HomeMy WebLinkAbout0353 4 ~.q~48
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UI~iITED STATES OF AD4ERICA.
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Z+OWN..._....._.. nf.........BPCKE T
I. the undersiQned. hereby certify that I am clerk of the ....T.°.wn.......oi..,.Bg cke t
th~t ~s auch I have custody of the recorda oi deaths required by Isw to be kept in my o~ce;
thAt amon~ ducb records is one nlatin~ to the death of _
Dr. William Gurnack
and that the lollowin~ is a true cop~ oi eo mucb oi said racord aa relaLee to eaid destb, namely ;
~ Date of destb....:..... tembe r.. ~ x..1978
~ecket, ~ass.
Place o! destb
~ Dr. k'illiam Gurnack
Name
lf aec....+ b . e~.r.+e~ .Yo.ea .e ~.«w+ .e.... sl.. .L. ..w ..a .aa. cr ~.A..l .
~ 3ez ..................~:ald........................
3ingle~ ~srried. Widowed or Divorced Sinele
Age ..38 Yest~ Montha ...................2 Dsys
uc tel :rs:~dcTMe, Commonke slth eYe . 3 ton, ~4 c Q,
~teaidence
4ccupation .,Me di c al Do c tor
U. S. War Veteran Vietnam
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Place o! Birth ...Willimantica Ct.,,,,.,,..,,
FATHER M~~ ~
William J. Gurneck . Helen PactWa
Name ~aidea Name
Place of Biztb_ ~ i 11 iman ti c~M C t~_ plaee oi Birth_ ~ i 11 ima n ti c~__C t~__
~ ~C~nee of Death ....~ru~..Onerdose
~ Columbia, Ct. C~.lwnbi~ Center
Place oi Burlsl ...............Name oi Cemetery
~ Date':~• ~ecurd.. Sep tembe r 9~ 1978 .
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~ ~y.~" ~ And I do hereby certify that the ioregoing is s tr~e copy irom said reoords.
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'4~ •t~ 9 t~?__._..___._._.._... day o1 S~.tembe r .19 78
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