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UNITED STATES OF AMERICA
CERTIFICATE OF DEATH
I~ ROM THE RECORDS OF DEATHS IN THE TOWN OF MANCHESTER
MASSACHUSETTS, U. S. A.
1. Name. Gertrude C. Gillis _
8. Date of Death November 16, 1979
(Maiden Name) . = Gertrude Carter
3. Sex, and whether Single . I - Female - _._i
Marrir_d, or Widowed ..._11ar.Liefl_. - ~
4. Color _ Whi 1<e
b. Age . ~ _ 69 Years 11 l[onths 6 - Days
6. Disease or Cause of Death ~ Acute mvocardiel infarction with cardio Jgenic shock.
7. Residence ~ -_~BI1Ch~-&L.P.Y~ ss~
i ~ '
8. occupation ..1~u:iew3.~_....-.~...-- _~,.,~Y 14
~ 9. Place of Death . . ~ _ .~-r KC PEt~~ -
Beu amass.--
j sT.~ ?~?~i
f 10. Place of Birth . _ Gloucester-i_Mass. ROGER
11. Name of Husband or Wale ____Archie Gil-~j,-g---___-___ - _.S~¢
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i2. Name of Father ~ Raymond Carter-_._ -
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13. Name of Mother Carrie _Br
- (Maiden Name) -Q~ -
14. Birthplace of Father . - Gloucester,-_Mass, . _
15. Birthplace of Mother. _-_G1oLieester,,_~sS•~_-_.______-__~_- _
16. -Place of Interment _-.~1fl8.88IIt
GriL~LCe_ Manchester__ Mast.
I~_ - MCI
caret _y_Carroll repose and say,
that I hold the office of Town Clerl: of the Z-own of Manchester, County of Essez, and Commonwealth of
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Massachusetts; that the records of Births, ]larriagea and Deaths required by law to be kept in said Town
f are in my custody, and that the abor-e is a true a:tract from tbe records of Deaths in said Town, as cer-
'i tified by me.
[ _ ^A ~
Year 1965 '.fi-';`. . '
k Volume 5 Wrrxsss my hand and the Seal'ot.~ai$ ~r11, ott~the 26th
Page 58 - ;
No. 51 day of_ -March----- ~ 19
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