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~np5 tt2 60oM REV 2-78 1MONYYEALTH OF PENNSYLVANIA ~
Dop1cj DEPaRTMENT Of HEALTH-VITAL RECORDS ' I
tFEE FOR T?KS NO• 3~' Z i O~
CERTi~~CATE 52.00}
LOCAL ftEGISTRAR'S CERTIFICATION OF DEATH Registered No.
Futf Name
oi Deceased JOSEf~F-1 P ~Y
F irst M iddte Last
Res~dence 4544 MO(~WIN DRIVE PITTSBURl~f1~ 15236 ALLEGt-ENY PA.
Number Street C~ty or Town County Stata
~lace of
Death AILEGHENY WH~TEHALL Pennsylvania
County Ciiy, Borouph or Townsh~p
SeX M~L.E Date of Death •~~!~?Y 1Q. 1983 _ Race CAUCASIAN
Ij Date of Birth 04/Q5/190f~ Birthoiace [~ld CASTLE}. PA. D~arital Status SI1~L.E
~
j Sociel Security No. 1~4-~5-8974 Occupation EN'C~ ER Veteran's Serial No. .
~ 4'IEDICAL CERTIFICATE Inten~al Between
Part I. Death was cavsed b~~: Onset and Death
Immediate Cause ~TERIOSCLEROTIC HEART DISEASE
Due To (b?
Due To (c)
PART II. OT~iER SIGNIFICANT CONDITIONS: contributing to desth but nol related to the immediale cause gi~en in
Part I (a)
Accident, Suicide or Homicide How did injury occur
Name and Title of Person
Who Certified Cause of AeathL_D., D.O., Curoner, b'I.E.) 10 PFQPFQ~ FD BELL ~(,~PIITY C(~R(Y~ER)
Address ~42 4TH AVE PC.•H, PA 15214
sveec c~tv
This is Lo certifq that the information here given is carrectly copied frQm an original certificate of death duly Cled with me
as Local Registraz.'IT~e original certiCcate will be forwar to che Sta Vital Records Office for pertnanent ~ling.
l----~ ~ (DEPUTY) 02-031
~o~ ~ G~ Loc 1 Isc ar of i! 1 acordt District No.
~,3~E~!t ~Pfy'y~
oi - 288 MA~ DRIYE PC~1-1. PA. 15227
St?~ot Addr~u City, BorOUyh, Township
' ~ Ol/l l/1983
,d. - . . /~-a
~~j~y__~ .
"'~f~{ BE~t Date fixsivad by locat Reflistrsr
Ol/'ll~ b R 50U PAGE 9~~
Dau of tsw~ of This G.tificat~on ~QQK
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