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Home My WebLink About1835 _ - _ _ _ . _ _ -~IL BO~K . y~ ( ~N- CITY OF NEW YORX I I \ '~EPARTMENT OF HEALTH ~ .~,~=x~~~r--~ + Q I ~u O~ BUREAU OF RECOROS AND STA7ISTICS , 1i~. ~~U V W'1 ~ r~- r- ~ ~ SEP211965 aS QyQ~K ~~O~X Ne.+ Yorl, N. Y. . 'f~~GER P01 i P, t.:~. ~T. LU~}~ GQUNT`~.bw is o phatotito~ic copy o( a tcrt~Gc~l~• c~ IJ~~ ,n 1V~~~ 8•_~rau o~` Rccordti ~'S~Q~I~d Stot~stics ot fhe Deporlment of Nealth af tho C~1y o( Nr.+ York - - - - ^ - ~ • , ~ _ ' ktGUkU~ ~ertifirute af ~icnU~6-65~210671 1 . ~P~~: ' Or}:FAIiH c«i~f~,.f~~. e ~i~}:~~ ~~'C . r ~Cf~'fX _ . ' _ _ ~ ~ ~.~~ti. ~~i ~I,~9ED Cl1tA~0 . • ' n?< t ~~t:n . ~ . . . - ~ ~ . r~i~__._ - v tf; .'_.~.,.Y.a. - - =~~~~i~:k;f(\.~~.~ li~t'I_~H - ~~i ~~It~:~? ~Fktlk-ICA7F: OF I~EASN ~ . • ~ - fl.ML':.t:.~.f....J['...~r:.~ II~Mf:t.1.•?it~.Pl.w"r~l • ~ ~ . ~ . - ~ t. 1'f ~l~ t~i.!11H ~ - ' - , ~N^u . . . l.t',\`11. kltllll.\It. ta~ LMJ~Y ' . . _ ' i.. \!N 1 }A t ITI~ SI b-r+ct~ . . . ll. ' e u r~•! Iq.~i21'A~DL M~~I~L ~,St. U~cy Co~,'r,`: "1'vrt 3t. I,uc ~ • h~ : . r r. r.ed ..~~u e~:... rn. a,rn w% r.41e+.1 : Alroao Blvd. ~ ..105 ~ ~ 1.~ I.r,~i~ d r...L~.. ,n ef 17 i~\Tt~ .\~t~ 11d~ai1 ~Iw~) IYru~ (H~w)~ - ~~eer. u.i~ i~•.• L,t\ It~~l'R I~F 'j ~ - ___~__Wsek~ ,,,.~T„ 9 25 6S 7~I~~:1 i. U.\YRIt.I~. H11*~Hf:l~ (s. ~It 1. AI~~'y:~ Air ur u~coa~ an >.•n ldarried I 68 l4Ald ~ I~ATE n~ 1 11F:RF.ItI~ 1 F:RTIt~I' ~Aat 11 att~r~rkd ttx dreetxA)• . 61YT~i i~?, c~~c~r Ju17 20 189T ~a ,ue pti,.u~.n .~t cn~, ~n.t;i~vn ~n~..ke ~he decca~ed)• - S AI:E I~ .++Lr I)"a' li 1 F.c~ ~4e {:a~ _ i ~ ( ' e..: ~~-i.. I II~r r~IQa antr.lyd it.c drrcaxd)~ ~ . r.~.,r~.<..r,~-~ ~~.e.~ e., e.:... d..~~, i...~, 4"20 Iv~s .r. !'ss __F¢s . . ~ ttr. n.e ~i ,.r.,.a, j . ~ R~tired Bleckec±ith _ t,io ,i„: ,~9st~u 9-25_~yi3 1 ~ ? ?n.i e..,e... N ~~r.