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HomeMy WebLinkAbout2276 ~ y t ~.:s. Do not accept thia copy unless the seal of th~ Village of Nyack is af i ~x~~ ch~•c.~~~~~. ? ! ?2yack, New York Ma~ch 26, 1973 ~ 3168`70 nAte nf TR,auP: ~_s. eo 1~/~01 t~ •atosoco m~t~~tt NEW YORK STATE •t~*c •~~c w~~~~w 4 DEPARTI~AENT OF HEALTM <<~sus 9324 BUREAU OF VITAL RECOROS , K.~ T OIV1710N A~~~~T~A Myy~~A ClERTIFICATE OF DEATH ~ 7YPE AlL' ENTRIES OR PRINT IN PERliAKNENT BLACK INK. ^ 1. NAMt: FIRiT MIOOIi LAiT 2. f~t ~A. o~rt o• o[w~h ~d, w..•~~~ . YAl( ?<M~L< ~IOMTN o~Tw ti'Iilliam Roberts ~ ~ 3 24 ;73 3: z; i C w~cc: lwM~~[. r[s~0. ~i~ urocw ~ YA. II YMOCA ~ O~. ~A. VC1[AAM O? Y.s. MMLO rowccs~ •0. 11l"!-lYCClft ww.. . 1W~AICM1 IMOIAM• ~TC.~ YON~M• OArs. NWA~ NIM. ; OAT[f 01 lL1~VICC ~ ~ ~ ?[f MO 1W~NOFA' ' , ~ tirnite 81. ~ ~ ~ o o , t~~.~r z o ~ sw. COYM~~ 1nvs1 i7s. Towr ~ 7C. e~~r os v~uwti ~~0. ~c~srw or sT~r ~w ~~e. NOf~IT~I OO OTMC¦ IM~T/iY110M ~ ~ ~ ~~OMM~ CIT~ OI~ Yll\A{L' 1~1 MLITM[I~. s~vc ar~cct a ro.~ ' ~ ockland a.nreto~;~ N ack ' wc~eks ~ N ack Ho~ it::1 _ O~.fTA/L O? ~IAiN OCCfOCMT •OAw 10. CITISCM O/ MMAT ~1. Y~ITK iTI.~Y• 1=. W11V1111Ni NOY![ 11/ w1/[. YYOIw ti. . ICOYMTwt,IIMOTYIA M01~7N OAt 1[w~l CCYM~Rt? Ner~ York Oct ~ ~18 U S A. Ytidowed - taw. uwwt occww?~or lcrcw v ~cr~~co~ ~~aY. a~MO or ws~wcss o~ ~~ousT~r ~~aC. wc~~~ accuw~s• Fireman (retired) ~N.Y.C. Fire Dept. ~.13-20-14~: ~ ..A. N[f10[MCCrI1N[AC ASCD l~YlO. /f u ~tA. iTAT( ( '~10. COYM~r 1 TOMM ~ ~.ITr OA YILIAiL ~~E. MIt~11M 7NC 1~F. sTAL[T ANO NVY\L11 OCCUAA[O IM Z / ~ 1 cow~oewrc u~~*st I .•~1~iV~lON. iIYL A[!1. ~ , ~ .~.~.cl •[/OA[ nOWI3310M. ~ ~ ~ ~ ~ MO ~ ~ ~ Ne~v York ~ Rockland ~Clarksto~ Nev~• City ~ p~1 ~ 23 ~3riarsrood r 1~A. ?ATN[A'! M~Y~: - IOB. YOTM(~1'S YAIO[A MAM[: ~ •II~ST _Y1001[ lAlT I111lT MIOD~[ ~~l~ ~ ~ William Roberts Zizzie ~iitchel:;. n7 i tN7tON I~A. IM~0~IM~MT'! M1Ni[: ' 1~6. M~IL~M~ 1~D011[f!: IIMCLYD[ 21/ COG[I .ti ERNOA 1! MOTCO Ir A ~ =..'''s ~«;;T~~;:`~o~: ~ s e e llian ~ 2 Briarwood Dr No~v Cit I•i.Y. 10 : ~ u c[w i~~~CA1C wA11 ~ .~~.t~1UIL0. ' APIAO\IM~T[ IMifAY~~ PART 1. O[ATM 111Af C~1/![O ~t [IIT[w OMIY OM[ CYIS[ ICw LIM[ 10~1 IAI, lBl, AMO ICI. ~~TM[Cw OMSC7 • D~~1~~ ~ ?V ~NCOAA[CT G[ATI/1. 17. IMY(OIA~[ C~Y~[/] c••r, H~1 •[[M ACC[~TCD ~ ' ~ i ! ,~c wcc~~r~ww. r~~c ~w~ "/d(flsl G ~ IJLr J-y n - r~y.w V,S_ N. OY( t0 O/~ A! A COMf[pY[MC[ O• COMO~T~OM~. ~1MY, rtNICM ( L/ . iAYC AI~C TO IMY[DIATt IB/ ~ r~f~~~/I~IY1/N ~.ll S'r~i t J_'!