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. STATE OF NEw .IERSEY No:.....12~•..•.........•
° QFFICE ~J REGISTRAR OF VITAL STATISTICS
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Tkis is to-Csraty that the fdbwiag is correctly copied from i record a4 Death is my office.
NINE OF DECEASED ~ ?41CE Oi pEATM OAT[ 0/ OfATN
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Robert Fraasr ~ AeAa~eet:, Re.1+ Jerwef Ilfa~ 18th, 1957_ .
SOCIAL SECURITY NYNRER : fE= COLOR -MARITAL CQRpIT10N DATE OF ftRTN AiE
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706-1b-?9~0 I~sls . - _ Whit Ke?rrisd asmb~r 23,. 1944
KAtt Of •IRTN CADS[ OF DEA1N ~ -
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' gaotlaad ~ ~ ~ ~ I~ooardial~ Intaration due to~ Corot Tb~rottiboaia
• - - i1?rKENENTAL INFORMATION IF OEATN wA5 OUE TO EETERNAI CAUSE! -
ACCNTENT. iU1CIDE OR NOIIICIOE GATE OF OCCORRENCE
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TIM[RE OIOINiMRT OCCURS -
. - OTT Ott T07fM eouNn ~,•.a '
M! INJYRT OCCUR tN OR AROUT NONE. ON FARM. IM INDUSTRIAL FLACE. IN FURUC FLACEI - -
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rINILE AT •ORRT NEANS OF INJURY.
NARE OF PERSON 1•HO CERTIflEO CAUSE OF DEATN ADDRESS
Jaames C. Wren, Irl.D. Closter, Nex JerssJ
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- RegisUar of Vital Statistics -
_ Park Street Demareet g. d.
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- Address
Date of IRn,e
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RETURN TO:
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~ P. J. BRA,'3NEN, JR. ESQ.
Post Office Box 398
Boca Raton, Florida 33432 y~,
x.323 ~a~~7zs
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