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SU9'781 CERTIFICATION OF DEATH stAn o! Nnw Yoiuc NIAItTMENT O! NtiALTM Thb irl. to oetMy flMt tlta parsons natnad or7 thir-- ' , .' d'iad on tlta data and at tM pj~ _ r' = reco rd of loath was filed ,`, "' of Vital Statistlat of this O `~ fr. ~~ .{.. S, .• _ Ifff N ~~. .. ` .. 1 ~~~ //~.~. t,~ f ~/1 VITAL STATtariCa v~tsa c aa4 ~ ~/ ' 7514 p1aTlt10T N1JMas1! 1462 It[~IaTRAT10N NNMaLII a- NI1Mt' George F. Staerker t>v-n os t~awTN January 23, 1961 1 t~-YS at< Rtt.tna . I January 2d, 1961 nu-cs or tnAtt+ coounmr~ Brfe ~ cctTr. town ote vttl.Aattr 81ma 1462 11-26-80 Dtsrtet~ OAT[ WA~NINOs Aar aitarafioa itnraiidaha fitk eartifkatta SU9'781 ~,0 OcC -9 PfR 2~ 26 ~KEC tpC ~ECTOROFO S ROGER ~O~ITRASA ~LlRet CIRCUIT CQISRi t ':~ - -. ^