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HomeMy WebLinkAbout2163 l.e~d F« St.00 . •r . t ' ~ . CONNECTICUT STATE DEPARTMEN'I' OF HEALTH ~ Y Pnblic Hes1tL Stwtiatiea +ufford, Coaaectie~t , . , S~ctioa - H t, U. S. A. - . . * • 3~ i:'' - ; ~ - - - - - - - C.~o ~;of Death Reconl : COP ~ - - - . ~u~c . 'a ~ ~ . ~ s ~r~ .r. ru~c. dR[ af WqN M~t M~ ~aNl _ 1MCE- w*~ ~~0. rt~r~ wGE- ust ~~ww ~ wW ~e+ ~ Mv ORTE O~ OiAn1 pvrna Mt +w ~rl tR. lrewq MII~~ iw~p r0a Mq rrAa ~s ` • ~ 68 • • Feb 14 9~2 oown as or~?n~ ra~+ ar auTM Noiwrx w a+a ~snrvnou- .~.s r•o.. w.~ «w w.rar ' ~ ~ amford K 9tamford ~o ital . amr a sr~~t aF ~~o..~rr ~..r tw a~+a~ as ~wu+y~ ~o. Merc~ ~~~a Moow~. u~ ~ a w. sr...w....+.~ i ` sro~o~. ~wir sesw~?r~ Ch8t1!'8 • CZ ,a ~oCU~ s~rtr M~rEw uMr~ o0pn~nw ~r.a r a w.a wr r+.~ roa s wio o~ w~ss a~ .«.r.~ ~re «w r ..w~a K ~ ~ ~ , ~~ICE~i?AT[ ~f1Y 1~11 - p~T AIO MV1~EII ' i y ~ ~ ~i oE~?~ A YE7~IMM7 ~ fK ~1YE MGR ~d~ Ni O~ ~ . 1~~ A ~ a r ~ r ~ ~MfliR-MMrE w~w ~it uw niC71B1-~Mp~ N111~ wr~ weas w? . ~ Jolut $uaseli Elizal~eth lan w~o~mw*-w~E rr~..~a ~oo~ESS a~ ~s.a .e, a.. a~.o.~ a..e. sn w ~ M11t ~ ofl?n~ w~s wAEO tr: pRt* aar or1E wieE ~e1 uE ~at pi wo (q n..o....a .nv....ce..e. ~rtr r~e ar~w. - ~ rra o~ir[ . cv..... ~ . ' - ~~~,*~~A~~ n~~~lw^iE_Y~uNTYF1X. Ld~ 2 - M ~~~E . RAS t - arr~~ r rw ~.a ai ~a ~ m~aro~cs or: v. „ i w~ ...a...~o...~s.+s « GtlV.i,ht~. -S REr.~..uv~~1-;~'1 - , K PavrO 1Mt l~t~l~l{ L~IAE ~1~R ~ _ ~+4 w r~ m.~a~sx a: C 1 I 4 10 ! ' i 3 ~ « Lt,~ l~ - S ~ . .w1T a a1~t aiQNRrI~R COAT1oMe~ aoo+w. mr.i..nw. io...w. wn .n. i..,~ ie ar....... ,.~r A11Ta.3,? . MEt ~.or., ov.a,ave j . A_ c ~ 1/ G~ h - Iws sr!4 at~a ~r~e as ~*o y ~ o ACC~1f, ~E M~/m4 O~?E ~~JI/Ir pnK Oitr, tfM~ IA~M1 l10M ~/N ~RA~D Ara1 rr~Mi[ O ~MN MI{~IY AT 1NOnK ~ . ~ {~1~'i0 ~pIT? ' 11~1 ~ M ~Ml~ R I~~ A ~p/~ ~4 O~ q ' . ~ ~ ~ ~ ~ ' ' ` r~wcE Cf ~useY n Na~e s~.~r wrr?now s*~.n o• va .a en. a~ ~e.n. a•m su~oetr nB,EVatr ~p OoMOmOU ~oRt~ w ~r6+ ~ ~e~+: awes a~a. arc ~ore. ' w... ~r w.ry 1r ww.rs ~s ~ a ~ . - . - 4.~TgiCr?T~ -~xr~ ran+~ wT .w rar~e se: ~ rr ua w~~r rna oK OEwtM OOG1~0 a~ wt rut r~. ts rs ~ ~ A~q~ M 10 ~1~ M wM ~A ~f O ~w wpKfaOC RR - ~ e. asr.s~ ww j- I L'`- ~ 2- 1~' 1 L sr L ¢ T'1- M L~• t 1~ 1M[ G~MtA A~fiII : • ~ ~Iflf1~/?f10N ~ YE.OICAL CIAMMEA• w rr vrwoa o~ na a~tt ~ws ~oM s ouTM t~t ~ew~r rs ~wo~ars ew Y 70 M f/1~ Rni~. OUTM ir1R/e r iM YoM~ ~d/M w qY ' •~r1~ • r = ~ j ~7/~~MM~ ~H~! Of /~1fy ~MT1~ ~ AlIRf ~ r . t ~ • ~ ~ -~t~~x,r ~:.:I~*.c~~ ,r~_ 1.-r... p. t~•2~y . j WiNMO A0.~11ESi-CEA71f.E11 a~sr o~ ~ra na omr w~ww ww~s ~ ~ OI?tE fo11E0 wrtK .w 1 ~ 60dKi D a. . ! ~~la.n C~E1~Ano~+. ~prw~t w+ETEJ1r on a~QU?twr-w~YE wG?nw qno..o,. r..n , s~ Pf`~ i ~t W?TE ~rv~*k a+. ~sNO lYUEML NOr~E-?uwE ru+0 ~DO~ES! a*~* o~ ~rs ¦o. an aw *o~a a•n. an ~ f ~ t ~ a. . ! 'WtECT01~0a -S~?ui ~ E ~oor ~ a.~wrro UClMSE MtNfF~ 1 ~ / ~ i MS CEn~~TE ~ECEnRS ~n,. i~ ~ ' ~ t ~ w ~ . . i . ~ ~ r-j : ~y - - _C: i ~o~ / ~ --~C ,C•t ~ . ~ ~ ~,QZ •e~~~ • - . . , : : . ; v„f, , i : • - I certif~ tbat .tiw,s~ ~i.a; ~ue ka~i~lE~f.,~i,~~ ~of the iniormadon oa t6e death reeord ss record~d in tbjs o~ie~. : . ~86 ..ir:- , ' - -~3~.~~. ~ . ~ . . - '~•_~~'~t~.~' . ' •{«~•I;'} aY~r~~ ' M~~ ' . , ' ' . Re=iatns ef Vital St~tisties . D~ted ...~:....:7~` ~4~~~axs~~ :..............TOM?0 Of...............NQR~........~.................................................................. Fvra v.s. 1sC ~ t~00D WITHOUT SEAL OF CERTiFY1NG OFF1CIAl. -----r--------~'-~~ - _ _ _ - ~ R _ t ~ - a~~ 244 ~2163- - - , ,f " _ , - a-. . - ~.:r . -~f- - - . - ~ ,v"€y _ "_~..t~. ~ ~ Y _