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HomeMy WebLinkAbout0175 ~ . , , r. ~i ~ ~~F~ARi'dENT Or= HEt1LTi-I ~~~013 ~ -"'.i'~' ~:.1 • ' ~f~ •t, ?AT~RSCN, ~VE'?Y J~R~cY 07~~1 . . . _ . , - . . . r•~~ .J.,7 n.~. ~i 1, ~ '~1 ~ T~ V . . ? - i' • , •.V.J..~ / . ~ • :t ' ~f. •1~~ ':-'r.a'.•. : : ~~J~ . / . • r `~r'1_,y ~ . 4 '`i„~ .•.C'. , • `•~y ' • • R_ ~ SEA_ ';i• • .1~`•~`~.;,ti ~ ~ "l_ . TNIS iS TO C::_RTIFY THAT ?"H~ FOL~O~~1tt~:G iS R TP.UE CO?Y OF A R~CORD ON F'Lc t`J TFiE JiVlSirJN OF VITAL STATiSTICS OF THE PATERSON DEPARTVlEP1T OF FiEALTH. . G~~~~~ ,G ALLEN YAGER, M.D.. ~t.P.H.. DIRcCTOR. DEPT. OF HEA_TH REGISTRAR OF VITAI. STATISTICS - ,YARi~IING: oo r+os aCCEPT THIS COPY U:~LE55 THE RAt5E0 SEAL OF THE PATERSOY 80ARD QF HEALTN IS AFFiXED HEP.EON. . ~i . +9 JeRSEY_STA7E G-=PAR?:!EYiOF HEALTH ' gr,•_ -._E ~.,v3_a . CERi1fICACE OF DEATH ~ D~ no• vrtr ~r rn~t b'•.c# . - t N~a. ~ pF - ~ /F:.stl fif~-'dt.l Ita;r/ 2 OATE OF DEATH -na : D£C.EASEO , rr~~'wPrrnrl ~r' - . : , ; , : : . . - f~v.~~.. 31 ~ l 973 = ' . . ~ ~ . ~t 3';~ c' Rscr i A;.+ f•n yr: 1 Yr li ~ v• ~ > E ~rc'r• ?3 Mirs 6 Cn'r cf Svch 7. L'.af C>.: r,..[' ~ ~ J S Pr.-~ Fo^~s ~ I~ ' ~ . /n!b,rriw±ayi f ~ ^ /Y~s.r.o.:r~..an:wnj ~ flfr.t.4~...,r»...-!s~ 'o~. t L`r/e Hn.ns i ~ ~1z~~e 67 ~ c.r2 , 1 qOb ll~o • ~ - ! _ . ; r.r•~pn reunt*y: g r~. ....~f . h,..~~ ~ ~ :-..-A . _ ..e:-i "irr~w} ` t l. r , o-=:.• - , ~~I tew~ a,a.e .A. ~ ~ ? ~ 1) -03 32A : I! y :r a.ri.~a ~.:.,.«a s~o,,.~~ - ~ i r,=~-:• t3 ~:~aL K"c51JF. E It: ,..,..cut.sn r.-s~dercex~ e~..~e~-s~ax~i r . ~ "~^{.:,.~".I aSteco ~ b Cw ~G/~/~lAi1.L' ~ & ~ C. ~ , r~lc bo. a~- 1 y... . ..i b Crv ~ f~n.dc'tro¦ and;~r• ~yn~~ I` 6~:ro ~ tr,' / l'l Bnro _ G ~ r.t~ Ji%~7~%.e~l.SA. ^ i-.vD J«~'1.~~~ . c. 1:~~s->. o! i~! !,~..~:-.n} no~sp }ta~~ a~:r>. •I..•.o„ q,.-s;reet ~>'ressi d St ^r~e:(~y) d-ns (~~t, r}ur~~. P.O/,•{~ rtress~~ e' Ox_eascC ~ M1D:L`•;3~ J~I~2 VCiP~UtA/i.E.~i •.C,ICLY~.Q I YG V(I~C(/C.i: v d.CfJ~LB L: ; ; F '~i _ ~_,~::,.;..c~;,,:-o-~:r.rR:nAOfwo.tJme~:.n .osrorwa~4:. .,'r.e.err~ire:~-_wf: t• ' 'j ' ~ b. Kend of 8x:n_nt or I:dus.ry ~ ~UIYLE2 i ~'7: . ,:u~^~ 16.'