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502869
STATE OF !~W JERSEY
OFFICE OF REGISTRAR OF VITAL STATISTICS 4 7 4 7
CITY OF RAHWAY, N. J.
?Alit u b Csrtifj Shat the following is correctly copied from a record of beach in my office.
NAM! Of DECEASE GLACE Of DEATH GATE OF DEATH
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MAtlTAI COHDITI'Oli Aa! OCCUtAT10N CAUSE OF DEATH
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Registrar of Vital Statistics
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Date of iuue
502869
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`'R 3~0 ~~cE 1590
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