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~ h R R ~ . _ ~.r 25Q `V~. DtVISI~N ~F HE4LTH / LEO ~ ~ ~C~ A~1' c.~T-\~, ' BUREAU OF VITAL STATISTlCS ~UCiE CO M Y ~ ~ o. ~ ~ i OGE? ~OtTRAS IA ~ 4 . • . . •ra~. ~ Trenton, N. J. ~~r~ ) Clf RK C''iCUIT CO~~T ~ , =~:'~.~~t ':'"-VI~- .''~.<;ts Isi7 pcr.(':~~Yt~:~,EG ~ ,~y~ ~ _ ,'~~`Y! s~ ti ;~cto..eT' 27 ~ 19~9 _ ~ I~ 0~ 1 H ; a~z , . - f . T. ~ ate :c : ~ . ~ : ~ ~ ~ . . ;ef~ ]1 ~ :~[r'~~ ~~~s~l~'~E`~"f~'~L G 1S A TRUE COPY OF A RECORD F:LEll THIS DEYART:HEIV".r ~ ~ ~~'~k~`,w~- _ . _ ~:,ui .'t~ ~ _ : ~ ~i~ . ~ y G_:~,• Rc,qfstrar of Vitat Sta~:~ - ~-~-'T ~".I~ GOPI' LT'LESS THE RAISED SF~L uF THE CITY OF TRENTON ta - , ~~1,' tCGISTER OF CfAT!i5. TRENTON, MERCER ~OUNTY, N. J. . t , r~~~_ ~up-~P CERTIFICATE OF DEATH h~j~-C~.~SO ~,,E /F~.st) I A1i11lr) fL~se? • Z. Se: DATE OF DEATH . ~.1~.:.. ~ - ~ ~ i.~?~ '.=Frt•r~:de FP~i~l~.r ~'er., . Oct. 20 19b9 , -.,r o~ r..-~ ~ S. Ar~ (~w ~rs. if under 1 Yr 1t under 24 Hrs. 6. D~te ot BinA 7as deceased e~e~ u U.S. A~sed Foren? Ar,. .ca?: .'•;,atbs Da~s 1ios~s Mia !Yes. s~. o. raL~orw1 !IJ yts. ~ive w? w l~les o/ ierxl ' . ~ . hn Jiil~: 19C~1 r.o ~ - tr.p7~ ^'~.•r o. IcrrcRe corwtryl 9. Citirtn of ~hat counuy? 10. li(acried [~Nt~er Matricd ~ ll. Sotial Secutitr !b. , ,1 - . ~ 'A : iT:2 . v . . ~ . ~idoted ~ Di.«ced G i RO~IQ i ' .r c . : r.~~'.:: - - i9. CSUAI. RESmk.NCE (lE ~ostuut.oa: ~tsideoce btfote ~iqiov ~ ~ . ~n. - a. S~att ~T •'T • :.;rurcy. :n2~~.er i - - - - ' ~ '~ry ~1 iCT.cck boa and a~~c na~e) c. CitY (X (CAcck ~o: and 6i~e na~t) ~ ' :I1 H`•ro! l 1'1'• ~ t vUil ~ ~L 'P - - T s . • . . ~ . . : . , r ,:iuc. Ricc sceec 1.-s~ d. Sctete ...:'tesa (If ru~~i. P.~:. SS.ucas) ~ ~.,c~. . r.• ~ ~ c ,r.E• r i7ZQ ~(~S" ~i.R2 j l:~ ~i ~E : t ~t,3~ie Sti • g - .i "~u rs~roa li;~. ~ i v o' ru.~ dowe lrn~a iwost o/ wakua h/e. evew ~J rcl~rd/ l~. b. Kind of Busitxss ot ladust[y ~ :i~~E iG.il@ t-- - ' . - iG. Nocher's ~laiAcn ':a-.e * T. Wl)SCsTt v. u: ~'.S - - , , _ ;na ~ ..J~r?:es Fessler, ~r., M. n., 8CC 1.•Pv~• .a~n•.~ 1'rF~'^~?, :i.J. _ . ~ l6 .~RT 1 PF . i=.'._ ( 1"iFf~ PY Ewtrr ow/y one ~~rse ter fi~e /w 'i; m~!!c) Appro:ieacc iaen~i beareea ~ ooset ud death ~ • ::~:T' :iephron '.~T~t'•T'052S ~ , "i - - + t " : . :e~. . ~ c?-.(:(:!{ 1 r~= nsr to .+y e. ~cr V'x •c ii/ ~ t: . , ~ ~okei (~mall j Obstructic~n ~ ~ ~nRT ?t ~~rH; k S'G~;~t('t.~T, CcX~DiTIOyS 19j. <<: ~~-opsf 19b. lt yes. ~e:a f:odin~s coosidered ~ ( _e:tumc.7? in deteimie•e~ t~t?st af deuLT ~ _ ~ t~?"..FI ~ l'C~,iC :ieart Disease ! rb~ Y« ^ No p ~ ~ ~ l~ !.c.~ser.c _ .ior..ir.de 2ub. Due and Har ot In~ury IOe. tfo~ lojury Cxcucrcd itntei trlrt o/ i~jvp a~ P~rt 1 w Il o/ I~eA /i~ ~ r--~ ~ - , r-~ . bast n• n~ < . id W. e? R - ~ ))e. Place of ?ri~:ry (t a in a'r•..t bontt. 20(. City. To~n •t ! x~don Countr $t~te & Y J ~c i • . ; ~ I /asw. /rctory. tJrtet. o~/irt bN;.. ttc. ) ~ i . • ~~ecr,l-d. m.-..-r!1 :h~ deceued ((ro~.-ar}- ~~-7- co ~~-~~'-C:U ~nd I~sc sa~r (Aie. Ser) ~1ive oe -7 - . n;.~• ~ t ~,tb ec~ ~ ai --~t !A~ ~6a l.re se~r~l ~bovr. .w! to t6s ~esr o/.ry tww.ldae. /ron rbe r~rsu sta~rl. - '•:s ~ -r.:.,~ ye~. Eian.: CourKy Ph~•s. ~ 22b. Address 22e. Date Si~eed 'RAGT . • ! ~ : ~ ~ ~ • ~.C-Zi: ~ J 1 ~ • . IJ • j L3 l~~ ti~'.a c.~lE • ~ ~T~E~Iii.~il~~~~~ 1~~21~6~ i - ' , ~ 2?b. Cese.u, . ....;ry ::ast .3e. Loe~tion Ciq St~t! , ~Fr~vrl ~ . . ~ „2. . r•~ ~tir.~ lris~.~ N.J. i .'i ~ "uri~l N~ :)ar Yr ?~s. F~r.•:al `i: -.r , ?!b. Fw.cra: )lo•r.t A.i»tca ~ ' . . . _ ] C -7? -^_.91 ivi ns cr, 7nc. r~~ ~~-Y : * ~1~rentan,tiJ '~:c. Furcca! i:.re.:~.r 4 fnatur~ A:. J. Lirrr~+e Vo ?S~. Resiw~r Isw;n~ Perr.ie - S~6n~~~re 2SS. Dare Ree'd. bp Coc~l i:~~ lc. . S~c;ut 1_.;; :~.v~_rs ~`~~w" 1C-?_2-`v9 - ------Q ' - 3 ~ . - - ~ - ~ ~ _ - ~ '