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HomeMy WebLinkAbout0757 . ~ ~ 31'7930 ~ ~ jRHODE fSLARJ OEPARTNENT OF HEAITN ~ ~ ~ ~ ,,,t ~H 74:.~1II6. CERTI FICATE OF DEI~TN ; ~1 Ri~:ulNahT IN% D[tEwSED--NAMi ~ws~ r+w~ ~.1t SEi - Dwt: C? Ufw~~, ~~u..i.~, s.., ~ i Sii M'.Lf_•?-_Pi f~ . t ~-~~~T~.s ~ • Edmund Geor e I.ETiDRi~;Y :?f~"!.e Au~~-.~:-i: 26, 1974 ~ !AC[ •n.rn, w~uo. u~ucar wouM. AGE-a.u wa~ ~•t,• ~.we~ ~ r4~ D~lf OF t~tTM ~~o-n.. w.. COVNTY Or L..>SH ' 7~_ t~t. ~ frtcri ~ ~Mtw r ~y~~s~ +oa. e.~s rouq ..s~. ~ ; . White ~0 ~ . . Feb.23, ~914 Y'~shin~.ton ~ ° 7c _ C11Y, tOt~M, 0210CA110N Of DEAiH NOSntwl O! OtetFR ~:~HW1tpN~-~~u.~f m~o~ ~a ur~~~. eut vuu .w ..owu ~ - w'esterly. Rhode Island The 1~Iesterly _ Ho~~it~.l____ ! StA1E Of WM ~ u wot w r s~., ~u~ CIT~2EN Oi wr41 COUNIlY MAEUfD. NEYER lr~w::' D. S~~USE c~~~ .uov. .;uy ~ cawnr~ ~ w~Dp~YfQ ~IVOCCED ~ utcM~ ~ ~ ~t~:..~ . Connecticut + U.S.A . t~',arried Ju1ia K_raus ~ ~»:t f'.~.~1lD . . _ . ' T .~.,M SOCi~I SECURRY MM+~E! USUAI OCCU~ATIOH ~VV~ awO W~rWa f/~w~ eutu.G rOi~ O~ t't.J O! 6~Swt',S Oa ~rr~uSrer j M"C~':.IC ~ ~~r~ U~l~ l1IfM p~~h~lO 1 S "'''L 04?-09-1182 Printer LinetYne Operato____ TIi~ ~i~'~R~FOR~ TI.~:S ~ .~.o.~ _ _ _ CITY Ot iOWN OF RESIDENCE - IawIUN6 ADDRESS OF RESIDENCE-STIIEET OR ~T.D. wND Nl:r<yE R_ C1iT OR TOwk_ Si~TE, 21? CODC . ~ui+eather;~field ,.d Fark V~ew Dr3_~n. 1•:[?c^."~hn.-c.~~_,--~~j r~-,,;:,,~.r{~L~fi ~~s . ~,..a~~...,.:..~,:>... ,,.:..~.~z..f.._.:~,.~,-~~_~~~.?.~_ iRTl4A--Nw~wF INSt ~WII ~ ~~t~ M~~INt~-- ~~~i~ r.p,rc! AUl::iH r.~uE ~~~.~_c~'~ ti Edward Leturm~~ Am~13.a Unl~nown) IMOkMMIt-1tA1NE , ~ MJl1iM~G ADDii55 o. e• t~ ..o . c~n ~o..•., s••~r. ir~ I4rs. Julia Leturm ~Ti_r~ ~`i P~x~-,; ti'~e~• rr. , 1•'~~?th~'r^f~.~~)_d E Con~. ~ ~ _.rY _ - --..r.. ; ?Aii 1 OEATM WAS UUSIO ~r: ~lNlf[ Otiii O"t! Cavi: ~i~ luh K:' ~n . l~:. Ai: ; i<j' u~..n.~ cnv~ ~w~t:.•r u r.ro~n cws~ -----i fIlEO AYL~ ~E~Jr~DEO - ~ ~e _ Acute My~ocardial In_f;~rcti ~n sT.~uc.r :o~NTr F~~. Ir~_~~diata? ~ . ~ - CL~-R :J~T :~URT COwert~ONf. n a~n, tt'n~ . rw~Cw G~r! ~~i~ t0 ~Sj ~r.eo~~n uvs~ 10~, W! t0. O~ ~t ~ CO«HT•1w!