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F' . . . ~ . . . . . , . - t . • ' . ' . . ' . . : . ' ~ . - . . ~ , ' ~ ~ - . :ti . . . . . ~ . . . ' . ' . . . _ , • . . . . _ . . . . ~ . ~ • ~ . . . . . . ' ' ~t ' . _ . • ~ . . _.":Y . . . . . . . _ ' r ~ . ~ . - _ _ • . . _ . ~ . ~ ~ . • ~ ~ ~ ~ ' ~ . . ~ • . ~ . . . . , . . . . . ~ . . . . . . ~ ' r ~ - ~ ' . - . _ _ "._r..~~.~.+....w~~~~~.a~y`a`~s~ , _ _ " • . . ; DSP T.`~k'.i`i~^? O ~tBaLTri ~ " _ : • s~,' r . Pc1,'~"GR~aO:~~ i~'.£i~T JC?.5::1' 0750~ , 't~`t . ~ l'~ ` A'a~,~ `~~pS's~z ' - , ' . . . . . . ~ 'r~ i -8 i9'I'! . ~ • . ~ ~ . , r ~ 861244 t~~ f:s~t ; . f ' ,.r. ' " a' _ ~e U3te . ~ ' '87 OEC ~l P 2 • `f - . ~ . , , ~ } • ,,`!~t ,sA~r ~~i~~~ , _ • r t, . 1LEl; " ~ ~ ~ ~ . . . . - i ii~ s~a~ ~ . OUGl.itS ` ~ ~ . . ~ . ~ • iaLi~~ !.:l ~ ~ ' ~ . T'r.':S 3'~ i0 CF~i~.'2~'~ ~ FOLL4ilX*1G xS A T~:(t:: C03Y O? A R~'"CQ'•D O`i F~ ~ IN ~.'"3E D?N'ISIO:~ O~e Vx?'AL S.^'?ATx.ri~iCj OF 1rL Pe~T~~SQ~i D~p''1.~t'~'?1~~`~I' Q~ ~~iLiss.. • . ~ - ' L : ~a ?~!.P.N. - . ,s.~ . . . . . . . R~C?~_°., D :Pz. Os''' FiEALt3 ~ t?~.~.v~6: T•o not accept this copy un?.ess the raisec: s~al oi the Pate=so~a , _ . Baa=d o~ idsa? th is affi.vsd h~reon.. . t ~tatr~~rs . • - - . wur~sa ~ ( - fTATE REPARTMENT OF HEALTH OF NEM JERSEY- ~ f L~ . _ , f~lCp - ~sw~ re~ rIACE O! 0lATf! ~ UfItAL R~SID,f11CR (l4en dete~seJ li~ed. It iWei~iMe n~flesce ~eiw~e arsrt wt ~ ' S7ATE b. COUM'Y ~d+~i+~iMl. w~.r a tovNtr P CJT7 ~ tClttk b~s a~d tira s~) a LEJx.7H 6F C~ tCLsck be~ ~s1 slet wae) STAY (Ia this ~fat~) • soROVC~+ O patersoan 1~~ eo~oucx Q Fateraon ~ - _ n~~ ro.e~aa. - Q ~ro*ra~rr Fuee. xAMa ~ ta..r r. Lyitd.. Lu~ie~s:... sf...vee..aaK.,.. i. srnEer - "06P1TAt~ O1t 655 8ast 2 th street ~oCt/01~ ir°ro.°:~.'~r.o. ~ EsBt 2 3 ` ~ ~ a. lf ) 0. (MiddM) e. (t.~~t) (1M~t?) t0~» I1fs~A . NANE 01 I. DATE _ ~ Lukashchuk ~f -11-2Q-b6 „ . rr»•a.r.r.r~ ce~?rn - ~ ~owt~ts 3. Sei 6. Gbr w Rase ~ Mmi~d Nsm Meeri~d ? D~te of 8ieti 9. A~e !s~r s ~ndet Y~. f la iirfi`.',, ,Ior , ny, y,..: Ili.. - ya~ w~,ite .