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HomeMy WebLinkAbout2303 ~ ' ! ~ c~nFlC~Te oF o~?n+ / pONN. 8TATE OEPT• OF MEALTH ~ 2954~4 OECEAiEO-MA1i1E . L& RNo~ ~ P~Aa~.'To tJ a~ 1~ ...n M.... OATE OF M11TN 1~~ w wM MCE -+r.n. ~aMa ar[wr AOE - un u~ac~ ~.w wo~~ a• OAtE OF DEAM ~K ar, .w •w~~t?~pntuir roa Mn , - 1974 , rtarch 8 1926 .~'hite KV r ~ ~ ~ ~ ' ~w o~ ~ .~w ~.p~ ~tv os o~m~ To+~ os o~?rn . - r r.. aMn..e.w..w t. : . - . ~r r Ne~~ H ~ven New flTVen kYale-1`It~.W:3#a'~tr~~.~I~~'taI ~ cmr a aT~TC aF ~wrn ta~.rr. ~.n v.~~ ; aru~ aF ~a.+r~ ~o. ~va~ ~r.~M.• .r~...w~ ~ Y,~, ltamden, Conn~cticiit ~ I)SA . a _ *s~';:s- . p~ ~ rtone ~ ae. ~ JEWlrtr M~1lEr1 ~ uSWL oauMnON wre o.o a.owc oo,. ww...p~?~a:. ~ as _ :°"-1 • ' '«K 04G-?Q-?.874 ~ xecutive Secretary~~'~ ~ i1~5.se~ ,~`e#~ Ber~.in t~0~! T01111 - y T ..~IO J~t~ cS=.j:'. `'.~Ft~~ . 11ESIOEMCE ~ 3?ATE COtM1Y . `.r : ~ . , : .t ~ . - ' Connecticut New Haven ,~torth B~Canfo ~ ad w~?S OECE/?SEC A YE7EMN7 ~f rE~. O~VE MM • ~ _ tMj. prtpn ~cs os rw , ~ . . . - - ~ ' ~ ~ ~ w No . - ~--4 s~n~-N~ w~w ..eaa wr won~E~-~!yoEM, . rea~ us. • Angelo . rerraro _N ~ `'~t_~- ~se bs.aiorano .sa~~wr - wirrt wu~.+o ~oonFSS wn.~* o~ a.e~ a.+~ o..o.~. s*•... an 0647 - ~ Husband : Angelo Martone ~A75 Twin L~Ices Rd. , North BranPord,Conn. rAIIT L otwrM wns uuJ6fD Mr: 1E~rtEn ae?r o1~ uueE fE11 uNE Fon W. ~s). ~w (a ~ .•..o.+~.r[ rnc~..?.~'•~• o~air ~.o oo?tw r ~ewE ~~wc ~~Sr~~at$ ar ~2r S't ~,a.. ~ ,,,..~.a a. ~ a: e m~:tastatic_bre t arcinoma ~"K:.~ ~?~i/9S iAi/~ k'ERST (.A~P~r/~fOm~- ~l ~ wR t0. 0~ ~s w oaata~ata a: ~ q S tMT r. OTME11 i~ONF1GIMT OON01T10N5: e0wt~ors Cart~MR~M to oun~ wr wOt IIB/~no to eMl~[ Mww rl rNt ~ w /WTOPSr li YES ~e~c ra~aw~s cawot~[s ~+is w ~a s ocrcwrrwo niua a oEwrw Q Ma AOGIDENT. 5~tl1C~OE. f10WC~0E. QATE Of MiJUR~ IrOrn~. O~t~. rENI IIOMI NJ1~1Y OCq1RRE~ 1ortt~ w~iun Or wwMn WJURY AT NORK h a On 1MDETEw~wEO M[c+n aun ~ o~ rur M. ~nr q ar[ov. res o~ ua ''i It1k. s. . ~w. s~. . r. sa ~ _ E RwtE OF wunr ~T r~ snrn ~oG?t~oM ~s*~c? o~ v.a ro. an w ~o.