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Home My WebLink About2676 Gibbons 10020~82 ~ ~ tQommon~arrttit~ of ~ttss~tl~usetts 2 5~~~1 UNITED STATES OF AMFRICA C~RTIFICATE OF D~ATH FROM THE RECORDS OF DEATHS IN THE CITY OF BEVERLY D~« oc n~~~b _ ~iarch--2_,....19?3 x~~ _ Garl _J..o~inson . _ (Ilusband of) Dora B. Doucette ~ , . 3. Sez. S. \L <V. or D.._ _ - _ . ~~-~..5-' ~ ~TX~I.e. . . 4- Cotor. _ jYhlte._ . ?7__ ........Years _ ___.r`~_.....- ...................:~tonths..........-.-.._..........--•---•-Days 5. A~e--------- _ . _ - _ . . . ' 6. n~~ o~ cz..x ot n~z~h Respiratory insutficienCy.._ 'F Pulmonary Fibrosis E R 4 R € z _ _ -Retired ..q~mer.....~.1[am.i~_~.ta..r.~_..P~.~.er..._.St.ar.e.l 7• o«~wc:oa ' . . ..........59. }'iillow...$treet-~~-----Soutl~.__K~m~..~.t.QI~.,-...I?:as.~...... ~ x a R~:a~« - ~ ~ 9. Pu~~ ~ na~ . - -~eve~.~y -IiQS.p~.~.al.,..... ..&ever.ly~-•~-Mass.. ~ . ]4tiddlefield 1lSass. ~ rtrto-~tiu~~~~coROEO..... io. P~~ o~ ~ - ~ - f ; iT. ~uc~E COUNTI' fi,~. ~ Clarence.--Jolinson ~ ; il. Name of Fathcr...- . _ R9C~•R•~P(1tiR~S.•........_ ~ ~W ~LERK C=RCUIT COURT ~ ~ ~~~r ~FCnRC v£~:F.J.E~ x ~ ~ 1Z. :\'ame of Mother.. - . . - ~ • ~Maiden Name- y .u . . . _ . . . . . . . . . ~r...... . 13. Birchpixe of F=tber__.. Dl -N~ . _ . ~ 14. BirtbPlxt of Mot~cr. . • - - . . ~ , ~~enham-..Cem. . . . ;:'enl~am,----~Sass.......... is. Place oE Incermeac_.--.-. ' ~ 16. Social Security Numbcr . . - - .O10-01-1406.. -A. ~ ~ . ~y `~f - John F. Couhi ' = - _ se a say I• ~ - - . = that I hold the oJ~iae oj City Clerk of the City of Beverly, County of F.ssex and Commo~iwealth o{ Maswchusetts; that the records of Births, Marriages and Deaths - in said City a~ iri. my custndY, and that the above is a true extract from the Records Y; of UeaHis in -sau~~i#~! ~os• ce~tified b~' me. : - S ; . . _ . . ~ ' - ~ eventh ~t~ess'-my hand and seal of saul City, on th~_ . _ _ . . s{-- . . ~ ; day of . : ~3~~rc~., _..~J7~.~' . . _ . ~ , z ; _ . . • t ~ / . ~ : " • ~ _ _ . ~ .~~r~ . - _ , _ - - ~ C. ~D~ ZL`i.c..~. ~s - ' ' ` Ci[7 ~ ~ - ~ ~ ; , . . _ : ~ ~ 22~ ~574 _ - _ _ _ _ ~