~ p - aaa s1~t~wG Irl ~'+Dts- p ~ ~ . . I~~MG C~YS! l~{~ `t' ~ ~ V SEr 30 9 3? ~N'7~ ~ '~t ~ O1MEf SKiN'JKANi CONOIIIONS~ tP+dno.~a tpne~~un+~G q Dlwtw wr r.Ot Ni~~1o tC~ Uuae ont.. ~~a~ Al:TO:[~ li ~E`_. ~~+r ~.~o~H .a cav~ F ~ nn e. «o, f~ot::n or*ee..~..~..., e<~~~ ~ a~ oa•TM ; • "c s ~ ~y NO': wcu4[Nt ow1E of Rlxtkr I MOUe nOw u+,uaY c~uk'~_il ~ ~w.,.-w.i:..• p. ~.uu.~ ..n ~ w...: n, r.~.. ~t ~ S ~fMCUr ~!f W w0~ ~rO.~a, Oae, q~l~ ~ ~ ~ ~i0 n+ - l~° - a • `w IN}JtY A1 WOtR t1ACE Of iN1Ut~ .ww. ~u.., inn~, ~~ooa., IOCATtON ~ s~a~~ oe r~ o ..o . c~*• o~ ~oF ~•.T~ I~~I Z'~ ` ~1?lC~R M*_`S A~ MO~ W~K! NOG.IK. tfMC~1 ~ i f0~ ir~ 7q ~f i CfRINICAf1ON- . ~Owfw O~• ~1~~ rO~r~ O~• ~~u w~~D IASi S~'w N:I. HE[ ~s~.[ ~ i~~::'~ hc~•~w!w E G_a't. pC_7[tD ~ ie~rSKtur _ Oa rOwrw O.• nu rr.E LGDr ~~ttf 4iwrro. ~•i~~ ~ r~! rucr. O~ Mt ~ ..n,+weo nn I e.ie . :o. +o *w ; «~...~o,.o..: 2-12-1972 T~~~. 8-26-1974 ~~8-20-1974 ir~Did I~f 12:05M';~;~. ;a ~ ~ j ;k c.u~r.sr ynr~o i '~a ~ /lt~! Of NW~1 -__----OIC.~11 Of I~T~1 1 tH1rSK~~N-NaMf S~G?~~fURE ~~T ORiE SfG'+LG ~~o~+a..o•., ~tu~ L - _ f ` ~._Joseph R, Dotolo, M.D. Joseph_R. De-Lo),~,_ ?:~D. 8/26J197~~ s i rwU?M, wDDRE95-MrSeC~iw snu~ w~. c NO Pf~ G~ ~J~ti - 11~ti . ~ ; „ 90 Beach Street, Westerl~?, P.l.o~ie I~].~ncl 02p91 ~ i llAUl. CREMATpN. ~ fM[iERt OR CREMAIOR1f-H~Mf IUC~iKr+ c~n w io.w i~.~~ ~ i: ° ~ snun . f = - - ri ~ ~ . " ~a~s ____j:~~ I~~*~c?.e~# :}r C~~~~ne~t~l ` ~ 1 DATE *[V~ / NERI1l MOME-N4Mf IND AODlESS ~ sw~n or e r o ..o , cn. w su~H. ti*.~~, uY~ • r._ . '1 ~UIlt1 ~ i l~' YU ~ GQ~ 1 • 5 8 2 't- 4__ e LaPorta F~~neral Y~*~e.Y-r:^.,8?L,_~c~:-;.<~:~o.:.1;. , : ` ~1JraEtµ. pf- ?UK tEGiStCAR-S~Lu,tfUaE • _ ~.•a ¦ict:.e~ tr ~oc~: ~:;,~:uae S i <<-~ ~ Jahrt`,~. EstoGk ~ J. rw Florence L. Saln~feizi~: ~~s AuTuSt Zbi 197~c ; v~.__ - i ~ ~ ; ~ , ' - ~s~- . ~ ? _This is~~~Ct~._ ~e~~fy "that the foregoing is a true and correct # ~ copy .of"a ce~~i iCate on file in the Office of the Town Clerk ; ; of the Town~,~ci~`.Westerly, Rhode Island. ~ ; This copy issued: June 27, 1975 ` ~ ~ ATTEST: ~ To:on lerk i f • ~ i g ' . ~ C ~ . Bo~K 244 PACE "l57 ~ - ~ _ : ~ . ~ W _ ~