Loading...
HomeMy WebLinkAbout1332 _ _ _ < 1tICA0FIIit 1Q3t0 : Le~Lilit~ oi ~ritina, typina ; ' } or printins nn~ti~raotor• in ; this docmaent ior aiaroiilmina.~ . . _ . ~ ~ 296968 - v.~. e~. .~,-p, •ue~oco o•a~w~c• ~ NE~M YOHK STATC OEP.IRTMt'Nl O~~ ME.AITH - ~ • BURE~U OF ~'~AL RECOROS :E~.S~.lt ll~B. ~ , I . ~~~~L ~ • a:v s o~+ - ~cc:s.i•.;•.+~c¦ ' iitFiii~ii.Af t Yi YGwiR , ~ ' ~ ~ ' TYPE All ENTRIES OR PRINT IN PEftt~AyENT 9~l.~K ~NN. ~ i - 1 L- .l-- ~ . - - ~i~ - r~~ i.• ~i.•._~~e 1. N~uE f~Rfr y~GOIE lAS• ~ ~ ~ . _.~.~cu ~ ----1 r~....,~,c~a n.~T~_t• ~ r BLICCCZ'1 ~ C~ ,..L• ~=2~ 74 ~ 812~• ! -y__ - ' ~ . - - ~ ~ Sabn s..lan _ - - - ~ - - - ' ks , I ~ w~e~ •w...~l va4~C v~t T• v:ew t-•~ ~ s .C.w : : . . . : ` s-~_ • , •.8 ? . - ~aet w~~ .p• t ~ ~ . . 'f . _~~~a 1(~.~Cc i ~ j- _ ~ ur[w,c~. rs:~~. rc ~ M"` ; I Mhite v2 ~~s , ~ ? ~ L~ ~ (j • `A ~ `HES_ _~-~._~~J 'O L~~ l__... ' " " I - ~oi TA. COVAT~ :IVYiI ~70~ 'ON~ ~ 7C. C•" p• •..•_~i~ ~ `i~ .:v.'• .*a• ~v ~7F . •?a . ws' Sr il~~~ 1 4f~.1 . r , ~ ~ 'O~w~. L •O~. ~a~:c~ . , .'~c s ~cc' ~ ?o.~ ~ Srit ~ Cheekto?ra~ ; U. 0. N. ; St . Joseph ~ e Int pre omRUni ty ~ . ~ . - _ - - . O'i .•~r~ e• ~:~r.. f. O[ttc.lrr f`~~-- 10 t•r~2ew o. wr~e ~ ~r . >s . . e i ~7 . sse ~u ~r w~+... .r~~et~ r/1r[.: f~;..•~A~. +IMOTY!• _V~~~M u~. .t~ ca..~*w~•-~-- • ' L.:..A. j~: I itkly ~ 8 : 91i • . . _ ~ su1112~fo 'f - • - - - - ~!DA _f.~~ Ot:,:~~~~o? ~[i[ti -r ~f'~~~t ~ rt~b^. ~,a.~_fs ~~r:n•~• T.a_ a~C~~.~• ~O. ; ~ f : ~ ~ ~ Be~rber ' Sel f emnl oy~~ - ~5,~ "a Jb ~ . a, •aa~ortict w+twr ~ ~ ~.s~:..•.~c. ~u s~.-t ~~e c•)...~. uc --'w.. ~ •~o ~ n. . ,~,~ti •a", C w 7as. s•.u• .v7 ....~cw Ol1J11111D •A q ~ . } .:0~/ 'w~~\ . u • . 1 ..s...~,,or. s•.~ •~s~- ~x ~ ~J4SC~ ~ ' ~ ~ : 6?~i TtxaS CQU~'ts at~c~ •~rc~~ au~eS w - ~ ' L~~ Florida Laaie ;Fcrr PrC~ ~ is~. r~•..aw•s ru.a i:~r vc,_~.. ~„~:.c.~ - ~I. ~~A!• V17~'.lC l~l. i A~T • . P'ran~ ~4o B»cceri Lupcia fiogpreri o ATTENTIQN :~e •c .oc.• s~ • ,r_ : . c.. _ • •sa...•ow~.--s+urc • _ ' ' " - ~ Vincent Bucceri , 56 ~arkv~ex Dr. . Akror.. N. Y. 14001 i!•-:f.!~•[~ftp~[~CCC~- ~ ' . ~IG•s~~a~ • CC~• ~L'_T(GC(M• ~~"~t14~• ~l _ s_es'•*-.i-_. . . . •-.....•t .'cw.~~ _ ~ o~of ~ t[~iti w~3 C~..l~_ t~~tw O•:- ; ~ ~l ' l--_ ` tf •.w[*_~_ St~~.. ~r .w ~c~~~acr ce~*.r . ~ -:j .vvee .~e c~.sc . f c..r •ttw .::e~*ai• i ~ • - ' ~ s. ..r .c~. s-~~• •~.c I~.tf ~j i_( "-1slf v7 j cil-vtt.i.! C~ J_ ~ t-C._~~ 1~ i ftt__ ;i.~i~~'. L_- ~ , . . _ e. ~ ~ D.,[ ~G Q~ ~5 • CC~ir~,1~C1 ' . ~ cowc•~.c+s u u• wr~c» ~ ` r 4-~ ~ a ! ' ~ ~ ~t ~ ~ (c~.a .~sc .o ~.~..co..-c .e: ~-t~f~._ ~-6:-~C~,~ ~i~_ _ •y~{ (~~-1-- • - - • _ i c.u~c • sr••.ac •.c _ - ~ o_e ro ow u~:~~+~c e..e~ os i ~v~cr~~.