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HomeMy WebLinkAbout2114 ~~s~os ~ - ~ . - NE~ JERSE~ STAT~ pE~ARTM[Mf Of NlAITN LOCAL i1lC NUYBEN CERTIFICATE OF DEATH srwrc r~~c MUVOEA :a~rc SoACES 1• NAwF OF (~n+U I M~ddler Il..rl 2. Sea S. UAiE OF UfA7H etwtE USE nEC.t.~sEn AndTew N e M~le JulY ~5~ z973 tl,p. o. pn~r? Y er~~v v~~CE 1. Colo~ w Race 1. ARe t.~ ~.a tl un.f~~ 1 Yr. 11 un.le~ 2~ Hn. l~a:~ ol P~nh ia~ decessed erer in V.S. A~~ed fa~es~ l~st bu~AJoil .4wrAs Da~s H~.r.s ,V~w. IYea.+o. w r.:~soawl Il/ r~. o. Aar~a ..J se.~•.) i~hite ~2 ~ept. 15, 190 i1o 8. ButhFlace 11t~tr o. jurr~~w tur~tsyl 9. ( u~:en d~Aa~ counuy~ 10. Idu~~eJ Nevee Man~ed 11. ~oc ul Sscuntr No. ~cotland u,:i.A. s,a~..~a~ , a~.o«<a~ ~ 152-05-~237 AESiDEMCE 1:. PI.A(-[ OF DEATH . IS. USI~AL RE'µ~F~~ t ql ~nsueu~~on. ~cs~de Ee(ore adwis:~ortl Hudson l~•ew Jerseys. c ou,,,Y ~udson c oaav b. C~ty ~ ~CAlC~ D07 7q1I RIVt AaTlI C ItY t 1 (Check l.oa and R~.e namel Pc+ro( i i:earny T.~( i f•@aI'A~ T c. haine o( 11( ~+o~ ~n Aosp~ul or ~ns~~iouon R~vt suen ad~4ess) d. Srree~ Add~a:: (11 ~ur~l. P.O. Add~es:l "°ir"' :,est Hudson Hospital 25 ~~arding Terrace i~s~ ~o~ 1~. a. l.'swl (kcupata+e I4.. r kin/ o/ wu.4 Junr Arn~a nea~ oJ rwlroR 1~(~. r~~w .H.~il1 !4. b. K~nd ol Bus~ness p(nduvey Inspector t~~anuf. Telephne. & Telegraph cqu' , IS. fa~Aer's ~arnr IG. ?fotAe~'s Na~dcn Name David Pye Isabelle ricF:ay !7_ lnfwissiw's Nsme and Address - - - .~gnes Fye~ 2$ liarding Terrace, l:earny, I7. J. C~uSE !8. PART ! DEATN ~AS CAI:SFD ElY 1 wtn o~l~ ow~ ~or+r p~r f.wr Jw f~). l61 and Ir! Ap~voa~mate :nen~al ~et..etn ' onset and draA~htA ~ launed,a~e Cause (a) 7~~'t--~ ' r, v~ T Coudmons. ~J awy. rAub u, . 6~e~,u~ron6mecurse ~eto(b/ ~ _ Y~)"'. stannx tbt rwd~r• ~ Co~d~r.~ns <~n- Il~~j ~~~s~ Grst Due to (c/ ~ ~ ~ ~ ~..l.,~.~~ ro d~ed~ t,+ .~~.u1 P 11L~ 11 OTHF:R StGNiFI( •L~7T COl~p17~UtiS 1~~. iis iu~opsy 1'~_ If res. vete .exlinas cons~dered te~~• '~J~•~e _ I r'' p~ pet n ~d~ ~n daternnn nR ause of dta~h~ L~~L~i~'ll.~ •-~7"'~`"LL//'vi Yea r ~o f; 1'ts t~o ( i ..cc os tpa. cc~Een~ Swude Ifoe~ic~d~ ?Ob. Due and Hwu ol ln~ury 20c. Ilo~ le~ury (Xc ~td if nerr notu•r ol ~n~r.y rn f'a.t 1 w 1 0/ I~r~. !A? - •:C~OCM7 - . t 1 ~ 1 1-~ 4 ~o ~F~ brsr uJ ,e~ [nw.led ~ M ?Od. In~ury Occmred ~oe. Plur ol In~Wyl. ~.n m~Mwt Aon~ jOf. ( ny. To~n a 1_ocaaon ( oumy ka~e ~~le a~ ~ Kot h~~le ~ /a.n ja~ rw?. sh~~t o(Ir~ ~ b(JR .r~ ~ sork at ~wk . PJSS CI~SS. •flA IiS( sav (h~m. ~~rl alire on 21. 1 fart~nded. et~un~nedl the dettased It~om. on) ~e~f~to Pru~ti o~. rniJ st Cy3r) n on t!i J~n .ratrd.+borr, on41., eA~ b~~l o/ ,.~l~JR /r.,w~ ~b~ ~~rirt stot~d / cErKUS i2a. lttrndin Ph s. V~d. Fiam. o ~ PA s. ! ~ 22!~. Addrees 2:c_ 1>a~e ned t R AC T a r _ i r r ? l/` / n~~ ~r J R ~~R~•T~~ L-C~i,tt~t.~ •~t.[-ct'` ti S'S ~Pc< <:wLa s! l71 r`:Jt"/1~ 1. i f~3 jii. t~unal. ( remae.or. Remo.al 1 S6. ( e/%ett~y or ( rrmaeay hame ?ic. l.ocat~on C uy S~icr Buria2 ArZington ~emetery Kearny, :+ex Jersey :4d Bur~al I)a~e Mo. Day 1"~ :ia_ Funeral Homt l~an. :{b. F~ntral Hom~ A~idrrss July 2R, 2973 ~:i?fred 4r~itage 59b 3el~ove llxive, Fiearny, i:.J. .'K. F` n~:~l I~~e~etat ~~Fnuuie F. j. [.~crnse tio. ?Sa. R~e,6~sv~r Isswn~ Prrmu -$~~nae,ye ltb. Daee Rec'd. Local , ~ ' ~f/? ~ RrR~ccrar -~--C.A-L~_ ~ L~ "i. . _ - - ~ ~ 1696 f-..s-f • ~ ~ .~i- C -~f ~ / _s ~a ~ - ( ~ .S ~ ~.3 . . . -T ' . ~i _ ; 4s~'!~~~~ _ . :sY:i,i~~w"~ .yi''.~1~~i~,,,~~i.,~,'-~ ,'i~J'~~~~'•.•afl l-, ~ '~j~:-~ , j•~ - f ...-:i~,'. ~ , . i~ea~~y ~ . - ,t= "i HES I;' ~~li ~ ~ ~ : .x. .li+ .-~y I~- .E ~ ' . ' S! ~ Y i j x: , .G- ,{1 "''i`.'°-~.'.' : 1 ~ r Ros~ L. G:~i~ ksgis~rar. ~ ; F~~~a R~e ~ECOAaEO ST.lUC1E COUHTY fU. 3\ R~;E? . ~•sRAS CIEkR C:` ~~~T ~GURT ~ I~Cf:^~~ Vr;•',':~It~r+~~~~ Oci t5 I! s~t AM'T3 ~ ~~9 2~.~3 BUOK ~ rAGf • ~~~00~ _ _ , _ . . . . _ - ~ =