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HomeMy WebLinkAbout0927 r~ .+,.+r..'.w'""""", - _.-•ME'M1Er'..~;Ur;, ~ItM,rITOFNiALTnM,_.....__......~....._.....r...,. .,...y..,...,r_ ~ m~ - CERTIFICATE OF OEATH sr~rc~~~c~u~~e~ ''l~'~~j a~l~;~~ C,i~p , LOCAL RILS MU~IC~ 1 ~i~,~: 7< <~s . i~~~ sr~ees t, S.~~iE 0F fFir~U IM~JJbI llu~l i, DATE CF DEAiH ~d~ j ~ ` ~e~o~ ?a~ DE~E,I3ED ~ i~f~T~~~~ rr,ao~v~~~~, RUSSELL ~AYTHAm I~ALE 8/29/69 a,~+13 ~ i r i a'~ ~ i r,~ n„•. S, A e ~m y~r If und~t I Yr. If wdet :•1 Hr~, D+te o! Binh 7, 7~~ detu~~d e~er in U~S. Atmed Fac~~~ , ,~.`t 3 ?LAC[ ~~ytF~r,4Jayl M„ot+~r 1,.~~ Nin. fY~i,~ry.0/W~e9~0I ~If~~~~ j~oera~erlr(rio~fav,l t ` WHITE 68 ~AY 12 1901 YES p;~','i~ . t,-, ~ L 8inhplu~ ISmr. ur ~uu~ge co~nrryl 9. Cieiun ol rhu cnwttyl 10~ Wutied (r l~ere M~rned l L Soti~l5reutity tio. PASSAIC~N.J. U~S~A• ~idur~d[] Divaud`, VNK/;I~J/~/ I ~ t 12, PLACE OF DEATH 1!. CtiU.~L RE:i(DE~CE (if in~uroeioe, ce~~dence ~fae ~ue~ivnl ~W..•; ..s~x. N.J: b.c~rFA55~IC c~My p gQ b. Ciry' (CMtk bot ~a1 yirt~ n+~ee) e• 8oro~' (Chtek ba ?nd ~~ve nun~l t3 PAS: A IC T PASSA IC ' ~ ~ e. +me o 1 t nao m ospu+ oi in~auu~wn ~ire ~cr~et + a~) d. Sttett Addres+ qf r.~~t. P,O, Adlrtfq . ~ pASSAIC CE~ti~RAI HOSF. 26Q GREGOFY AU~.PASSAIC _ A. ' ~ , ~~.~a•, . ~,,y'~ ~ . . ~~~~~~~~o~ \l~: ~ L iu~ cwp~aun f Li~r Iq~ Jr ~UI~ ~G~I fWlq~ PI011 tl/ W0/ rn~ +f~, rvrn i~ rerurJl 11. b, Kind a! B~.smei~ a Ind+~uy y~~ ~..C~, ~'9~ 1'~ SSE~r6LY PLAPJT U1R~,HTS AER~i1A~JTL;A t,.t • ~ ,7 ~ ~r 4 1tl1n'f ~~mt lb. I~~r'r N~iden ~+~^e ~ ± l, . ~ , • . v N LAYTHA;~ ISABEL# U~+K~;O:~;N 1 ~ ~ , M ~ % ~ ~~j/ ohe~nt'+ A~r~e L1d ,11:reu O i 1 . . V,;~'~', r•* ~ LAYTHAf~1 n rQ~r av IlIIF' _~44RO 1~ ~ ~ ~ r 8urr on! on~ eowr ~n hne fa (~1, f~J ~!!cl A~roai.u~ ince+i bec~eea ; 1 y' s''r,~ i~~~1' I DE,1TH z.1~ C IC~.D HY' Y ~ . ~,~.,u~ ~;wC• a~ u+~ d~uh ~ y , .}r(,~ •4~~~te Cwu fa1 ~ ~ ' ~0 •o , ~.,`i!J.'N ~',?,S"' . . ~1p y~ ~ y ~ «Qi'~~~~., . ~ ~;rq ~ ~ C,~j~~una, i; , r5u'b i ~f N " ; nu to o6n~'eaut~ ~t ro ~6~ ~ 1'~Y'~ itatin~ :be +mder ' lyin~ ra+u~ layt pe~ ~p (Cl ~ q Iu~A PART If OTHEA S(G\IFIC,ti~T COSDITIO~S 19a~ 9u ~utop~y 190~ ft ye~, ~err findir.p coniiderd d ' o pnfoneed~ IOEKfldYliAjCiW10~2NtA~ a Yf/~ ~0~ Yf/ \0 ~ ~ ~ . ~ T IO~. Aeeiden~ Suicide Hamicide 20b, D+ce ~nd Mour af bjury 20e. IW+ lojary Oecucrcd (E+tn narurr o/ i~~iry i~ P~rt J a 110~ ltew !d). ~ O ? O q, ~ fe f1e 6+~f ol * inoi.7~1 30d. injury Octutred 20e, Ptoee ot lajury f e,~, i~ or aboa~ ba~+r, 20l, l'i~y, Tarn a La+tioa Cauntr Snte . ~Ait~ u p`a 4hil~ ? Jann, ~aerory, ~trea, o(~iee blJf ,~tcJ ~ok +t Wo~k Ii. 1(+e~aded, t~~nined) ~A~ deeu+ed f(rom, onl~~~~' ~nd brt ~~~(him, Detl+lire oa . I D~t1b ovc~n~Q ef oe Ju~ itatrJ akur; an/ ~o Ib~ 6~~t ol ~r j~nr bJR~, t^r caui.i iurrJ, , ~ 22+. Anendiej Phye, ? Ned, Frun,,;~~ Cour~y Ph~ y~• 2~:~+~~ " Cu~~~ ~n~~~ 2:e. Du~ ~i~nn1 ~ ~1 '""`T , aamin, Bia;,~ Patz~so~, y, ' i~j p~ -~~i.~- Sitnuure .~~~1~,~~'- ~ \ ~n~~~j 2)~~ Dmi~l, Cr ~~hor~ 4.ErOv,b ~.~~ex~r. •i ..•n~tor~ .'~re ljt~ Locuion Ciry ~t~te , ~ N ~s ~ ~SP"'~Y' montclair~N.J. . ph~~: ~ . BURIA ti~ ~--C~~}.e~. . vv~a 27d, Sur~~I Du! ,1b, D~y Yt. :1~, Funer+l H,,,e;~Lre 3N" Fwer~ Nome A;~~• 6J " ° ' ' N n~ o=~;~o Sept.2,1969 Kamierski 3~r~asutek F H 7 a~ ~ „Q pN,~ , ~ 7k. Fw~ul Ilireceor Signuwe N, Liten+e Nu. ~ 27+. R~jiiQie Irn,in~ P.finic - Si jnuure :16. D~tt Rn'd~`y Loc~+~l ~ . ~ y , , I. . ~ ,t, ~ ~ ~ ~w. u • ~ ~ ~ ~ ~ . ~ ~ . ~ I~M.N - ' . . , . . . . . ~ ~ . S~ y c' ~ . . . . . . _ „ . , , , , , ,~W'r+JU . rw:W~w!xakiW~•A.,~:U4~R ~