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~71556
WARNtN&: It is i11eQa1 to after this Copy a to duplicate by photostat or photoSnph.
I+tos soots REV s-Ter COMMONNEALTH OF PENNSYLVANIA
cert. per took) DEPARTMENT OF HEALTH-VITAL STATISTICS Q l1
(FEE FOR THIS N~ ' 0808
CERTIFICATE 14.00)
LOCAL. REGISTRARS CERTIFICATION OF DEATH Registered No.
F.B tva®e JOSEPH EDWARD REINO
of Dccsa:ed
First Middle Ust
Rrsfaeare_ 1001 Woodside Avenue Ellwood City Lawrence Pennsylvania
kumber Street CitT o? Town County State
~'aCe °I Lawrence New Castle
1ka16 Penns~haeia
Conn/y CitT . Borough or Township
Sex ~81e Datcof tkatb May 20, 1979 Race white
,fit` Sept. 2,1922 Birthplace Penns lvania St,rital Status Widower
r orce
sa°rlt, 191-12-3406, cr,p„~omputers Supervif~~ransserialN°. 13 088 532
MEDICAL CERTIFICATE Ihten•al Between
Part 1. Ihatb was caused by: Onset tt°d Death
Cerebro~vascular accident
Immcdute Cause lal.
DueTolbl Arteriosclerotic cardiovascular disease
DueTolcl Peripheral vascular insufficient
f art !1. OTIIER SIGVFICA!YT' CONDITIO\S: contributing to death but not related to the. immediate cause given in
Part 1 lal
lccident, Suicide or 1lumicide Hove dfd injun occur
e
\ame and Title of Person
1Sho Certified Cause of Death I~1.D.. D.O.. (bronrr, ~1.E.) PyOUng Sung, IMI: D.
laareas 202 E. Poland Avenue Bessemer
I~ Street City
This is to certify that the L~formation here given is correctfr copied from an criginal certificate of death duly filed with
me as Local Registrar. The original certificate will be SorMarded to the State Vital Statistics Office for permanent filing..
~~r'ENl( Op y E~!'~ 3?-351
~ ! local Registrar of Vital atistiea District ko.
a 525 Wayne Avenue Ellwood City
E f : Street Address Cigr, Borough, Township
Sr May 22, 1979
~ pats Received by Local Regiatrar
i
_ May z2, 1979
E Oate of Issue of This Cartilication
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4'71556
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1980 JAN • 4 A8 I1 ~ 56
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RECO'•'A VERIFIEtI-~-' "
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