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HomeMy WebLinkAbout0352 3~843s'7 ~ - REGISTRY DIVISION OF THE CITY ~ OF BOSTON ~ COUNTr OF sUFFO~K. COMNONWEALTN Of MASSACHIlsETTS. UNRED STATE8 OR AMERKII ~ ~ Certificate A 21550 ~ ~s.a . I, tJ~t undersigned, leer~by c~ert~y that I hold the o,~ce of ~ City Regisirar of tha City of Baston und 1 cert-~~ the follaoin~ fact$ appear on ihe ~ . records of Births, Marriagea and D~atha kept in anid City aa required by low. ~ . - .....r..~ _ _ - - - - - - - , ~ ~ t~qr ~omuwtuar~tt~. af ~asa~c~usriii ~ _ . ~ ~o~N F. X. DAVOREN eos-ron! ' ' - r.r~jC~!_ Nt COMMONwCACTN - _ - 1 ~ ,U~f VL~U' . • ~1 . : - ~W~S~oA~~tTAI ~TA7t~TICf ..t~' M ~M~ w~y~.HY. HUR~t R-3G1 ' ~ _ }~STJINDARO « ~ T:.~i~ . _ CERTtFICATE OF OEATH ~+~..~~?:t1~~~~~,~ - r. ~w ?~eM1....11 N.,.~_.....~ _!~}~!l~RtAl-~SR~TAC- ~ l!t .at..a~ne. 1. , .rpie,, w ~ aftA l1~~N ~f MNItM 11 ~~'Q I'~IG~yI twt Ms Y~?f6 aq~qi d u~eH w...~~ 1i~ A~~ v !'~Y~iCtAN-tM!'ORTAlIT ~~sTRVCTto~s roR MR. PAb~, RI?vwtN a~ . ~f EUFCAL CtRTI~CATt : scu xs~e ~ v. s r?,~ v~~.,,.. a~ aec...ee s...nira..+a.:d ar ~i.«~d•......:.e a1...We....K.) i• ~oeciy WAIt) ./.1~. PRINTORTTls ~O C.A~I£~T GT. NToN ~19/{~' ~ CAils6 OR CAUSp (~l M~a~ewt Raiie*ce_ NR _Y.----- _~_..r. St. .l._..__._.__ . OE D6~Tw , fGt~ as tNn r0 SWS) ~ IT~1 UN?ADINC lf.AC~ ~ " ~wx os ~?rriw~rsa MtOtCAL CSR!!/(CATt Ot OtAT~ ELAC R'~ TERSOQ~IAL AND STATiSi1CAL PARTICI/1~IRS ' 3 bATE Of ,'V ~ 5 ~ y~ •~EX 10 1/ SiN (~t dw LEA1'H 11ARRIED (~fNt)) (D~Rt1 11'ev) - wIQO~tiED ~ ~ DtY0RC6a . . ~,j j~ E~ f Y R T 1!~ Y. ~t .~y~ ~tteadi~ dece~ ho~ UwKNOWN ~~8i~ H~Ri.Z.-. It..~~_.. M.-«.J.A~~~......~._-. 1~ 1~.... It 11 r~ ~ c tax lu!?. ,r•n ._~-~r !•_Yr., Mw? i.+.Y xcsL?.r`D d.i+...e. K ~..ne ~ ~sr ~ccrne! M ~?e i~te stKN ~e, at .........._..R.~Y._~w. ...(Ci~e.riie~ N~e ~1 ~ife i~ (~14.... 7:.i 3K~ ~M vw ~4 ~ds !~t) NIIFE d - . ,rr1 u !~N t, ~+t~r. . D=ATiI ~/Ai CAUStD ~Ye II[ItsDi~?~ C~t18= - ~ ~ (H~A's ~a~e u fdl) , • uc. h ~rwa /iw+w, • C ,o.~ruu~.,, +.~tr? c~.Kt ~wt~. ts~ SUAARACNntaT~ H~A~D~cRHqE~~ ~nr Il AGE ~?DYeus__.__.lionls,.....Dvs ! tt~.~`~ C~+/~tir~. il pT. Uiit~ tqs :'~,~;~,..''~"..~,;,,~u..~.~,..~ ~.`~"~`~eaan~. VN~WMR a~sF~sE ~ ~ n~e - __.~~et..~_E.~ _ - c~°~'~ M~tT~ P~~ DEC~ e~YUS ts~C~[RS ~s t.a.~ ~ci.. o:.