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HomeMy WebLinkAbout0142 - cF~u~ric~~E uF uE~~f~ ~ ' . ro VS 1(i ~/7 GI1NN !,IAII plP! UI MI AIIN . _ _ . r _ . OSS . _ I._ ,~r' r urcr~s~o...wwr ~~i w~N.~ I~,r~ ~ Lilpha Akin I~ ~ F ~ ~ ~ b~1[ Of flIpTN ~wwin w~ ~~.N~ I PACC- wM~u Mio~a ~r~~~r~x I AGF i~i~~ ~~wpe i n~~ uMiH~ i wr DATt Oi MATM irowtn ne~ rlMi va:'~'tr ~ f~ iMYi1F 11C I'~Mli~lr ~ ~III1M1»~ i 111111 Y~it ~ O~rl N~y11A. I YIM . I 1 J/~ J/~~~~ ~1 i o ~ ~/24/19U3 White 72 » i ~ 8 ;s ~ ~ 1~ U GOUNTY Oi OLATM 10WH OF 0(Ain MOSPI1Al OR OTMER INSTITUi10N- Men ni ti0t iNlIIMU OIYI tlM~11 MDNYWtQ Q1 •~i ro~ ro~ N Litchfield _ j~~ Roxbury ~r Corner of Rt. 67 & Rt. 199 CIIY 1 51ATE 01 IIATN ~Coontrr d nol U R I ' CltilfN Of fCounlr~l MAl11UfD N(VFP MAPPIED~ WIOOWFO. IAST SPOUSf ~Ilf wN, pn ~niM~n n~mrl ~ V H 'rl ~ UIVOHClD. IkGAIIY NPAR11tC0 ~ Patterson N Y U3A Marrie . w ro.~u~ w~~~~~~ ~~No a eusu~l'SS hc iNGUStpY •~Q ~ l~ ~ u~~o ~i ol~t~ SOCIK SICURiTY NUMBfII URU~1l OCCUMTION IOwI ~iNli iN NIM~ fl 1 ' ~ Stewart Ross.,_. ~ YW~L M11dMC1 N } » ~ ~ l~ll IYI I I1MIrMUI ~1 ~M~N~~ Yi~41 ~11 ~ . . _ . . . J/ : ~ I~ ~ Housewi fe own home ~ ~ Lt . , y.~n~,r~,~ a~.r Dy~-~2-11 3 I'°~ Q•J l~ ~ ~.w ^,~4;p~0('qN~M~M~OM RI51DfNCE-~S1ATf LOUNTY ~TOWN 41NfITAHONUMN(R . . ~ . U~ll V~ ~ Conn. ~~»Litchfield ,~k Roxbury . I.~,Route 67 G , . i; VR WAS OUE~SfO ~ YETU~N'1 ~ iF YEB GIVE W~q . ~ UNiT OA SNio , . ~ r, , ~ ~ ~ 1•:r annrr .n oe wn~ . ~ , U! = . ~ ' ?r N~ ' W.. ~ ri 1M I~~ I Ih ~ ~ ~ ~ ~ fA(MIp- NAME ~~~sl Mi00~1 lA6t MO1MFq - MAIpFN NAML ~~t~ w~DRI ~ 1h.3l~. O. 0'II ~ ~ ( . , ~ „ Albert I. Akin „ May Hunt - ~~'~1~ ~~I `l;~~~13•'~~ " iNroaM~at--H~M[ r~~iuaa AooNtss ~,r.in oe e~n ~~r~n a~„wH ~,~r~ cm ~ t_; ; ~~~:}~4'" I Rt 6~ Roxbur Conn. 06 $3 ~ ~ - . ~ ~,.Stewart Ross (Husband • 7~ ~ `•w~ - . - .~y~ PANi 1 DIA1N WAS CAUS(~ !Y IENTIN ONLY ONL CAU9E MR IINE i0R (~l (DI. AND (tl , ~7~~~ry ~M~fIIV411~M'I~M . pi711 ~MD p~in ~ W V' 11 ~MYfOiAfl f11r51 ~ . ` ~ - ~ ~ ro a Atv1`s ~A ~~a?'~~~ ~ ~N~ ~~W ~IiN. ,y ~ ~I1 ~ O lilll I~~ ~,II~.