ?S. fUNERAL pIRECTOR w. J, {:~e,r. Aa ADDftESS ~ iQCj ~ I J.P. Dunbar ( Arthur R, 1lasicant 2544 Hackeasack N.J. ,I~ ~ _~4 - - - - - ~ - - - awty p(~` ~1(p~C~ ~Z~ g • C l~ V 'z~~"c' . ~:~:x:~ ~...i~ ~ ~~s`d~~^~'iF~ ..,__s... , .~.e.._ . _ _ ---aF+~'~~ -w~~'i