Loading...
HomeMy WebLinkAbout0626 NEW JEHSEY STATE OEPARIMEN~ Oi NkA~I?~ S1Att NlE NUMtlF R Do na.: w~~le ~n ih~s bb[Y CfRTIFICJITE OF DEATM . s:n!'[S 9. N ME OF lF~rsf~ lM+1~/4l ' ILnU J DATE Ui DEA1N T'3- ~~e ; ~rr ron DECEASED ~'~'E~ ,~~~do„~?~ ~~R~T~ S0I.4WINSKI T~eb. 17. 1977 :WIY ~ Di 4CE 3 Se. 1 CWa o' Race 5 Apr ~,n ya 11 u.a~c~ 1 v~ It wd'. 2~ H~~ G U.~r .~t d~nh 7 Kn de.r~sea/ e.e. ~n U S Ibmed Forces~ ' rdsr t,,.N~~.~r ~ rYer. no a~ w~t n.~wnl ll/ YK. ~'K wY O/ f~MfJ M White S~ June 17,1891 Yes ~NWI B Buthd+~r IStanw lore~yo cuuMryl 9 C~t r'n ol what couniry~ 10 61a~~~ed Ne.e~ ~Is~„eA . i l. Soc~s1 $tcu~~ty No. Poland t1.S. A, w~~^, ~~•~y~~, 138-10-5725A , ~;,~E t? PIACE Of DEATH ~J uSUA~ REStOENCE ~i+ ~~~sni~a~x, reeee.,cenet«~.dm••sroo~ ~ Micidlesex .S"'° New Jcrsey ° CO1~~~ Middlesex b C~hr . (CRetk ba. ~~vt g~ve n~nel C_ C~tv : ~Chett boa ard q~rs rwntl 80'° Edison Woodbridge ~ Twp T^rp_ e, NarrK of ilf no~ .n iwsp~tal y.~~4n~u!:ur~ q:•e ~nerr awLrssi d$t•rte AAdras Ilt ..r.at, P O Add~estl of peee~fld ' ",;;"~t,~, , r. Kennedv Medical Centc•r 891 fbiain. Street, Fords 11, a. Uaw1 Oicu{wt.on tfirre i~niU o1 ww~ ~Ipne dw~rg.nosl 01 ww+~+~q+,~4 e.en d irf+.n11 14 b K~nd uf Bus:neis a( !w . ~ Realtor (Retired) Self-emp~oyed /5 Fsther's Name 16 MoM~r s Mavf~~~ N~me 17 InTrrm~ni t Name mf Aekfeess a mond Solowinski ~lyMain Street, Fords, New ers ~ ,.a~~ IB.PARTI OEATHWASCAUSEDEV fnnroniyanea~..te~ic+4nrJoru7.IblsnJ(N Apt~oa~mate~mr.alDetweee dnet ol cmd~~on aM destf~ lmmed~ate Ca.,u fal --~I~./~• D~/ i~t ~7:t ALy ~i~.~+ t(' ' - - - - - _ . - cv.~a,.,on:.,~,np, wiKn %~A: ! ..iUt- / 1~,t~v ~ . t~ ' pa~entetOaho.etaus Duriufbl . . - - _ ~~(J~~~ 3U?rIl9 (hlUI1JN A ' - ^ ' , ry,,,yc~osrusr o~.ecot~~_. /"i~~KiOICCG~oTiG_C..~p-AO/U:1AlC1Ll~lin_ ~~S-e.Q/l,G.- ~ _ . - - - - - - . ~ . • .,y ,o a.«n - ~ - ~ .~.,.:,.ea,~, PART11 OTHfRSIG~UfICANTCONDITIUNS ri9.11..,,.r~q~r: 19b~it~rs.weretuwf~nqscmfde~eA - ~ ^-...