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HomeMy WebLinkAbout0894 . f , ~ Vaifi~a T~onscriM of D~otb 131 ~~U+r.wa La. Boot Co.. RoeMsts~. tt. Y. 1i609 ~ i t A Verified Transcript from the Register of Death ~ ; 'Z~, Anthony Mauriello ~ ~i~'~ Nams of ~aceased tloV. j0~ 1~'7 Re ~sfei No. 128 Dots of Deoth 9 (Mon~h) (Day) (Yeor) Elrar+ood Har?or Nursing Ho~ae, panust, N.Y. Ploce oF Death 11 Iroquis Trail, Monsey. N.Y. • Usuol Rssidence # 5 wks. ~ i Leegth oF Stuy in Town, City or Vitlogs ~ 3 MSZ@ ~ s Sex ~ Widowed X~ Divorced r_ ' a ` Single Morried ,`r ~ ~ . 82 6~~' Ag~: Years Months Doys . 3 ~ i58-28-9z~I a ~ ~ sociol Sacuri:y No. ~ NO ' ` Ww Ve~eron (if yes, whot wor) r ~ ~ ~r-. ~ Barber ~ ,~r Occu~otion - - ,R c,,~ I*.81~ ~ --i , : ~ r a ~ Birthplocs ~ ~ - ~ - : ' IISA • , c~ _ ~ t ~ ~ ,~rr , Citizen of WF~at Countryr ~ ~p ~-%c [ ~ ~.C, a N.nt' ~ IIalmoMn ~ t ~ ~ ~ ~ Fat6sr's Nam~ • , ~ ~ BII1Q101rA ~ ~ ~ Motbsr's Maid~n Noms Intervol Betwsen \ Cavss of Deoth Onsst and Dso?h ' A, Cerebral o s • i ~ t' B. ~ ~ • $Sx'IDSa L. WOlf x. ~ st., s~.,~ vaii~,~.Y.i Medieo) Attendoncs o~ other Attsndan~ 3~ ~ Sniifen F. H.,. Inc., Spring Valley, 1'1.y. • ~ Undertaksr • t ~ Yestalf~Hill's Heo. Park, Yeatal, 2t.Y. i Plac~ of Burial ; 1 herebr solemn(Y ofte¢~ tj+aYtbi~'~is o trut tronsctipf from the Regisfsr of Deo~bs kspt } in the T~~,~~~rT ~ B~fice. Ta+n of Clarketo~+n _ , c , ~ I ~ C~~ir of -~-~Clt],BIId Stats oF New York ~ ~ ~~i-c ~ ~ ~ ~tM : c' tbe ~~th dar of NOV. ,19 ~ ; Dotsd ot ~ - ~ 4 . , n+~~ 1~t ~~`}`b //L/~'f /1 ~ ~ ~r `~4 ^ ~ C • ~4 GV~ l~-~~Z~ _ ~ ,:',',~t~re^~_,~l~ `y~ ~ . !i a~-~;%a , s L~ ~ • ~~j~'"~~ REGiSTRAR OF VITAL STATISTICS ( Offici~ ~ ~ . ' , _ 1 ~ : oo~~ 225 ~ac~ 89~2 ~ a ~ _ ~ y~ . - - . s~~ r ~ - ` ~ ,ri ~ _ ~ , ~ . - _ w. _ ~ ~