HomeMy WebLinkAbout1180-•
. ~
- .
' ,r~,,
.:,-~, ~,.
NAME OF DECEASED
PIACE OF DEATH
OATE OF DEATH
PLACE OF 81RTH
53
AGE
CAUSE OF OEATH
--------------------------------------------------------------------- ------;
~~ .
STATE OF MAINE 511301 No 16239 ~.
RECORD OF DEATH CITY OF LEWISTON
Dominic J. Roux
Lewiston, Maine
SINGIE
April 4, 1975 Male iNhite MARRIED hiarried
SEX CO~OR WIUOWED
Maine
ireasurer - Credit IJnion
OCCUPATION
Coronary occlusion
ASHD
NAME OF FATHER
BIRTNPLACE Of FATHEH
MAIDEN NAME OF MOTNER
BIRTHPLACE OF MOTHER
ATTENOING PHYSICIAN
1
Cyprien Roux
Gdelie Bernier
td. S. F. Greene, M. D.
CITY CLERK'S OFFICE, IEWISTON, MAINE,
'~•-~ ~`C 22 ~~{ 11~ 34
s1~ UCECClHC1YFtA.
ROGER P ~,e
.: rr~~ ~-qtr;~.~:..-' ~ ~~ .
52i301
October 22, ~g 80
~ ' .
1, TNE UNDERSIGNED, GeT81d P. ~g~l.lbe HEREBY~CEftTIFY THAT 1 HOLD THE OFFiCE
. . . _ --. ' .^ • .,
.. - . . 1. ...~ ~. ,
~r~ ~~
OF CITY CLEHK OF THE CITY OF LEWISTON, COUNTY OF ANOROSCOGGIN, STAT @~ ~~~.-""":Y AT 1 HAVE THE CUSTOUY
~ (y' . ..~-~G.;~{j
t ' .. . . ' \{ .i ~ . : . S ~ '
UF TNE RECORDS Of DEATHS Of SA10 CITY, ANO TNAT TNE ABOVE IS A T~illE'.COPY-;C~~-`I;ti~s~i~`~'.O~D OF SAID OEATH.
~ :.~~+j.;,. ~•{~• ;'-,: ,~~~.
~ 'r• ~ r
t ..-,~>.
~ • ' ::
~~` 6.. ~. {ZENfiS •, ~lY~AINE
~ 13K - •Y~,~;~ ~ ~ ~ ;'=~."~,~'..?.
~ ~~~x 3~5 ~A~E 1i78 `i . : ~::~,~;~` ~.
r
:~ ~ . J
~
F ~
1
~'
3
r~
~
.~~
-- - _ _ _ .:_~.'.-,.
y- .. .._:?-.s~x.....,.