.!0 ._r's~l1~:d+_nNam. 17. , ~r u ~t ~'s'.ea .~'ew,;.~, !~'~~rL- ..e~ Uc~Z%~..e I ~2 C?:,r~Cuc,t..e~ - . t' 13 ~%.:iT I~Ei.TH r:AiC~t'SEO BY ~fnmr aniy oy causeplv l:ne /or / i. (~l and /cl ~xo ~~r~:± n;trvj~ ~e.. _ . 7~ ' ^ _ ~E~/~~~y ~ J / I_ f'/~ f/Y_I O} L'vrC~~T:On 7~.f! l~!dth ~ / /~i ~..t~~ ~ i- imT~.f'sLlCr_sei]~ • . I I / ~ ~ i Ciin'7rf;0I1i. ~l J~i~, Wh~fA ~ . -~`-t//~ ~l./ L ; ~ ~ ` ~ ~ . • % J d~r ro .J~ 1"'_ -i si ~ ~ q):errkMahpv!Cr,s! ~ , - ~G . ~ ..•it'" f!.lt~ry tht ti~zi~r- ~ iirJCa~selas' Cut!Olc! ~ i - ~ ~ ~ . . ~'j C.G9: II UTHER S!-i.':!FtC-i.`7T CO~iOiTIp11i5 i~ t:as ~~7~ps7 '7n. I` ~?s. wrre ` C~••d 7 ~K. , ,°j p~rfomed~ /t •nC-:a•m~o.~~r__ie.,'~r3:r~ . ~ i~ • Yes : Y_. _ - ~ ~i . j_ - . _ . _ . 4J- . . _ 7,, a^.f Mo , • 4 iil: k. ) o C:.o..: r 7' . ~ + -~n• . I "c Y ~M(tnrt~ a'~:~sD n~~r~.-•P.rtl ol!'=^ 131. _ J FIlEO AMD pp R~~~: ~ - _ ~~r,:.;,~.~,._,;,,,...~:a' . St.IUC~E CQUNTY i e k~, ..,~y0~. ~r 7:r..,• ~_4. ~r.. a^n,, ~o~-~~. : r C~:~. i,,..-, o- L.;-:z-~.r- S~ ~C ~f VVV~ ~ : , - I ~ -r _ ~..r • ~ ~ CIERII G'.., 3~ x_ 1 ~ I. ~ .n• ~ 7~^ 1 1~ RFCORC V«.tflC~r++~is ~ ~ ~ n ,L _IO _ ..~~s ~h: h~ I- . ir ~ , . . . . . ~ , ; _ ~ , _ p~ ~p i2 z~ t'M'73 x~: . .-n. _ _ y . ,rt-._-,3-~-~ ~ .,..~.n:~.c.~f~~..., , ,,,-r-~ .,~s>t•~t . ~ . . , r - - . . _ . . - .-c. ' r. - ~ . i - . . . . `4r. , . • ~ ~ ~ z~1o13 . ~ / f ' - ' - i - ' - ' r- ~ ,l - - T _ .-J - _ . _ i~~~- ~ J - _ ~ i:rT ~ ~Y ~ , . , ~ - - ~ ~ ~ ~'y: ' . - l~_~ . . _ ' ~ ~ f J ~ - - - - - 4 . , . . , - t:.~~10rt ,~~.:1-. ~ - ~ - i ,s d . . . _ ji : .~f - - - - . . ~ - Lu^~+-"i~"U- c e~r~-~S-ti~---- - - - - - ~ • . ~ ' ~ . . . ~ . ; . , , , . "J~/ ~ • ? . ~ : ! re. lr:~ f _l J~ t' _t, t•.' J' ~ ,~.r,. i ~ ~ . . . v ~ ~ _ ! . . . : - - - - - - - „ . . , . . , . ~ - . . `~i - ; i ' ' . - . ~O ~ . _ f . ~ - . ~ _ . ; ~ T ~ ' : - . c~ . ~ ' _ _ _ . . . _ _ ~ _ ~ _ _ _.~-~ii_ ~ . w-,~. - - - ~ n `~r , r - - . . . , _ , _ . . . . . ` _ . . . r