~-e.ax . !r•hrm+d~ / ~ndcterm.mngcaxnruldiatA' . . _ v.. ~ ~ rvo . res ~ Wo - _ ~t 20a Actdem Su~~d< N~ur+~cafY V~,?nuwn ?Oti 0~~:~ rwf Hw~ D} I~~}u~1 Haw Ir~,wy O:..u~..e ~f ~~rer rvtu~e d~njury m or1! o~ If o! /tem 181. L. ~.t toahenesra~~y~no.v4d9e ~ M~ - 20d In~urv Occc.•.e.1 70r Pix. o• ~.y~~v !eg u..,r,cw,~ho~~t. :0~ ~v i..~wn n. L«~ai:o~ Cw++:y State ~ Nfi,1e at Nof 1kh~le lr•~~. !xrorY, saevr. olr,~r n~r!q et~ 1 . . : ._a. ^ Wdk _ at Wo.k ~ , ~ OF . . / 1? _ ? . JfNf 21. 1 Ui~erded e.am,r~f; T. d'rNSed if•r.m / tn i d~rt ~.nT •.ar. ~h m. hr,~ ..!~yr <w+ ~ - Od Devth acwiN at ~ Ol d~ ~r ~!~rr t!~nrt a`~.,P. t:% :o rAe :rtt n! m y ~.:~r:gc. l: a.^ tl+e carsrs su:td 2?~ Crrt:•,a'+H~rne~ivl•rw?i.ne i~e1~.r ..,i,.:~.y ir;~..w7 ?h M~t„~y4ikl,.Yti.tC•rt.t.e, STGPNGnJ . I~EGG T~/<< ~~isa ~ li~iG~d~.[JC~~6~7 _ a?~ s~..ru.~ ~r.~-~~? t„,.r a~e o.~. s~.+.r. - ~ ni~.,:i.~,qv~.v: ' ~7 ~ .F' /G1/? E,.m a/ /7 ~:~wu ??.s. Bw.a1, emat.u~~, R.nwva~ 7it. . efNY d G-nwtr~v Nj~*~- ?3c l~t.on C4Y State ~sa~c,Iy~ . Burial Alpine Cen~etery Nerth Ambov, New Jersey .+~5~~5 23d. 8.a~ai U~!e bto Uiy V. 7J.. F,.~u•a+Hon•r n~rn.. 74A F.~~xa: H.;~. MJ+rs . - ~i~art Pebruary 19, 1977 rlynn & Son l~uneral FIc»ne 42~ I:~~st Ave., Perth Amboy, N. J. 2~c. F O.recta Sq~a e ' 3 Lc~~^s~ Nn 1Sa H-q~s~•a• kw•^•~ V.~.,., r Sqnatwe 75b Oafr Rec'd. Dv Loca1 ~ ; ~,e . ~ ~~~2958 R~.s~ rp ~ _ _ _~PT 72 I O I 7 ~ ~n an : r n ` ' a.z _ ~ _~a. r. ~ ~ -_~R.yt-.- ~ - - - . ' ~ Division of Vital Statistics : ~ - , . . . Perth F~, New Jersey ! ; ~ , , af~-,i, 3 . . ~ ~ J ~~y ~ x. , _ ~ ~ ;~,s to certify that the aUave is a true oa~y of a reaord i , ~ " ' ~ ~ ' ~ ; ' in this DepartRient. . ~ a 1...~' %_..~i_; . ` ~ / ;5~-:f;~ ',+4,~.~,.`: NpR~c3R~~c ~~G~-~- J-~~t~ ~'t- ' y~~-r~:: F~~EO ~ COUNT~ f -4=;'-. - : ST• q4Gf R P~1tA~S HarO~ A. Hershey at f:r,fc r~~ f4 ~ou . . ` ~ - ~ ' strar of Vital Statistics DATE OF ISSUE: ~ 6 10 5a AN . ~l{t . ~ 7j 3~~pp o R ~oox z~s ~E sz4 ~ - - - - - - - - - - _ _ - - - _ _ - - - _ - - . ~ _N: _ - _ - . y-~.~,... «~.r _ . : -