~. a~ro SUR6ERY REI.EVANT TO COliDIT10M REVORTEO YJ I7EY 1~ thf~ s~w.. o.nu aw. ae a.~wn rw. r n.~.+w ro.. rw..a . ~ thA st ~ ' ~ :S kl ~~T10M-M~p: ranM~ o~r ~w IrOrM - /r10 u~R a~w rarnp ~?nE Ow DEATM OCaIRRE~ a~ n4 o~tE_ ~0. i0 nE ~ ~ rourM „p. ~[y~/~~ wa~w asr a rr .row~ooc eue x .rfed. ~~mrao nrt o 's~ ro~ ~ ~ tu. /J a` ~./~T ~ a-- , TO TM[ GM16EW QAiW. _ tra aawseo swr '~1 / t+a . r- CFATi~GAt10N -YEO~CAL EXAY~1E11: w rr ar~+oK a~ tMC e~tE ro waM~ ar ec~m nrt o[ ~M?~a~o~wcm ow 1Q : Q • i Out t0 T! C~Y![ql RAtE0. OtATM IILYtM OA O~ A~OIR . . Oa ~L r- . ~ . ~-NAI~ R~M O~I ~IYM~I SIWIATUIE - OEMf! OI1 TM . D ~c~E G~u~l ~ o ~l ~a tQ v~ ~+~tl~ (h r'~' . ~wLwO ~DOnESS- CERT6~ER s?~cn o~ a ~o. at. a~ Tow •n s+ DATE SiGNED_ _l~_ /~ruw C~ 7gq Howard Ave., N~w iiaven, Conn. - ,x ~ NlWAL. CREYATWN. REMOVAL CEMETERI/ OR CREMAT01111-NAYE . lOG?TION dn w to~ st~~t ~ Burial St.La~vrence CemeteX „~.Vlest ~-:aven Connecticut OATE ro~~. w•. +r[w~ fUNERAI llO~rE - NAYE AIO /IOORES! a*~[n w w r a w_ an o~ raw~ a~Tt an Sept. lf~ 1974 L.u oli Bros. 576 Cha el St. Nevr Haven Conn. n6511. su~rtiuc nwECron on E~e-s~uru~ wu~ oF ~aw~n ..oo+ w ww,rto ~~n ~ ~ ' Fr is . a an „~.982 ?M! CEAT1i~Cl1fE RECEIYEO i011 11EC0110 OM w _ . September~.b;,:'19~. ~ na ~ t _ ry ~ ~ ~ ~ _ n ~?~,,,i.t : . - ~ ti , w4„ I eKtif~ tLaE=- ~~lr~t6~ isEo a tb~ tL neori aa s~eorded ia tL4 offiee. - ~ _ _ ~~`~,,l~ .:a;; AeB~ t. ~ . ,A~~f ~"»~'r ` trar oE vit~l stati~tiu .~~°a 2~r~:~`~ . . ~ Dae~i . T~rs ~f . ~.V.~ . x s ~ ~ , ~r~.~~~ ~ier ri"ti f);,~Y,j~~i~ GOOD WITHOUT sEAL OF,CER PYING OFPICW.Anna • f:3 r. i M~ RECORf~E ~aly Boc~ma~ g~ ~ 7'7t Y s A ass'l. j~ • • i`~ s~~' t~ St~WC1E COUNTY L~ a9~s'tar Vit ; ~ ~,~~`"1"'"ti.~ _~~i; 4%s t;' . R~16~R.F V T COO~ -r--- - rlew H~..en. . Ce:lns r~~alU ~ I F i.., . ~ ~ CI.ERK C?I~ IE0 ~ 2 A. pF!`;if.f ~ ~ • • ~sg44 u R ~;f 23~Q~. Nor ?8 I o~ PN'T~1 soe~c~ - ~~cr- ~-,w~,~ ','~~,-z~,'~. .:z': - 3 I + P.h ~ a~`~'~-'° ~ ..u.~ x, '`'h ~ , ~ ~ : i~. ~a t _ ~ _ ~ h ' - - _ .u_~.. _ - _ -