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HomeMy WebLinkAbout0347 ~ , . , ' ~ ~3S~~p~ , ~ ~ _ . . _ ~ _ STATE : OF N~VY ,~ERSE~ _ . _ . . . i, ~ - ~°'Yv OFFICE OF REGISTRAR O~ 11tT~1L STATlSTICS ~F 1d _ ~ . : _ _ . . . _ L ~ _ V . . . _ . . . . . . . ` TOWNBHIP OF NEPTUN~:'~ COUNTY O~ MONMOUTH ~ Tbis fs to C~tti/y ~hRt the tnllowiaa is oorrectlr oopled. f~oo~ ~ teooed of Deuth ia ~y of6ce. ~ -~e o~ oEC~sao - n.~ca o' ouni ~ or?~ or o~?~ - CHARLES_ LO~WY ~ Jerssy ShQ~e Med. ~ Ceate t~tobe~ ~ 16 i973 % soc~~ sacu~~ti? r~uMS~e sac co~ae ~ MM~T~ coKUSrroN _ oR~ bF o~Rr~ _ ~`e ~ - Unknowa I~ale White Married . _ - -9-23-i892 ~ _ . :~o•. "Y• . : . - 81 : . . : I~LACE OR ~IRTN : . • C11USE OR DEATH ~ . . Hungary ~ ` Metast~?t~c carcinoma to bone - SYlPLQMENTAL IMf'ORMATION ir OE11TH INAS DUE T~ EX'TERNAL CAU$ES ~ AGGIDLNT. SYICIDE OR HOMiClOE QATE Of OGCt!ltltEllCE . - . . - pit/K _ - _ . _ w~aea oio.~~uueY occuRr - . , , _ . . . . : ~ liTt Y t~w CO~MTY atAn - OID INJURY OCCUR IN OR ABOUT NOME. ON FARM, IN IMOUSTRIAL PLJICH. IN PN6LIG PLACfft ~ - Mt~IR TTK O? ?LAi[ WNtt.i AT WORKt MEANS OF INJURY . . _ - . M/1ME Of PERSON MIMO CERTif1ED CAYSE OF DE/1T11 ADDRBSS _ _ . _ . - , J. W.~Schauer, Jr., M.D. 53 Main St., Farmingdale, N:J. ~ ~ ~ -i k . . - , ~ B,egistrar o2 Vitsl . _ ~ - - , ! N~iP'ttJNB l~liJNICiP~?I. OOMP~X _ ~ ~ ?S Nepwnc H(vd., Ne~aioe,.N. 07953 - ~ . ~ j - August 21,~1975 , . . . 1 Date a2 Iasue - j _ i H. 501 N ~ - ~ u~N[I~ ~Y~WMIMC CO~. ~NC.. TROtTOM. N:l. I ~ E ~ ~ - ~ E ~ ~ ~ ~ _ :E~ ~ - ~ : ~ ~ ' ~ aocER ~roit+~~i ~ CtERK CinCdij 4Q{iRT ' RF;~i?9 V~'~~F1~8,,.,.~~~ : ~ ~ I~ 1l il o~ ~M'75 ~ ~ i ~ ~ ~ ~ ~15'58~4 ~ ~ _ ~ ~ , ~ R ~ g~Rr 243 PaGE 347 ~ ~ ~ ~ ~ ~ . _ w _