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HomeMy WebLinkAbout1004 . ! ~ 4~43514 . ~ A Verified T~enscript from ths Rsgi:te~ of Death ~l~ of D~e~os~d lttitl!' fl. J't11~~ D~ ef Dwth 10~=1~5 RplstM No. 1='~ • . IMloe~) (Day1 (Y~m) Plx~ of O~otl+ _ ~es~ svenue Usuol R~sid~nc~ _~rest Av~nne Nanuet Ne~ York L~n9th of Stay in ToMn, Citp or Villeq~ ~~~t8 • 1Lsle S~x Sinql~ Morri~d ~Mi~ Mhdow~d__ Divore~d $4 ~!'A • Months Doys . A~s V~ars Soclot S~cwitp No. ~'~-~$~462 - Mw VN~wn ({f r~s, wlwt wor) YeB ~~Olld ~a! i , o«~~+~~ Dsntiet s`~~P~a~. Yinneeota II.S.A. _ Citi:~n of Mll+ot Countrr F~.: s No~. Christian Juni ~ Caroline SoSler MotlMr's Moid~n Nun~ IetKVOI B~hrNn Caus~ of O~o~h Ons~t aod D~otb . Poseible Pnewwnia (vndetr~~atoed . ~ e. Poesible ss iration nndetsriain 1 dn i I . i G. w. Psttereon, li.D. M~dical A»~ndonc• or ot1~~r Att~ndont ~ ` Yichael d. Higgins -yiddleto~rn Itd. ~ ur,a.nok.. l~aauet, .1~Mr Tork ~ ~ 't`i'"'~r ~ ~ . ~ . Cedu Ls~ra Ceaster~ - , ploc~ of Bvriol ~ h.~.br sol~ainly oN~st that this is o hw tronscriPl frow t1N ; lerk's Oilice - Zb~?n - ' in th~ ~,~j ~ y r;,. ~rf , ~__i .`i+~~ l.' ~ B,ockland s~.~.c~~ - Counry of .C>,~:'; F f. t lsth " Doad ot New Cit N. Y t. ~r, ,,~r, r-•~- ~ _ . , ~ n'~3L~~''~`~' ( Siyn~d ) . ~ RE611TRA~ Of VITAL iTATISTICI ~ ( Official ) ~ - - ~ a ~ ~ Hp~ p~ 1= 16 ~ . ~ Felft! A~ j. ~ 5 ~f x- ~ C~~~~ ~ Q~Gnf'~ lff~~~_~'' ; ~ ' ~ . 443514 ~ ~ = ~ , ~ Bo~r 308 ~ACE1004 # ~ . ~ _ ~ . ~ . _ ~