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Home My WebLink About1920 F~tEU,~Ne KECOR~E~ sT. ~uc~F couNTr ROC~R iO~~~AS l CIERK C:'.Gul' COURt aFco~?;~: F~~~ s~ i~ 58 aN ~~3 26•3s~~ 263688 _ , ~ , • - RATt OI OONM[CTICiR ~ . . . c~rrr~cw~. oF o~?TM . _ . ' i r1 _ IiAM?E ~u rea~ uu ~6I - ~ " ! ~ 8D18 S ~ 8 8 L 8 ' . .ua! ~u Nr~ •1 Q p,ATE _pF DEA1N wwe~ ~?r. w~ ~A~tE -~e. Mewa ~rscw AGE - uw wee~ ~ rw wsa ~ w~ DA1E OF N[M Yw~~ ~rL ~we ! . - ~r~ ~ew~ ac ~nc~n ~~w+r t~us1 roa ~.n ~a~s rK A 11 1 8 ~ t@ s.. s~ s~ a : coua~Y of o~?rH Town or o~?rn nosn~a ot on+e~ ~+smuraN ~ Mo. M.a.. o~e a..~ ~ ~"Fa field Stamford ~ k 3tamPord Hos ital 3., ;?•s~ wm~ ~ nor M ww. ~?oee~N weM, trtae+ ~ ntvta suitwv~+c srousE ~ w.e.a.e r~e« w~.s OF WNAT COUNiRYt WDOV11~ OMOIC~ 1MwD ~ ~s ~ Jennie (3e or e~~ uwu occur~non wn. ~ o. ~ ew. o~o .asr o. icw of ws.+ESS oR Nousre+r ; . ~ , wooa ur. ~vs~ ~ ~a ~ <; ; ~ -~~~-~i1}1-4 ~-021 ~h Maahinist ~ Metal Mf . Co. - • AiE CO!lNi1f TOWN SiREtT AND NUM~ER ' s.. ' • ~ `fi ~ .~n~eatiaut Fairfield u~. Stamford Hasti e Lane ; ; w ~ vEreu~x s r~s. c.aE wu~ uNt ou sm? = _ . - `areorx se~ti. w~ ~ ~(J ~ ' ~ ~ =~k es ~lorld War 2 U S Arm Vl.'~'•~4 . - . ATMQ - NAME 1~lt rom! Wt M10111Q - MADBI NAME 1~fT rO01! {1W JBmes Baile K P'annie_ Atkine ~ ~o arot~w+r - ?w~ _ wuNC ~ooe~ss ~s,.a. a. _v~. No. cw. « «~.w ~,.n a.? _ _ - - - ` ° ~n Mrs . Jennie Baile ? Haett s Lane Stamford Conn. ` rnRr t o~?ni wns uusw sr~ (BnER 01~Y O!E CAUSE f~ l!E FOR fol. (bl. AND W ~nw~o o'~u~~~ ' O ~ WIYOI~R Glil!! ' ~ /P //V .l T~ C / o ~ ,b ~ w qR A C ~f . 7 ~plpfpp~p, ~ AIf/ 1MM01 ~ OAr! l1St i0 wYE01AT! C~Yli NL STAi1M0 ill! ~1 /I ~ ~ ; ~ VO~tN6 fAYf! W1 ~ ~ e ~ ~ a ~ ~ ~AR1 l O1M~ SIGt~1CAM CONDRIOlIS. ca~omo~s cansin~.o ~o ee~m wrt Nor w wae cws~ N r~n ~ h1 AUTOKY M~ t~iwte a~ ~ R6 ~ ~ ~ 1l1. 1!k E~ ~ ACCD@li. SUKID~. MOMICDE. DATE OF WIlRY l.o~nK o~~. rw0 110UR HOW lWRY OCCIlRRED Isos w~tu~t p N~Rr N Mn ~ p ~ ~ OR U1nEiFRAiI~ED A~tv?1 ru~ 4rtw ~N ~ 2h. ~0~. 1'!. r~ 20i. ~ ~ ~ lWRY AT WO~fC KACE OF WURY ~i Nor[.r~sner. IOCATIOM anet a v,. ro.un w rorn~si•m 'a' ls~tar ta p Mof r~ctoer. o~n[e wno_ erG Isrev?1 ~ Q ~ IOr. 2M. 20L ~ ~ CQT~ICATION -/NYSICIA1~k raiM wr ~uu ra.m wr n~u ~uo ust s~w ~rven wve ow Df/1TN OCCURR~ or ne wn. ivo, ~o ai[ ip r ttu NOUq ~6t p r~ oqvrLLOGE, M V :t~ 'oi ~..o nL 6~11 0 n~- 11 0 n.. . t~. ~ w,~[ c~ u.,m: CRTIF1CAiqN - MEDKAI EXAMNEIt~ w r~ onwK a+ n~[ wn ~uo wou~ a ounr me eecroso wws noMOU~ceo oue we io Me uvsasl su~. oum ~nu~ oN w ~wur • rdnM w~4 ruu ~ ~ ~6 ~ y.~ it~ --~-._~~~_.~...'T I O tt~. ~~.~A~~~%~ 7~ a ~ " CetTi~t - w?ME mre a rn+n 51GNAiuRE - - ene d ~ ~ n.. James D. Prokop M.D. v.. ~ ~ MAING ADORESS - CfRiIF@ sn[r w ai~. wo. an w sr~n s CA SIGN~ wow~K a~r. +rQq : ~ 83 Morgan St. Stamford Connec ut June 1 1 0 ; ~ ya Q RtA4 CRfMAT10N, ~EMOVAI CfMETERr OR CRfMATORY - NAME IOCATION on w toww sua ~ ~ ~ Burial Feirfield Mem. Pk. ~ Stamford, Connectiaut w ? DATE woMn~. w•..ua fUNHtAI NOME - NAIME /WD ADORESS lsnsr w a~a. uo. wr w~owM. sun. an t r J e 15, 197 ~ pritchard F~eral Home 80 Prospect St. Stamford, Ct. ; . ar rur+~?t oR oR iv~ wu~ or ..oo. w.s ww,.. . uce+sE r+unuet ~ ~ ~ ~ Oeorge K Billings 134~ ; TINS CfRTIfIG1iE RKf1VED fOR RECO~D ON ~Y ~ H,. x IIa 21~. ~ rr " r~ . OOMM~CTIW~ RAtt 0~1M1M~ft M *w rn~rwt~nw~ Me*~ew ~ - - - - - J~ ~ . . - ~ x . ~ ~ ° ~ ~'l8 1~19 BGOK PAGE , ~a - ~v ~ ' ~ " ~ X' - - - _ _ - - - -