~I~YI~r11N~1 ~ . , Y/I1 11 „FINI~IM'~ V eN, IYnl~u ~ ar U V ~,~.1 IM1.I I~i ~YYII~~~11 ~A~~ U C7 ~.a~a ~n ~,un«n r«~ m~~y ~ v I ~.bO~MnM~~ i~„ ~ ~Ri N ro w . , ~ ~ , , ~E IMPORTIINT INSTAUCTIONS . _ , ` ~ P~NI 1 OTNFN S16NIfIL~N1 C(>NOiT10N5 LONOit10Mf fUM1~~I1WM0 10 D(~iM Il~d M01 MU~ID f0 UWI [dYlh ~M ~~III ~ w ~ AUTOPSY 1 II YII NIM ~~MtNN41 Lp11iW~1~ . ~ ; Ifli OM MUI IN MII~Y~MiMO C~MI d M~In ~ AEaO CAAEFUIIY ~ 1~ ~ S I ~ . : ~ ~ 1. ~w ieQ16LY w11h , ACCIDENi SUILIDE NOMICIDE UAiI nF ih1UIlY ,rrM~ m. ~1~~ ~i N6UR~ i MOW INJURY OCGURPED dh6~ F~t ~ u~ ,ui Mrql I INJURY A1 WOp ~ n~ r~ 6P UHU(ifMMUdD ~~'RTO pryGU~ P~rm~neM Bleck Record Ink, ~~r ~~0e 1 ~MEN COMPLETED~ ?UCE ~I IHJ~n'/ ~f n~~l I~NY ~~ellt l0Uli0N ifthllf OI1 Ilr 0 wp i ii~ o~ h~ah ~~~n, SUROERV IltIfYANT 10 CONOITION R~I ~ , 4W,+ 1~I~f ~r~,~, on~,i x,nn u~ icnc~r, ' s lorm Mould be senl ro the m, M, ~ ----T- fpl3~q~ 0~ V11S~ statist~es ~fl CtRTIlICAiIqN-7NYSiCI~N roeb ,vr r.~ ~ ra~,~ w~ ~u~ ' ~wn u~r e~e r~w ~u Mn~ ~r , DIA~ OCG k0 p~ ret a~n ~ro. ro ~M~ Yri ~nai. o~, •~.e ~.o~e~ ~-----r~ .tiorMOO~ ai v / pl! tOWn w~1lre d6ath otCUrreO~ ~•~~~~L1° 1"~ ~ ~'~u~~~ u~qo C+1'' Mi.f~51J1110Y ~ 11~ 1~1 ~ I~n . / ~ GERT~fiW f~ON-MI l[M? EN ~r r~ o.i~~ow a i+~ o+n u~o ~o~~~ a a~i~ i r„~ o~nn~r+ e~~ ~~orouwelo auo , Cul 10 fnl ~~~iU~'. 'r~rl '~1~1.~ IIr iM f.ll ~IIrA~I~ ~O A ~ 4`~'• `f'1~ y11~ r~ M0411~~ M ~ ~ ~ ~ I 7 7 • ~Y ~ O 7i~ . • ~ m ? ~ CtR1I~~E~... NAM~ rt~r~ i~M ~4r 610NA RE ~Mr re rn~t Otlf o ~N~. ~S~,c~r , kc.~ « ~ . f,~ ~ MA~l1 G ADpN155~-CINTIiifN stMi~ ~xe 0 ao e'~ DATk 5~6NE0 iMOhI~ D~~ ~I~~~ ~ ,w ~0 ~K ~1)~ 016T ; ~,~~/z9/1975 .~~i ` flUplAl GrtMAIr.~N NIMOVAI CCM(IU~YONCRfMAI r~-~NAM! tOC~11lON 6nDe10~ti S~~WaI h ~ ` r'NI ~ d Burial ~ I:.~ Maple Avenue Patterson~ New York ~ f~~~ DATf ~w~wn, i... ,i.~~ , IUN[R~t NUME-NAME ~ND ApURFS9 ivnnrn~e~n wo r~n ~~~~raw sun :~r~ ~'`~~'i~ ~/31/7S ;~~Dwyer Funeral Home~ South St., Patte~son, NX 12563 ~t~5' r fi1NtN RfC10(1 (NI EMbA EN-~~°~ 1 R~ NAM( Of fA1AAtMEA YOD~ d~~ IM~4YI9 ~ IiCENSI NUMOIN , ' ` ~ '{~p,~, Lawrence J Lillis i~, 1953 ~5~'~~~ ~ ~ - REOISTH~ ~ ~ . MIS I~ IIGAIf [CUY[U HI.f. U UN j OY ~ ~ J/7 q ~ . ~ ~ ~ , ~ • , • , ~ , ~ 'cLGt~~` /V /1' 1 _ !,~1~ ~ ~ ~~,a: . L t3: . " _ ~.`V`Uw:~'