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Home My WebLink About1513 :4R is1~36 c~c ? ; ~ ,t ~ 3 _ '.~j:~~~.) ; u 1....V, '7~ ~f~~~ ~ : F! 2 ~f5 ~'5.~~? , ~ CITr O? NEA YON( N111EIW pi XITAI REOOROi ~ DEOApriENT.OF~!'ALTH ~ ,J ~ ~ ~ OCT 261973~ ~ ctxri~~+rE ~OF DEATH ~ ~c- _ -r ~ 3 + R ~ T G - . ~ F,, =~:i~?•r~i ~.':r '..4'y j~ MLNMi ( f4 CertiitW N~_...._--'-~-------"~- ' ~ L NAME OF ~IS SIAYE ;~+JU(,T~9 ~Y DEf.F.ASF.D---- --'--~-.T' ~ ~1 ~ Rr. /.er1 .PYrt~ . ....IIN!rM~v IMNw ~ MSDIC~IL CEATIFICATE OT L~EATH IT~ 1e ~Gid~l ia h/ w pb+~) ~ ~ ~ Y~~ J~ Irle~a r 1~ M~~l MM " Caledonian Hospital ~Brooklyn , 10 St. Pauls Pl Brooklyn N Y ~1226 'i:~ . . rw~nr~~,.~s- _ A Hot R M ~ OCtOb@1` 9 ~973 1 1~ 10 i~r 4~ u(~e 55 V~ - ~ ~ ~ : y .~Sha i~ ~ . nt~ar cnt~n u.a u w..r+ a. rs..+~• u.w ~~r.. r ur w~.~r. .rrw ~a. a~.rr ~o._ ~ ~o-~_ ~3 ~o a» ~a9- ~ ` 10-9- 73 im ~....ar w ~.~.rr r... _ _ . n _ _ . r_----. . . . . u w r.{ ~ _ _ .r...s _ n _ - f ~ ; 7's. ~~.wr. ...~rn ur a....u. r~~ ~+~..w wo xat N.r o? ~+n ....w .r u.~ r..u wr r..... r w+..•d - '~r~r. ~M w. Fr ~a.ds ~ R~TIJI~L 4Ufd • fr wr ~w~. rr b r~~. ~ Ss~ 6r ~efw w~ wwn~ rAa~r :7 ' 9 October 73 ,~.~~.~•~fu~/~ _ . _ E' ~ Y r I . .a.w. ro r.~ a~.. . b ¦ . . _ ' _ _ - n_ ~ ar..ti. - ~ ' - - ' ~ ; ; Hen~amin Shafiroff „M,~ _ 2202 Qu~nt ~i `~toad Brooklyn N Y r z,~c- ~ . d...+...~....... _ _ . . . . . . . . ~ r~ t PEA~OIIAL PARTICITLAltS F1fA na h Faerd !)i~eet«) i ~ ~ ~ !r~ G..v , e. Qa « :~i ~ ~r It~l ~ . , r-. , , . ~ ~ - . i . . ~ - - . ~ r ~t_'. _ _ _ C~ ~ <va~ ~ i r. u..~sa .r ~ . • r tws .t ~ N ~ Zt. ~ l:ll~Qi{= ~ ~ ' 1f Sh~ !M .wnKWll Nr r fw~? ~ . 7 V vt J ~ ~ a ai Q c/~ Rc-R i S~.V_L~ ~ ~ N~sc ~ ? ~ ~ ~a ~ i~~~:LS. r~ v~not • -~.r r~.q s. w~1i w svan~ c ~tas ~.u..~rw ..~I n _ ? ~ ~ ~ ~ !'O ~ Q t ~-l. ii ~S ~ r ~ ~ r a ~ s~. ciT~ t`r i.I~s_ ~ 1•~TL W ILAGi M ~ ~a N ~ i ~v 1•IRi11 O? ~ ~ ,s~ ~ ~i'SUAL OKV OM 1 d wA ir ~t ~a • ? ~ ~ Vf11~iS! /F ~7. LJC7~L /M /i/l. ~ ~ .~...r M. . r - , r,? i Y - t i".S i-C,~ 1~-GG~'.a_~ -9ia.4a...~.._ ,.~.a~ u~ruci ~ww ~?..+a c.r+~~ ~~-r~' t r rsa • wTf+rs oi o 1(SIl ~ wwri a~ Lo ~~ots Mw~[~'~a~o ~ ~~s~L' I ~..1~ • h --~4 ~ ' '"a. Y--- ~ys ~ ro twuawir ru nccusw : ~ _ .F.;,_ L:-L-e 4:,a~~~ . l/7c ~ - l~ KwianiTarna~,o~ a~ i. no.~ a' ai.~'.. ..~.~+wna~ ~ w:is-'"Li~r~~...r~ ~ ~ ~ c ~ ~ 4 q ? wO4 ` . . F • . ~ eL s• ~ ~ ~ REAU OF YtTAL RDCORIr3 Dl:1'.~RTNE.~T pF l~GL'~N iHE f OF ~!.'11' YOAL" ,-s.^1`.. . . . ' . 4 i ` . ' ~~i L ~i ~ `h~t~ ~ a5; .a ~ . ~ . . . . ' ' _ _ . _ ' _ :~~z nN• i• w an~rrwi w w.q•W ~;~t:ii~ ~ i ne«~ ~i i~ :~~r• ~ I ' i , ~ . , an ~casr ~ 11~ D~O~ut oI 8~alii do~s ~~r~1o li~~ et D~L~(iott rW t~t+~oa. ~ w Inatln as b ~~s tN ba~ NM oeorl~M b 1 . ~ . ~ ` 00 MOT ACC[IT TIHf TRANKNI~ YN~,~i~1~1~(t•~AtiE~ !f~ ~•O~tNt O[?AATrENT Of N[ALTN IS ' A/rlll0?Nt~tOK![/~OOYCTIOIIOR4fjTC~' ~.ON.:Mt~~l. ~ ~ : T fE0 ~Y 1~1~. ~ _ - ` . fi:^ ~ . . . -..r . _ . . . _ A~r7.-.,~ Y~ . ' Y 3 ~L.l~f~"~ ~ , ~ . ~ ! r ~ ~..-ti~ i70A ~.~I.i~, i.l~.~ ~ ° It/f:H ~~I? f . 8R1 ~'1~t:R. . , . ~«r ~ : ~ _ ~ P 4 r~~ ~ - - _ . _ : ~~~R . : ~ ~ ,?~"t~. ~~F. 7~r„~ ~w~. ,~.'s ~~.5"~ ~~S '3 ~ p~' K ~ Y' fi -3 ~ ~ ~ L`?-, 1"' ~""s -C .t~_._..-- ~ ~ ~B`w ~t' ~~4_.a " ' ' '~a"~`-~-K~'' '