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• . '74K10330:' 'T~1 MAY 7 AM 10 ~ 30 pE~: ~~69 ~6 ~~?OFFICIAL RECOK~ ~ ~ ~ 473 ~9~0~_~ ~ 295338 . _ 4~44'7 , E . . . . y ~ 1 . ~3~~. 3~v . .r ~ ~ ~ ~ v.s. ~~ise~ ~s ~sT~~c• ~i~ 1lE~ YORK STATE ?t wrw~ ~o , ~cco u o . ` pE'~~~ Of MEALTM ~ ~ ~ Q(~ BUREAU OF VITAL RECOROS . ' C~RTIFICATE OF DEATN - TI~ACT OIVINON ~t{~STLA MYY~III ' - ~T~--~_ TYPE ALl ENTRIES OR PRINT IN PERMANENT BLACK INK. 1. NAM6: FII~ST ~+tlOOl[ LAST 2. sti A 04Tt OI [wr11 ~10?+1 ~ YA~t /[M~LI MOM~N OA'/ •~AA fTwTUt~iK M1T111CT TOB i N ~ ~ O . ~ ~O~ ~ ~ : HARRY ~ acc. a•es: ~w+~~~c. Ncs.o. s. •cc II VMOCA I?A. 1/ YMO[¦ I OR. •A. VCT[w11M O/ U.1. ~Y~O •o~c~s~ ~ss. ~~rss-s.aan wu~, e~ AY[RICIN IMOIMI~ «t.1 MOMtMf OAtf MOY~I! MIN. t O~ft1 01 ~[AYIC[ . / ~ ~ MO WIRMOMM ' GV y/T~ 6~.¦s_ ' ? ? ' ' wcs. o ~ r ~A. courTr INVS~ ~~s. Towr ; sc. e~t• o~ viiucc' ~o. ~c~s.M o~ srwr ~r ~sc. Mos.~r~~ o~ o.NCR ~ws~~tw~ow i t 1 ~ rowr. cerr o~ vic~~s[~ l11 Mt{TMCw~ srv[ sT~t[t ~ roJ " n~,TE~ 1~,~ds ~ W~S~~E=,ER R Pa~c~,~,~ ~ , wEEK ~ ; . S. . ~•.~TAT~ 0I ~IATM O[t[OtMT ~0~1M 10. CIT12tM 0/ M~M~~ 1~•.YAAITAI fTATY• • I1. WAYIYIM{ MOVti II? wl~~ MM~[M YAN~.I (CWMTAr, 1?IIOTY MOMiN YA~f •tN1 COYMT11T1 ~ ~E. u5S / A tJ 5• A MA~R/~dl a . is~. uwk oecu~~nor ~cvcr v acr~aco~ ~~ae. a~ro or ~us~ress o~ ~wousT~r ' lat. ~Ot~~a ~[cvmT? ~M. : i ' ~ - v.,l % ' ~r'.~" /o'~ - Y~UAL ~[~I~t11Ct w11iRl ' . D[C~~t~O UVl~. 1~ I~A. iT~tt 0. COYMtt I~C. ~OMI~1 I~D. C~N OA YILl11iC 11i. NITMIN t11[ i~'. iT~t[T AM~OYM~~R ~ . O[A~M OCCYAA<O 1• ~ I COR~OIIATt 61MITST I ~ ~war~wr~or. t~vc ~st~. e ~ 1 (M/~~ l 1 res ro oc~cc ~croL wor~ y ~ r ~ ~ ~ Ia0 ~'f WE~/4d ~ - ~ ~ ~ aE/9Gfi ? ~ • • 1M. IwfMCw•s MwYC: ~ . ' 1D0. wOiMCw•s w~~ow w:u~c: . ~ ~ IIAtT MIOOLC• l~lT I/IIlt MIOOIt L~lT ~ S ~N d E / A IC~fIG~/f ~G ~ . AnBITI~! tsw. ~vo~u+~wr•s~~c_ ~~ss. w~~~ro ~oo~csr. u¦c~uoc z~~ coou i r ~r ~~eo~ N wrt~ w ~ cc.TV~e~ri~cre~iwcu~- Td ~1~ ~ QO (.~L~S% /h L ~ TAnC[ ~~t~i1STAM A iOM , •ttito C[ATII~C~T[ YA~ K l~V~~~ITYt[Y. U?AOl1YATC IMTiw~~~ . rART 1. ~ OCA~N w~s cwusro ~r [MTCR OMLt OMC CYISC P[A LIMC /OA ~AI, (01. M10 ~CI. ~(TM((M o11SLT ~ O~a~M 1/ IJI IMC6M[CT CU~I/1• ~ 17_ IYM[OIATC C~{If~ 1~T 7MtA 11[t1aTwM"IIL[ .IA/ ~~/1N V~-<</1 ~ ~ ~ ~ ~~S IOI~M V.s. N. ~ W[ TO Ow A CONS[OY[nC[ OI , - - CMq?IM~. 1/ Y~. AMICM ~ ' O OAV[ w/f~ f0 ~YY[OIAT[ lel \ S CYI~C IA1 QAfIM{ TM[ OY< <O 011 A3 A;O OY[NC[ 0/ _ vroc~trus cwusc ~wsT ~ tCl ~ ~ ~ PAllT 11. OTr¢ t~p~I~u?rr cowOi7~ows: ~o~miwws Cow1~~Wi~ri ~o UA. wuiO~s?