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2098
` ~65990 M!~ ItRMr ltAtf 0~?ARtMlMT N M~Al1M ?~oa ?wtiwwa~ CERTIfICATE Of OtAtM •*..a •~~s ~wra• M~O~t~M ~ ~ ~ (~~111 f M~ N L~sll . St~ 1. DATEa ~ 1 J w. ~n~ ~ A r ~ ~ ~ a « ~ ~ rn / ~ r~AOi • M~ ~ ~ wier 21 FM~. ~ ~re ~t ~inA 7. dee~~s~1 t~er w U_S. f~rtN! ~ ~ wft ~Nihl • r wrr rs. fY~a. w. M~l,~~wl (1/ ~~~r w. a Iiu~~ ~t~w/ April 2~,1903 no ( M!! r /M ~~Mry) 9. C:ti~~ ef ~*u cowtry~ 10. Mr~~~d Nevt~ Wrned t 1. Seci~l Srarw~ No. NrAI YOtk u. s. A. ~~...a ~ o~.~~.a 88-03-8341-11 ~i NC~ . L btA111 It USUAL R65~ENCE (If iesru~ww: ~ts~t~ct otlqrt ~is~iN1 cw.~ ~ r r~ j Florida co,.., My ek Ma wl ~ik aa~el e. ~oC ~ ICUtck Ae~a ~nd ~~.e ~wel T ~ Fort Pierce ~ ~t ua~a ~ns suee~ ~as . tet Ad4t~~ l f trt~l. P.O. Add~essl ~ • M"M" ~ ~l.~o~f Memorial Hospital 2606 Hiru~ey Driv~ . i w~ tr/~MIM N~i ~?w dt r.Y aot~ rw ~y r/~. ~?w ~ r~lut S. i ~s~wt~t ot d~stty Carey Cadoloci , 16. llecAer's M ' ~ ~~Y ~~1~~~1~~ Letitia Desalvo . . .a ~u~tftitl~ lilaoohiot?~ ~ sam~ as a~bove c~uf[ 1~. 'Awt ~ 11~A~ CA~~SEb SY E~t~r owlr awr t~rs~ N~ ~~w~ /w (~1. (?1 ~wf frl Apprwiirre ~nttt~ai betrem o~see .~d de~e? i~w+i~M C~.M I.1 S~ j c~~w~,. w. .a~r~ ~•r~~„ c-~+ P u. a s .u~ n tia.~+ o~ h r?? l _ ~r'. tatr~ rN r~hw `T----- >~d,,,.~...,,. ~r~~...,. t.,, Qrt NIc1 M I~~M •'N•~ rARf 11 H R SIGNIFK T COt~DITIOP~ I~s ~~s ~wop.~ ?~x+. 11 ye:. rere (i~+d~ey~ coea~lere~ : •A~ .w~1.1r• `~..a ~ f/ r • n JS Frrioe~~d~ m de~~ewmu~ ca~se o( deaA> Ye~~ No' Yes No ` i 1a. ti fIGM c! i~) ~ att and Flow o( In;,uY ~Oc. He~ Inlutv (kcur~e3 I~ AI~ / ~IlfJ~r of ~~ir.y u 1'oI I or 1/ eJ Itta 1~/ v 1 i ro jeu • ~-~1s+~ fr L~ ~..ct ; In~rt ~currtA tOr. Pt~te ol In~urYf~ R ~w o. F..wr 1nf («Y. Tu~m a La~.~ <<~^,. c ~ea~• ' ~Ailt ar ! - AiM ~1llls ^ I~•r l~r!or~ rnrn. .,1/ • ~ ~1JR 1 ` ~ ' ~e~ ~ se ~aeR . = . ~1. 1 (1~t~n~~d. efrirMl~ 1A~ dtces~e~! (hom .r~t ~o ~ \ p. F.e~; ,n 7 r-~ - ~ = „ _ Or~tA , an~! at ~~w .n~ ~Ar Jo. ~:+~r/ .t~e~ J e.. :Ar }•+t Rr~ ~ 21~ A~ttnd~n~ Ph~t .l' lkd R~a.w ~ ,~n~r PMs . ~b ~ ' . ~ ' ~ 1.`. !?~u ~~Ra.d ~ T • .r= ~ / ~n ~i~n~tcr! I7 l J/~l~'~ ~ ~ ~ _ .r ~ ~ 7/Z~/~~ c?~~t. ~1~. B~~~al ( rewat~aN. ~tiwv~l 1 k~ ( eme~ee~ or Cr~rnr.orr ?an..~ ~ t' ~ ~ ~ac~ ,S~~~r/~1 - : l L George Washinqton 'J i, N. J. :t~~ ~ •~~C~ Sd. Sw:ll ()fl! 4r+ f,ar Yr ?I~ Fun~rs: H.~n.t ti~r+e ~f. V~ r~ ~ ~r Jf ~ e t. a4,1g~3 Vo2k Funeral Home ~k , Teaneck,N.J. 7. f rtN I~utx~at r.~r~r Y. !!~crns~ 4 A ~ I~Suir~~ g- G w~~ae ~ 71l•. l~He Rec'd. bv Lual ~ ~ f~it~•~ , ~s~.`a 4 1973 ~ i . ~ : ~ - ~~SS3 ~ _ - - Z• f~w' . • ~ ~ ~ ~EO AlIC RECOROE~ s~. ~ ~~E P4 ~ S~ l Ctfp~ ~ • -~i~~ COtRT per.^.~" Y_t' pct 15 t0 4a AM'~ 3 ~659~~ aea 2~9 ~b~E~97 ~ ~ ; " ~ ~ ~ ~ ~ ~-'..:~3 ~....c ieT,*~~' . ~ . _ _ . . I- ~o.~'~w. ~-~G