~., .a.. a<,. ' • Naw York C:L De t. Of Sanitatio ~h,~ ~kath t wt~ ~iot ~a~cd. ~ T-- p - r:rvt~rcrt!: F~ uci~t#. hr+teit*4t. s+r'cidr. x¢!t of ckroeit ~ ~j I. VN'~AI. ~tf i'Rli\~ . i 3 (~~v~>>t~K. .•f Itt 1t1~(4fk~LLf Q~!tl~yl R'2'nff. ~ IFl1~ k ' ~ ~!~¦IM111Y1.\~!. ; iS~x t~. \.\TL~~2.~~ ~.~~`G~T. . 14.•ee~t-.<e~.la-s.~~~. • ? ' ..l~rl~rS~.w.II:• _ ~ ~ _'__~ySL~. f{.rfr.r...r.e.t~..~rnlsr~/rrH~1~~4. . ~ _ 7 i. ~1~' \\11~\t II~I'\IR\ \t.\~ t~F.~ r.~ t~~ ~~~~Tii~.~ r~~. lund iI. ..L. ~ 9 . 19~s_ . AT ]INE I~!_\lli' (I~. : Ia• NA~ 1~l.~'?AC~1~ I~F¦ ~Ia li \1.~. ~r •u ~r 4,:.. ~ . - ~ I\ 1'\til1~ •(.\iia ~ .r ~wtt~ t„~~ Yee ~;~.a~..~r t ---1f.D. i t~ ~.~~t~. ~~r - f.1711F~ ~~F AcitY:011 \.m~ ~'h~.;c~an ~ _ ~~~~~~q.T T._-- ~N:....~,~....~., ' i~: v.~n r~~.~u~. 600 L 2~3 R NOQ _ M.I - ~ ~•Y uunut \ddn.. . ~ . i~~.iti~~~t ~J6 • - , u•.~vr, o~ i~i„~v:~~~ ~ R~i iiU~4OY T~r Uff G~tEl1 ( AI~UIlc[~05 ASl'OSO Bltd. Fe~ Cararo - ts ~ ~ , '`fWrt~__S~._Lul. l~lorid~ _ . ~ ...s.., ~ _y= ;M1 _ ~ a ar. _t. ~'~x, ,s cw,. ~ ~4. 14H c....~.~ U.3. National Ce~eCery ~ Far~i~~rl~. ~r.I. N,~. 9ept, 29, 14f~5 , If /t~~lk~t ~ , 1M, t. ::~,,'X ~ ' I~IRl.~l~~II ' p~1S4r_@.~ ~o_d ~~1,3 ti te A~s. Branx. 11.Y. : - ~ - ! i:t l:f~.\l' 1~1 kF't"~~KI~• .\\1~ S1'~'fl±ifl'~ T 1~}~.3NN13I~'X1" t~F' 11F'.\1.711 il1t: CITI' (~F \E1\' 1'()RK I ? ' +S, ~ j?,~-, r s' _ ' • ~ f` : ~ ' ~ ~ . • ti ' _ . - . This i~ to cartify Hwt ths •foteqoir~g is-a tn?s coptr dT: a rec9r in my cudddy - LGJIS iielneF ' ~ - - " , » , ' ! ~ acting Director . •,~or qe te~t.~.a. . , _ ~ ~ - If~p1~0 s DO A'T ~P? 1~Id ?M~C1l IP! 0 NLLSS RA I S E D ~ B~AL Ol T~ 3PAAZI~M'f 0! !~L?~I I8 A1T, ~E~ Tl~iCON. 7F~ AEPRO_ DOCTjp/ p!! u,=a?rjp~ pl 18j$ l9tAXSCAIP! I$ PRONIBITEJ HY SGCTION • 3.t1 Ol T~ Riff lONC CIi? !Ql~L'!tt COD6. ' k R~TICts tn issaleK thi~ tt~ascript of tR~ Record~ tbe D~pert- : ~set ot lf~alW ot tA~ Ciq of ier York Eo~s not eertit'r to ths 3 {,t~th p:' td~ ~wt~wDts aa~l~ th~roon. as ao inp+siry •s to cAs fact~ ~ ~ Aas O~~n pso~t~d ~ lar. t } ~ ~tW~ ~ ~ . .