+ ~~s. nrp,wcwc?~NO~w~s cowaoa~[o ~w . O[ATN WT AOT w[L~~[D TO CAYi[ i111p IM rY~ 1 lAI ?Q M~_ i 0~=`~f111Mi TNL CMIK O; IRAfMT ~ 7. ° o~c ~ s O~~ C~~lUC~/~1^^~ 1 z~ . ~ ~ ~ Q a~ ~~A- ~CCIO[IIf. MOYICIO[. 1 B. MOMTN OA~ •C~111 11C. MOYI~ , ~~0. MON 010 IMl11AT ORCYAT' IO~TtR MATYAE 0? IrJYAI~! IM ~17 1. OR 11.1 nJ V MIIlIOC. YMO[T[WIM[D . . 19A."'u~ r_ 1f1 _ i ~ i ~ . Y. aU V w~ ~~t. INN~t ~T MOA6~ 1~F- ~IACE 01 IMlY11t. MOMC. 1lG. IOCA~IOM IltA[[T • MO_. CIT~ OA VlllAf~. TO~. COVr~• ~TATu ~ nV ~ res wo 1 r~crowY. omc[ Koo.. trc. 1 . . • . . . ~ . , O y~ ~ . - . ~9c. e a ~ o~c e••~. 70 BE COl~LETED BY 1.ETE0 dY - CERTIFYING PMYSIQAN diLY "'~R- WKONER . _ L~1C Eit~" 20. z ~ _ 20_ vwa~ i :o_ waz ~ _ . A.*o TwS ~c• o~ ~wow~ c. ourM occvw~co ~r w. o« r~c us~s or tau~~N~~„qr ~ s Tnc t rc. rc yfo^ouc to n~c MOM~M •cww o?`w~or. ocw~w ocw~~co t- f, fi Cws rto ~ ~ .o rNC cw.sas ur .._t.. - ' . 3 ,2 oc 1 ~ , . ~ - . _ t. ' .,.~~o _ rNC rs~u~r ATT oco rMC oc usco C_ IAST sccw u~vc w• • • ~ ~ YOMT OAT M YOMTM 0/~1 fEM MOMTN DA~ •[~R MOMTM OAr r u ~ - ~ ~ ~ . ~ :7~0 :13 to: 3 :1,0 ~'i ' 3 :1 ~ ,1 ~ ~ t ~ :.c ~k c,~r c>,c a~.~t~,:as _ E. cw•s ?wrsK~N ~ ~y i ^.~T. t.tt~~~. - O. ~Trao~ws ~N~s~c~rw. OTNEI~ rhM tE11T1~IC11 ' s,.. ' ~ ~i~ ~ . ~ .:.~rteo ' i:i - ~ j 11i r) T~ ~~i'~ M/Wt ~MO AODwqf OI ClDT1ItC11 VM1/f1C1Y1. COI~OM[II. ~+co~cw~ c: ~wc~. co~wis~•s ~M~s~H~w ~ i - ; ~LEo~~ iN~CE~. t7• Z,S~ lt~*~~ S~ l~o ` i . - _ - ( 22A. ~u~~~ c~[r~t~ow ¦wovu. wowrM owr r[~~ 226. otwct or su~~~~. cwc~+~T~or OR ~i~OrK ~i~.. M~~~~ To~. ~TwT - ~ o o. N c r,,; s r,~~w _ ss~. wtasT AT1011 M . j • 2s . wuac ~ws ~oo~ds e? turcww~ Mowc 1. - ' J - LL ~ Q ~ f ` + ~ , ~ I L ~ - : [ 2 A. N ~ IYM[III1~ O111[CTOA 2~ f GMA~ 0I IY R~ • row •'=fC. A~G~fiwAT~M MO- ; ~ ~ ~ ~ o y83 ~ } . . ' J r~ ,9. ?+oMTw o~r rcw~ N. w~~K o wtNOV~t ~c~wi? t~. 2~0. rOwtM ew~ ?tww ' =5 C~ 2lw. wTU~~ e? wcs~ T p~~~ ~ , ' nco ~ ~ . ~ O ~ . . . .w.... ~ - . RETURN 70: , ,~p . ~ ' ' 3 1 .3 7 . ~ ~1 ~ ' - - - - _ . - - - , . - _ _ - . - , _ . T~ ~ s_ . f1~EL z=~Oh~EO ST.IU,~r : •)UhTY fLA. RJ~_~.i- -'~~'r.AS ~~_FPlI L[~,~:.Ui? COUaT or. , ~ NQy iS i'l 23 PM'7~ soo~ ` v~~E z~~ ~ 295338 ' ~ • . ~ ~iF:'i'ROFOLITA~i ?ZOBT(iA(3E COMPADIY 22s4 9~SGrNE OOUIEVARD. MIAM1. FLORIOA 3J~37 ' PHO`•E 305- 3.'3 3365 ~ 5,~.,... s~t.~~'w'-`~ d ` ~ . . ' ' ' _ . . . _ ' ' 1'~„_;:.;i - ,u., S.. "~°°a ;s-. ' ~ s_.-~. ~s~c~~. ~ . ~~~''a~'~,'~F''r., . . . .