~c oe.e u.+.s.e~:i.:hi.i ww~~ . « s.~ .~~'A FT S /~'11?N c•'~''""' ` ~ ~ UF1N~~Y T/twcT I~FEtT10 / _w d.r ..r .dr~af N f!t Mdrl ~ OTHER r ix n+iAieiw j1~ i p1. SIG\ifICA.~'T I~ Socipl Secsri~r Na •,LL~.L~._ Q CO.\DtTIQ~'5 ~ A.liP_..._:---- ' p SIRTHPLICE (C'it~) ~ STd ~ti Mas s~NPs7 t~~~i-' - -.HSe__._._.__..... ._____y (Stslt ~r aorw~4) /y/1S . ~ w-~u.e~ ow~r..a~ww~3 GN.._MCA1. -ANn __LAB.~tOn,Ry 1~ HADIEOF ~ ~`t' F~ni~x - .GEd Y?fN ~ ~ S Na d'esa~c ~r wA~f p•L7 ~T reW~ w~ocrprlie~ ~f ~ce~e~) ~s^~.. .n H SIRTHPLAfE OF ~ ~ 11 s~. sordb t~ fATHER ICn~r).~_---._----•-- _ V ~ - ~ . .t..._.. x 15u1e or co~atrf) ~ t - ' ' ~~a~ ~ ISia~u.ee) _ _,i<O~K li"iT THAE Al~i'f~ M.D. ~ ~ OF ~O~TNERUE ~ ~UKK/YO~+N ~ __..._._._....~._.`Iri~t 7yM.lIaM> < 71 eIR'1'Hr1.ACE OF ~ ~ IABdrnslN-~l-~-.~+~...5[~_.~._ DMe ~~/11.~ f 1~ . (Sultwcowtry)~.__...~_._.._.__~....._~----_.__._.._ •t~- - ~,':``-"u,v~ s Q.f~l!~ 2~E ELK_._. E..~? .~ic.~~/ n ~ deewYCERnrv t~.c . atY~y a..~na «n+~w .r p~o a~ ~ tMoe M ~ Cre~wt» ICN~ a Tw~) ~e stiOiE 14 ~rir7 ~r tes~it D~+~it at iwJ~ 1 ur.rac~•. ~f! r s~~.; ~ ni?reoFwauL ~.tl.~?~(.E __~~7_,,, ~ ~M vt O t NAS1E Oi - ~f f~~~ - ~ i: iZ iUNERl16 DI~ _C ~ /A --4 R ..x~'~ - - ~ . - m _ !E-"'6"'~'----~ (diciN Deao~tio~) t ~nt~ ) . ADUit~ Q ~ ~{.ln..._~f ~ - _ ~.~a .d t~ -~~-----...w... . , • ~.i.~.w . ~ t«~ R,3m. isow~naai~ss - t~.r~9 PewE ~~_..~i 1Xtf.(L.[e[~.------ ~ w nus conr • ' . . _ I furt~r evtit~- tL~! b~ ~anexstioo. - t6e Reoud~ d tbe fdbwioa-nnmrd atie~ WITNSSS mp Lsnd sad t6e SEAL d tir CITY RB~GI3TRAR ~ and tnwus ate i~ tbr eusf~od~r d i6e GSty 1~ J U 1~ ) 975 - - Re~strat ot Bastoo:- - • • ~ - - Mer[x~o ~ _ . _ uo tms.__ ............._.........Day ot.__..._.._.._._......_. .....A. D. i9...__....... . _ Boq~oa............_....... ...................Id37 . - - SouW Bostoo___ .............._....._.-•-•-•-••l8~! ` " _ Roabur~_......_ ...1868 -~J_ " " c%~%tt'!~~ • ~ Dor~......._._._....._ .....................18T0 ••CttY ~ , - Chsrle~town By (.'hspter 314 of tLe d 1902, "tbe aeeti5eat~ r atte~tation~ Bri„6tno :...........................1874 af tM A~istant C'ity B~c~n s6~116ave tbe ~saoe t and eCeet as . . W~+st R,ouboe~r i6st ot tbe Ciy R~iitrar." - Hy~ P~.._ .............._....»......:...__J~IZ ' _ , - - - - . a~2Tl ~ 35? _ - - ~ ~