The URL can be used to link to this page

Home My WebLink About0465 STATE OF ~MAINE ' "~O CERTIFIED ABSTRACT OF A CERTiFiCATE OF DEATH ~t OFFICE OF THE CLERK OF~~~ ~ :~~L~~ ~ ,MAINE ~~'"v0 9p _ ~ ~ Sex ,Date of Death Age ` Dale of &rth Name of Decea ; ~ ~ ~-j;; _~-%~~y-.~'; _ ~d ~ ,t~ ~ Place of Death _ State of Birth /~~J #1E€h Pc~ ~ [D ' / - - _ `i~ ~+~IF ~4uw~r~4L ~ -f..~~ i~~~ - % ` ~ ~ JtT 0 Soci~l Sec~rdy No. Res~dence _ Q~EF:K = G UPT RFPt1Pi' Yf~~`~f~w+~! . ; / ' , / " ,j / L ,J ' ~ ~v_ Father"s Name Molhet~s Name _ _ " ' -~~~i 2~569 / ~',t.f-/~. ~ii' ?~/~!.%y•G~~~ ~~rll ~-sL~~ ~./~c+~~'~j;"~ - Cause of~~'Seath " " _ ,i _ %~,L~~/l.l'. /l,g.<'~'t' ~ _ ~~iy'%'`i / -s ~~Ji?'~~ : _ - ~ , ; ~ ~ f~~ fr'% ~ f _1~~~.-~:.~~t`,~r _ - - _~_~:11~fiL ~ - --f=- - - - - - Name of Physician j . " ~,1 _-~.~~~~--f~~=~=1 ~ - - - - - - - - - - Name of Clerk Recording this-9sath ! D~1e~;Reteived b~'~ _~L4,~~:Regislrar i / ~ ~ ` ~i i : `t v~ L,.fJ7~i'" ; • ~ - - - - -r _ . . . _-gs<._ ! HfREBY CERTIFY that the foregoing is a frue abstra~~oF a cerfi~icete o~ ~eath . which is in my aFficial custoc~Y. - . ~ = : , ` ; - ' ` ; . v; , y; . ATTEST:'- .s / t~l~ f - . :,r - _ • - -.~ri- j. ; / CLERK OF-~~~Lst'-'~,~t Maine, bATE l~S:lF!?---- . ~ SDUK~ ~ _ . ~r.:~ _ ' r... . - _ - - r~~ . y , i ~ ±yb Y'ii ~c Z ) ~ i~ -~~j ~ ,aF~~ v _ " r "a~ . `w~4~a.~~_'