/_i: S'.'__ _ CAY![ IA1 fTATIMC TMC p~L TO OA ~f A COMf[OY[MC[ 0/ ' • 7 YYO~ALtIMi CAVi~ lA~~ / ~ ~ ~ 1 C 1 I I~S s/~~/~• C 4 p / 1'~u Jf-c- ~ _ I PART 11. OTN[11 a~cr~nt~r* cowo~r~ora- cowmT~ows to+~i~~wr~r~ TO ~~A. 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O~i[ AMO vIACC ~MO i ~ TN[ TIY[, OA7C ~MO IL• MO C~ip 7M[ YOMTM OAt •~A e pyC TO TN( CAY![S.lf~T[O. i CMIf[! fT/1T[O J ~ 1 ~ . / 't l/.~ ~ 1 ~ ~ f1iM[0..."' ..............rV••:.__._.........'""'.:....'""" 7 lIGN[O._..............."""...._.........................._............... r171[.................. ~ 9. TM[ IMrSIC/Y~ ATT[NO[O TNE O[C[AS[D C. lAlT S[[M AI~YC B. IAOMOVMCCO OC~O C. MOYI~ O. DATC SIU.E7 MOMT DAr [~11 MOM1N OAr 7L~A MOMTM OAY 7C~A MOMTN OAY rC~ N4NiH OA1 It~ : ' 1 I E .RO..~ y :~~j To• i7•~~>~ ~~y: >j or ~ M . ~ i ~ ~ - D. ATTCUD~Mi IM1/lICIAM, ~f oiM[~ Tr~w t[wt~I~~w: E. towor[w's ~wrs~c~~w, OTM[~ •wAr CFw71lIEI~: 21. NW[ YIp ~DOI~[!f 0/ CCPTI/~[I~ (~N~l1CIM. CO~IOM[I1, Y[DICAL (tAM~M[I~, cowowcw'f ~MTi1C1AM. YCO~CAI D~11EC70A1: ~:,1/ Cl.-~-.~ l~~. a . ~-F , jjA. WA~~I CA[V~T101~ ACMOYAL WOI~TM DAV ?[~1~ 2I9. •l~C[ 0? MiAIAI, CA[Y~~IOM 011 A[YOYA~ 22C. IOCATION ICITt ON TO~M1M. l1AiE~ ? ? St.Paul'sHi~hvia~~rCem. I~anuet ;:Y 2~A. N~M< MO MO11tlS OI IYM[AAL NOM( ~ A~ ~ 1 ~ . • 238. PCG15T11Ailor~ wV ; 321 50. M~?~N 57REET NEW GiY, N Y. 10956 ~ 011~3__ j 2tA. N~t+L 0• /YMCA~L OIAC~TOA 2 fICNATYA~ Of. p1t DIACr.TOA 124C. A[G~STRATION NJ- • • _ ` ~ . ~tt..E_ t~:. ~ c! ~ ::iichael J. Hi ~ ' J ~ i~-~-'"-= - ~ t ~ ~ _ t~.~+ . 26A. 31~w~TL~[ 0/ ~[CIl1~lA11 288. yOMTN DAl1 ?[~N 2~A. W111K 011 MOY L 1T ISSY(O 20B.jMOpTti ~ D~f ~ i / ~ O~T[ . , . ~ _ . . . ~ 26 '3 ~ . . . ~ : , ; , , ~ i:z~ ?~«0 3 26 73 FYdI1oE.s A. BatSO21~ De~?. ~ ' ' F • • - C.~ ~ y ~ . . ' r. - . . , n • . ~ . . + ' .:a . c ~ ~ ~ ~ .t I ; • - . ' - fiLEO RK=' ~~COKOEO : 5t. LUCIc LOUNTY f LA. ~ ` ~ r.' RGGii: ?~~~RAS t ~ . - ~s.~ CLE~K ti: .~Ji~ CCURT ~ E ~ ~ Y` ~ . •1j.~ au~O - a fc ~n ~~F a : ~i D , : ~ v ~ ~5~ 3 36PN'75 .~s~ /.y ~ L~1 P ?t4p ~l:',~~ . . is to certify that the foregoing is a true copy (photocopy) of a record on file in the ~ of the Registrar of Vital Statistics of the Village of Nyack,~ew York. ` v `~,i`'ll~ ~~~1 G~'' 'Z~ O R~ l~rances A. Batson, fiepu y~ ~ 80QKl..'Z~ PACf 1V Registrar of Vital Statistics a:~ - ,a.~ - _ . _ _ . " ~~,_xv. - ~:-N <r~ r~~