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,,~,~,,K `~a CITY CAF' NEWARK, N. ,1.
x`S`•~~; '1 Cu~H i Y+ ~ll~. OFFICE OF~ ~~2CJo `
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JOB ~s.+r-^ .a.....a.. _ . ~
°H,y,s~p` Registnc of Vital Statistic
Tltis is to Certify that the folloaning is correctly copied from a record of death in my office. _
DO NOT ACCEPT THIS CERTIFICATE UNLESS THE RAISED SEAL. OF TH{S BUREAU i3 AFF{XED HEREON.
` NAME OF DECEASED PLACE OF DEATH DATE OF DEATH ~ k
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Anthony Sabie MMC. Feb 19.1961
NEWARK. N. J.
' SOCIAL SECURITY NUMBER BEX COLOR ~ MARt7AL CONDITION DATE OF BIRTH ` AGE t-
YRS. MOS. DAYS ~
~ 135 05 3962 wale white ( married July 17 1898 62- i~
PLACE OF BIRTH CAUSE OF DEATH
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;ailadelphia Pa Cerebro vascular accident, due to hemorrhage. "7
SUPPLEMENTAL INFORMATION IF DEATH WAO DUE TO EXTERNAL CAUBCO jt
HGCIDENT. SUICIDE OR HOMICIDE DATE OF OCCURENGE ~
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WHERE DID INJURY OCGURt I
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JID INJURY OCCUR IN OR ABOUT HOME. ON FARM. IN INDUSTRIAL PLACE. IN PUBLIC PLACEt
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WHILE AT WORK? NEANS OF INJURY
NAME OF PERSON WNO CERTIFIED CAUSE OF DEATiM ADDRESS
_ :1'atnan Spiegcl I~ID Hartland M,ed Cen.. Newark NJ
I'1 .Its Wit?tcsr Wkctcof, I have hereunto set my hand and affixed the seal of Bureau of"~~
~I Vital Statistic, Newark, N. j., this......26.......... y ...I:'~y ...............n.D. 1961. ;
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aERK CIRCUIT COURT e~e~
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