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l?\1TFD STA'TFS OF A~IERICA
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CERTIFICATE OF DEATH
b'ROV TIlF: Rt:CORAS OI~ DEATtIS I~1 TNE TOR'N OF GREE\FIELD,
VASSACHUSETI'S. U. S. A.
1. Datc of Death ~rch .9. 1975
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2. Name . . . . . . Harold D. Ta~ls '
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~ ~iaiden Name ) t
3. Sex, and ~~•hethcr Single Ms1a ~
~tarried or R'ido~~•ed Mas'tied
4. Color . . . . . . ldhit~ _
Age Years 69 :1lonths 1 Days 5 ~
6. Disease or Cause of Acuta Myocardial Infsrcti~on
Death . . . . . . ~
Art~rio~cLrosis
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~ 7. Rcsidencc . . . . ~
~ Colsaia, Nass. ~
; 8. Occupation . . . . ~1 ~n~r '
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' 9. Place of Death GrNafisld, Haas. ~ ~o ~
10. }'l~ce of I3ir'th . _ . a~'
Colraia, Kas~.
~ 11. \ame of Father . . ,
, Sath B. T~apl~
12. \amc of \lother . . ' '~+~1 '"~'~~a
Mattie Brawa ~ ~
~u•:.:.n tiamel ~ S7~F~~ :
13. Birthplace of Father tk?Icaawn
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i~. Birthplace of ~Iother Onkaa~rn .w ~
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~ 15. Place of Interment Colrain. Hasa.
~ 16_ Date ~t Record Hsrch 11, 1975
~ j,• ~ <.pt+~srot;~ ~d~po'se and say, that I hold the Offiee of Toa•n
(~etf[,fii'thrTuwn ot'G~rifielc3, CouMy o[ Fr~nklin and Communwcalth of
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~ A'~uss:.iChu3~etts; that t~ t~ords of Births. ~ian•ia~~•s and Dcaths in said
~ 'Fawn are- in.;my c,t~tody. #Iigt the atwva is a true rxtract from the Records
~ ~ 'g s~•.Tqwp_.aA c~ertdicd by me.
o[ ISeatit i ' .
Witnq6~ ~jy~hat~_ty~ tl~ Seai of s:iid Tuwn, on the... Lh.
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