HomeMy WebLinkAbout1675 ~ ~S'7i~S STATE OF NEW .~ER~EY Ho........_.........._....,..»
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~ OFFICE OF REGiSTRAR OF ViTAL STATISTICS
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f TOWNSHIP OF DENVILLE - A~ORRIS COUNTY
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Cit7i Bota~L or To~ssLip ~ed Corat7
Tbis is lo Certi~p t5st ~he foDo~ina is oocrectip oopied fmm a record of Death in sy office. ~
- I~AME OF OECEASED _ PLACE OF DEATN DATE OF DEIITH -
~ Ettore T. Minervino St. Clare's Hospital June 2, 1974
Denville
k SOCIAL SECURITY NUMBER SEX_ ~ COIOR MARITAL CONDITION DATE OF BIRTH A6E
~ rws. ~+os. ~rs
147-26-0192 Male Whit Married Mar. 25, 1912 62
~ PLACE OF BIRTN CAUSE OF GEATH
~ Millstone, Conn. Carcinoma of lungs with metastasis, diffuse
~ SUPPLEMEMTAL INFORLAATION IF OEATM M~AS DUE TO EXTiRNAL CAUSES '
~ ACCIDEN7. SUICiDE OR HOtdIGIDE OJ1TE OF OCCURRENCE
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~ • WMERE DID IMA~tY OGGUR? M
~ c~n ~ T~a eowrT aTarc
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= 9!~ INAIRY O~CUR IN OR A8011T i1CME. pl FARM. IM INDIlSTRIAL PLAC£, iN PUBLIC PLACEt
s~se~R r~n o? ~~wc~
~ MEANS OP INJURY
~ WHILE AT MfORKt
~ NAME OF PERSOM MIMO C~TIFIED CAUSE OF DEATH ~~S
~ Vito D. Ferrante,.~I.D. 153 E.Main St. Rockaway,NJ
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FILED ~MJ P.fC~R0E0
~ ST. IUCi£ ~OUNTY FIA.
RO~EF DOITR~S
C~ERt, C':;LLI~ COURT Repsau oE Via~l Stadscica
. RECORt~, YE?;~:E4~
~ ~ ~ Denville N.J.
Auc 1 I i oz AH 7~1 ~~~ss ~
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June 3~ 1974 i~~
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~230 ~iS74
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