~~o o~.~.~o J~. s Z oa 10~. lfsul OceyetiM lGiw iW ~J wr~ lsw IOb. [iad ~t Brsis~ss w l~drstr~ 11. Einbpi~cs (Stru r M~+i~ s'+~~7) 1L Ckises d~lrt Co~ee~t ~aa rwli~ It/~ e?v~ iJ ~ ~ ~~~T~11@ S V U~s~g• : MtTAA~1 . l~.`~. • _ . - ' ~3+ F~Rtilf~~ T'1YO . . 1~. ~s~.~f ~~lA ~1~f . - . . ~ _ W 1 Lukasbahuk vnknavm - u. ~u Deceatad Ewr i~ U. s. e..~ g.K..i ~a. s~:.~ s~K, rra. u. ~IFOIWAi1T - A1i.a~ . (r~; r.y.er.) r?/ r.~, sr.+ e.l.r., e/ ,«r.) ~n,,.. 2 2 k a a L h h - . was u,, u?ufE of olAn~ ~l.n. e.rr u.. n.r. t.. ~ir. ~w t•A r)..t fol o:sMet :,,i""e1 . PsK L MseR !i~ W..~ nr. . . . tM.eliaee C.we (N ' Cosdttiw~, /I ~ry DwT~ (I) ~ ~ ~ rifd ~ rii~ fo ~ ' • - ~lerr snie fi~ ..7 ibtJnj d~ rrdN ~ t~ c~tu /uf. Dre 7~ ft) - . ~ Paet 16 OvK Siy~ifiea~t CJoadiaiew+ Goe~tib~ei a Deu N« Aelstsd te dr Teraiirl0iissast C~ties Gi~ew i~ PaR t!~) !9. a~ A~s~ _ Pafass~? ~ _ . ~ Yer Q it~ • ~ t0~. Attidsac Sricide llo~ieide • IOb. Dasce~e lfo~ i~jary OeeorreJ. (E~re~ ~+tw o/ J.jry Jw /r~t / o. P~rt o/ 4~s I~1 . ~s t~ o O . ~ci er to ~ b~re o bo.lef a ' " ~ ~Cao~Nt ~ 20e. Ti~e e1 Hws Alawti, Dq, r~~r 1 ~ ~~w' ~ ~ , t ~ O R ~ PAC~ ~ IOd. Gi' c~sred IO~. Ptsce d Ini~1 fn~, fR a i1~o~t bs~. 2d. Cie~. Tewr a Iwcriea fwmq Stue ~hil~ ~t~ Not flnile ? /en~ /sctory, sta . nl/1ci ~L~., ~te.) = tak si ~e~k ~ t~tts~i~'~' tt. 1.rrl~~~1 ~ir /er~rri~nl ho~ . te ~ Ml/11f lRY~w ~Jiw o~ ~ Derl~ orrar~I ~r ab • tb~ t~a iutiA~iw~t ~+f to ~~e iest o) wy ~/eJ~. (row fb~ e~rH~ st~ttt' ' . ~ • + ~ _ ?2a GMATiiRE (Dqr~~ or edtlrl 21b. AQMs l2es Ox Si • ~ v i 23~. Ewul, Ge~aeion. 23~, pue ' fe: Ns~.e of Cese~ery e. G•aarxr t)Q. Leeur~' lCi Mrw 6• ee~w r1.. _ (S[ 1 , R~s~~~ Reno.allS~re1/r1 . o~...~ 1du g --66 S. nndr :rs Cemete Boundbrook N 3e a d ~ N" . Lice~u Ne. ttr 13. Dus RntA. Usy , i S; ~ ~ ~ 35e c~.trto~ ~ N 01C 2 2~~~ . , _ . . - - . + . . . _.~a;:. . _ - , . - - ~ . : _ : _ _ .r_~_-_-r - _ _ - T_.__...~ - n F ~ - . . : . , ~.._.a._...,,r.y...~,r.