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PROOF OF DEATH CERTIf 1.•ATE
Nrmc: I~I+I. John A~I.i.chae~ Bof.and
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Soc. Jas. No.: - i
Residence: 506 Va~eyv~.e~t~ Chen cent, Iki,GtOrt
Pla~-e and date of Death: Mi.P,ton O.c.6.thi.C.t HoeµitaC: Novernbeh 2$, J9?~
Ptx-r rnd data of Birth: j/Le,eand: Sep#embelt 12 , 1920
Next of Kin: ~ . ~,Ce FQ.b.(.an (F1(.Cend)
Address:
506 VaX~eyv~.ew Cheecent, Mi.Cton ',i
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Pnys~: Dh. H. A. Tam
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! Date and Place of Funeral: NOVt~nbQh 30, 19 7 8 : Sz. Dom,i.tuc' b ChtvcCh 1
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lntermentf~ Ri.v_Qhbtde Cemetehy
~ Dated at Totonto.Ontario. this 28 dry of NOVPlnbeh ' y 7$
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