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y f 2}8~~96 t~c:: iin~[Y S:ATL OE?wkiMF.1T O~ HcAL7ii 1 CERTIFICATE 0~ DEATFt STwiE ~~~E ~+UVNEp LJ.:n.. : ~LL Nu~1GGR D A'~}1 i unT t c.r ~ • - - - - ' ( Me.(1It1 i Lual) 2. Sea • . . 2., i. \A:!F:OF (Fi~~U , - • :,Lc~n,::n Krauss `:nale Seot. 16, 1973 , ; cr.P~ r.,..r? Frank `,_v ~as dectsicd ever ir. U.S. A:rt+cJ : urte~' --r~w.:E ti. C~:ee ~r ::ue S. Ar~e t~n y.s. tf u.~.irr 1 1'r. li un.fer :4 Hcs. G. D+ie of B~aA (Yta. ~u.trOrw~~~w+1 yrs. ;~~r wo. w dYI1'S Y( snv. i lasl,e~{fed~)) M(.nfaa i1~ya llor~s H'~' AYfY'. 30,1906 4ti'::1 ~0 i d/ r ~ rnae co~:nuy? :0. 4xrinl \ever Munedx~ l l. Socia! Securuy W. ; :i::i::?iace Otate w jortig~ cw:wt~r! ~ 9. ~-~tizen o~ i; V.S~A. C~doredir', D;vwced;__ O86~1~1~15~3 \e~~• YorL Y~ :CF O: UEATH 13. 13SU1L RES.DF\CE (li insutui:on: eesidence befo:e admias~oni Berqen \.J. b. cour.Y Ber~jen ' .a. Cosatg ' ~ c. (~iy lCheck bo: anJ a~re n+me) C:tr iChe:l Sos •t~i ~~re namei 8oto;_~ ' ~ i~acker.sack t T.~ ~ , Hackensack ; - c. \~-:.c.o: (ii noc ~n :.osp,e~t or ~n~uwuon give neceee +~ess) d_ Sucet Address (If rmal. P.O. Addtess) h;.,~.;,; . ~ • Avenue ,,-,:,;,.t,~:. Hackensack HoG it . ~~~s: a:,;~~ia..z Il.:vr ttnd ~f ~.~~a dw~ S~ric~ ~os1 of ~L~wd I~(t. tvew i/ rtl~rtdl l4. b. i~inc o: 9uainess or lndustry - ~ Stationary Store C~ark iG. Moe~er's ~faiden :~ame ':i. YaiAC:'s \ ~c ~ ~Gya d M Krauss Lillian Beck r U. ::~o~-.:.+r.:'a \u.~e an.i .1.idress ~ Susan L. Vorgan 18 Beech r~ood Road, Norwalk, Conn. - Enter wa:y .xr caust prr Lse /w (al. (ai a+J (cI I Appro:~oa~e ~r.ec:v1 txt~ecr. ~>~a~ :i. r::t: : llcA:N ~"•AJC1liJtD bl' ~ lo~see aad re-c~ ~ i Vj~~ ~~L~~~'~~YL . . , ' l~ • tr;.~ ` ` ~ ~~~.r.~~::c.s. c.~. r-irttb Due (o (b) ' ~ ~ ns: :o .:o.r, r cuse ! ••(ai'. >t~:cn~:~t sndrr- ~ - I : - . ~ ..):Rj i.:JSP J~: ~11G t0 ~C/ ~ . . Il~. . . . ~ _.~e~io..e Y:~: ~'i}~:_~ j.~,\IF1CA.\'f C0.ti71TiUXj I~a. Q'as auopsy i9b. (f yes. rtre i.ru:.cfs cooa~ac:eo : periormed? :n decers~r.~ng c.use of dc+c:.~ ! Yes:"; ~o[:' Yrs r: \o :...a. 1c.:..cr.t ~.ic:.ic iio~ ici.:e ':ub. G+te ana Hw: ot ln~ucy j?uc- iio~ inj~.ry (kcurre.i (Fst.'~ wll~r~ oJ ~nr~ry .w }•~.t : w 11 oJ l:~m (r ~ ~ , ! - - i ~ - ~ •r.,: _ . . _ . A.. ti: <; ol n.? ?r,nuir.:~'P. ' ~OYM~' J[aIt ~~u.-. .nt.~y l)c.scre.: ~:Ue. i':.a:e oI in~..tp ir i: rn or aoozJ bon~. t 2GE. Gty. Torn ot 1_otauun r.ec. u:lor st~rrt. off~ct o:J~.. ru.i1 ~ , ....:c :t ~k~ie ~ f I Y• /f~ { _ ~:tt df ~M• ~ c ~.ss. ~ an0 last sa~r (him, hetl ai~rt on i~~::er.aed. ea.~m+r.edi ec~ deceased I:rom. 0~3~ ~ • ~~t ~ ~ a: .n. o.r thr Jatr s~.+t:d abar:: aa:t t.. tR~ i+~ s! o( sv ~~364~If~Ijf. ~ro~ tb~ tacsrs smt~d. y _ w' ' .~::ea.i.~~ Piys.~- S. Fx..n.:~/ Coc:.~:~ps.._, ~2.'0. A3d~css . . . . , . ~ 2[c. J~te ~~tined . ; ,~~:u:e ~ c / . . • - ~ • ! ~ ;.,.i..'-: r~•m.c~a^. He~w{ ' 23b. enr,e:y a Cum~ewy ` ae 2ic. 1_ucyuon , City S`.:e ,,y.: ~ ~ . No. Bergen, \ .3 . Crema..ion ~ Garden State Crematory : 240. F„ncral iioue Ad~fcess •..i. `u..::+. J.+cr •.to. D.y 1'r. ~ 24a. ~ur.er.ll.oa.e \.ar..e • `5~,~. 19,1973. Frech FLneral Eone 161 Washington Ave. Du.ao:,t,~.J T ~ . . e.:-+ ~~~.:...c~e 1. i_~cer.se Ju. ! 15+. Re~:iuat 1asu.n6 Yec~~t - S.~nature ~ZSL. naee Re:"~. ny Loc•. .j~ ' ~ ~ kr c:r..r ^ i ~ °r :i i~ ~ ; j~ ~ r~,r~, ~ 1~-,~- ! ~`'f ` ~ ~ ' ~ - - ~ - - - ~ . ~ _ _ _ - - - - ~5 ; - ~Eici ~r Y T': A, T:~ZS I~ ~:C;: i,:' • :.i ci_.._.~i:. ---v- - - - ;.V:~' ---c,• : GitZG~P:z~, D: A2Ii CE:t~IF~I~TE t~S ~:~CC:~. : i .1iJ . i~ i171.S ~Ji 1 iC.~.. - , 1' l~ FILE~ RKC ftE~Oit.E. _ ~ ~ ~ ~ ~ . ~ ST.~IICtE CaWiTY FtA. ROCER ~'01TRAS - • ' CLERK C:P.CUiT CWRT REC~!RD VEFtFCEO~~ ~v~S^RAt~ E~F ViTAL S^tATl~fi'ICS NAY t8 12 3s PM'~~I ~ . ~ ~ ~ - ~ 2~.3Q96 ~ _ - ~ , . - , ~ - ~ e~e~ 2~7 Pac~i?~.~ .r - - _ - - - k 'z'_~=- ~ ~ :r.~-: ~ ~ _ . ~-~-~~`~`~'`'Y"`~.-~~'~~ . . _ _ W.