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VERif1E0 TRANSCRIPT OF DEATH iORM ili0. 1'1 Y1~r..ron u. sow co. nocnww. w r
A VerHied Transcript from the Register of Qeaths
Name or Deceased Paul 0. Becker
oats of oeatn Deceaber 18 197? Registe. No. 21
(Month) (Day) (Year)
Place of oeatn_ Hover Road. Claverack. N.Y.
usual Residence Hover Roa3. Claverack. N.Y.
length of Stay in Town. City or ViNage_ _
sex Hale
Single Married X~ Widowed Divorced
s
Age :Years 73 months _ Days _
Social Security No. 132-16-7b97 _ _
War Veteran (if yes, what war) ri0 _ _
occupation Builder. northern Hoalet3
Birthplace . Coittrl.
Citizen of What Country O.S.A.
Father's Name Fe1iX Becker
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Mother's Maiden Name A usta Onkt10>"Irt
Cause of Death Interval Between
A Cerebral Throrabasis 4 ~gd Deatn
B Cerebral Arteriosclerosis years
c.
o tae a .
Medical Attendance or other Attendant Bd~rard P- Ginouves M .D. Hudson . N.Y
Undertaker _ t,~ry RingtilOOd 44694, 110 Green St. Hudson. N.Y.
Place ofBuri(:1~:~~ar Park Ceatetery. Hudson. N.Y.
I heEeby ly_eltYi~t'ittpt this is a true transcript from the Register of Deaths kept
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~ ' r Y• j: {i (,O~iCiel) REGISTRAR OF VITAL STATISTICS
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