~rc c•.+sc ~.s• . - - - ' - ~ ~C• - t ~i---- - , ~ .:~-.w-..e• ~ resce.f ::•t ~P~FT ' C!~.[~ S.Gr s.ta~• :JVO ~_]w~'.~~~~~.i >~_^.C~`•.•• ~ ..t ' ~ ~tea • Ok~tM ~J' ~OT •[l~`lf. ~C ~1..•~ ~.~rti ~'~~~w' : • •t . r ~ •`i Gf isa`~ ` : ~ , ~ S • ~Z~ . ' I 1 •ft ~ ~ ~ _ ~o , HyyyryA ~i~.~'. 1~:• ;ti4T l=- u.:.l<... ' ~ . _ ~ _ ~ „ _ I~I~ ~R.OEwT wON C ~L ~'~E v_~•..j: ~•aa• ~JC . ~tf:~. _ ~ w. r- , .a .s . [s ei7 vA • i u ; ~ ~ s:r~c +c v.ocrc~.•:.cu ' 19A l° , . - - - - _ ~ ~ - ----1- --1----`--- ~ ~ - s,~, c. . Ir .19E ww~• woa.+ . !ar •~.cc os ..~..rc. •~4 ~ a.-.o. s~.rc~ • . . . ~ c~..+ z ~ .[s ¦o ~ r.cr~~._ orr ca +.o: . c'• . 1 - ~ ~ ~ ~ ~ TOtBE GOMPIETED BY _pR_ T:. BE GOIIPlETEO BY 11~ CERTIFYING PiiYSIpAN ONLY CORONER OR MEOICAL EXAMINER ONIY 2~. _ - - - t ~.e p~RT s - - - - _ - - - ~ Iw;A.TO ~EST Of Y? •I~OV~~L.:SZ. Ci~~w ^:.C.l~It[. ~ ~ . ~ . _ • L~ .-`~~~Y ^ ~.1-' ? ' 1~.. ~ V• Th[ ':Vf O~/C ~\J I~fCC ~~C "1..[ ?U 1NC ~~•~~~I-'C~rLl~~l ~ ~l~•" - -E ,~'t • i}' c..,srs saTCe - .1 + i f . - . _ ..•sr . ~t~~ / . i . ' • _r ~ ~ 3:i~EC •.~~i~.i'iA~' ~In ~ ' . . f _ _ . _ _ _ : - - , _ ~ - Y-; - . . - _ r__ ~ sc . , o ~cc.. ~ ~ si:•. '~s :a`~- ~ - - .-T ~-Ti., ~ ~w.~! •~~'_-i r '.'^`-~.TaO' .±.~..-Cl _ ~ .•i: ~ ~ ~ , ~t- ' . , • ` y ~ . ~ s.o~. ~ ; _i L:1.`j ~ i ~t i ~ !--L:1 'i! 1_~ . ~ ' " ~ • ~ - - _ , _ - ~ `p •r~~~D.tii•1~. ~ a•Y OTr[• •rl` Cl~t~~.s~ 1 . r ~ . . . -i+ - ~ti . ~ ± . _ ' ' l__ _ . ` r . . . k , i ' • ' ....e u.e :ewe~ . es ~ _ .~c :s. e ~ . . . t.~' !T ~ .~L ~ . ~ T _~1~~ ~ it__~1.{':.!-~ _C_t _~-1" 1 1 + 1 ~ r_l y~ ._._T_.~~__.'_~~.~'~__~~~'~ ~ _ ~ _ _ • - --wti 3!aTC ~2i• f • ~ Cwl~.~•..v •f•sC.~. ~~r:.wr_ ~,a~_~ us w-. - _ar-.r~ ~ 2~._ ~ . _ . ; ` 'r_.~-- A_.r~^. ._Y . ' ~ r' ~ ~28° ?~i St. Tere~a Cem _~r ~ ~ ' --L._ _L~. _ - - ~:e •c.+s*s.- ~c (l]A •~~I[ ~MO ~GOwl35 C• tuvaa~~ «.v~ . ~ ' ~'Efios~ Flaneral_ Homet -Inc.s~_ John St. A~7'ni'3* i..Y. ;4c CT ~211~~ ~ l- - - .~'f - - - _ ~t~tu h...e~G~ •...[w~.' . s _ _ .IaF `.f~•• -e + eR.. t aF.... . •.G•. p t~! ~Vit~ A. F{OSS ' ._',a~...~~ - nLi7a? f ~ _"1~~• `F. 1 . . • . r i , Sa . G•a'_~t cr y -------T_ r~a . a ~ ' ~ ' ' t• • l: r .1~.~M• - ( i. ' ~ ~ Jj _ I • r - 's~ _i_~ ' 1 "--a__a~l_ ~ - fIIED ~.ktiJRREO ;c'-~~tr~~ rp~rect CopY Of d~~` ' N. IUC+E ~J11NTY FtR. 1 hereby C~~?..~~ -si'~e- -~.;;~r ot vita~ Sts~ R'vG~. :}:;R~S cate oa fide ~~Q~,~ iAl¢.~~ a'- :irrw ~'tr~M. : ClE'~K .~JI' COURT of the 7awn o~ . ` pgrrr:. 'iC- ' 1' ta: ' • ~ ' , - _ ~ ~ OEC ~ I 3 s~ PN . ~=L, ~ i oat~e:~-=- . . - ~r ~ . ~SEM.1 , , . ; : ~~,bN? lA 296968 - . ; : eooK ~ ~c?1~2 - - ~ ' ~ r ~s-~ ~ ' ~ ' ~ ,s~~-~~`+~. :~r^r,,, ~ " _ „e- ` - ~a~.~~.~" -.~r"c.1 ~c~..._,~.. ~ 6k . ~ _