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Home My WebLink About0978 ( / ~ V ~~N~~ ` ~ ~r P 1 S ~!1 3~ 3() ~;ommonbuca~t~j of ~~~~ac~jugettg ~ ~ ,~t,j .L . ~ UMTED STATES OF AMF.RICA , ~ ~ .c ` , . • . . 'i ^ ~ . ~ CERTI FICATE ~F DEA~'N s~~ FROM THE RF.CORDS OF DEATHS IN THB TOWN OF FRAMINGHAM, MASSACHUSETTS, U. S. A. i Dste ot De~tb, ~ De cembe 9~ T~ . 2. N~ Hannelore Margot Anthonisz Maidm Namc, ~ nrielore MarRot Becker • 3. Se:, aad wbetba Sinale, Z'' e ~ _ , Married 4. _ _ _ _ _ _ White S. Aga, ~7 y~ 7 Moatu. 2~ DaYs 6. Di~easeorCauxoiDe,~tb~ S~iF~ars~nhn~i A hPmnrrhf?aP I 7. Restdenoe, - - . _ _ G~mboa,, ~Ana .on - 8. ooaipatioa - • - • ~ ~om~ , 9. PiaoeotDeath. - - - Frami~aham. Mass. Hamburg, Germanv ~0. Pla~oe of Birtb, - - - li. Name of ~Iusband or George Anthonisz Wife, - - - - - 12. Name of Fscber, ~ CNBL Becker ~ ~ Anna Frindt ~ 13. Name ot Motba~ - • - ` 14. Birchplsoe F tba, • Germany .v _ ~ Germat~,y i;. Birthglaoe of Motbu. . ! Ngwton Cre 16. Placx of Intesment, i ID~~Q~, N~wtn!~, MA ~c _ 1 . ~ I Micha . d~~ose and ssy thst I bold the offioe of Town Aak of tbe Town of Frin~gbaa~, Catp~jr r,,Mi~dfesex,~j}d~CommonwattL ~ oi Massachusetts; ibat the reoords of Birtbs, Marriages and Deaths ~y ls~~~to''~be lcept ~n said Town y are in my custaly, and that tbc above is s we eopy hom tbe r ~ ia "sstc~ ~',~',o~rra,,.fs oati6ed ~ ' • ~~e - ~ bY ' ' ~ ~ ' ° ~ ' _ , { ~ a~ ~"~~-,..sd` ~ , ;C;,~~.` . . • ' R/1TNlI?S ID~/ iDd tbC $t~ O~ 3i~~1`O~Od t~P~----- ~~th r° ~ . . .7~' ' ~ - ~ 1f j l.c~ ,-ir'r da af~. December •9.:? ? s.. + ~ .'•1~ / y ~ ~ j ~ . : i Torr~, Cla~. Return to: ~ G. B. Newkerk, Attorney ' 509 Pa2m-Ave., Titusville, FL 32796 • RFC~r:E S _~_D~ aE"nP'~a;..,CC i . i • , _ il~'? ' fi;t _ £ R , Cf~ • ^ - _ ~~•l . ~ ~•~ht~~~ TA~~~. .:'~1LV O~F. REC. PAGE - - ~ : e~~ ~ c.r::e~..~ err.arC w r:ita~~~ 24s4 0I 98 '~~411 PeUE 9 _~~~w. 1 / - _ , ~ .