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NA1'HAN L. H. BENNETT J.. .
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~,,,o~,..~' REGISTERED NO. .....2939,,,,,,,,,,
DISTRICT NO. 2950
Name of Deceased JOSEPH L. GII+L
Date of Death NOVCMBER 20, 1978 Ssx ~+E Cota a Race ~IT~
Place of Death FRANKLIN GENEItAL HOSPITAL, NO. VaI.I~_Y__ STREAM, r]HH1 YORK
Usuat Residence 65 ARLINGTON AVENiJ~, VALLEY STREAM. NSH1 YIIRIC
Single, Married Nsme of Husband A~ FAGAN
Widowed or Divorced ~~~D io~1 w~fe
If undsr 1 Yr. (f under 24 F1ts.
Mo~ths Oays Hou~s Min.
Gate of Birth JULY 27, 1900 Ape 78 YaR
Gtizen of
Birthplace NEW YORK What CountryT U.S.A.
Industry
Uwat Oc:wpat~on TRUCK DRIVER or Busineu I+• I• ~NN~1N~ CO.
Mother's
Father's Name GREGORY GILL Maiden Name CATHERINE UNKNOWI~1
Ever in U. S. 096-01-2979
A~med ForcesT NO Security No.
CAUSE OF OEATH: Time of Deatfi 11 • 12 P. M. _
~q~ BRONCHOPNEUMONIA; ACUTE MENINGITIS
~ PA$8~ II: ADENOCAIt~INOMA OF RECTOSIGMOID WITH LIVER METASTASIS.
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~ Cenified by MINORU AR11KI, M.D. Address EAST MEAD~W, N. Y.
` Place of Buriai FRESH POND CREMAT~RY, NOVEMBER 27, 1978
~ or Cremation MIDDLE V ILI+ACE . N. Y. Date of Burisl -
~ ED~WARD F. LIEBER F. FI. Address VALLEY STREAM, N.Y.
Fune~al Director
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~ I do hereby certify that the above is a transcript of a copy of a death record of
a JOSEpH L. GILL _
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~ as contained in the official records of the Regisuar of Vital Statistics of the Town of Hempstead, Nassau
~ County, New York.
" . IN TESTIMONY WHEREOF, 1. have hereunto set my
ial seal of the Town of
~ ~ ~ ~ . hand and affixed th~`~ -
~ He stead ~i~°"*
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this .....2.4t~,.:.; ilay~qf,~i~Ml~l~~3~, . . ,19 ..7.~.
~ N°- 9 712 ' ~ ~ 7 at Hempsts~Neyv Yotk , : ~ f
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~ U ~ ~jr, RECORD VERIFlED
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