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Home My WebLink About0939 • ' ~ ' . . ~ - - • f ; . , , ; ~ ` ' , ~i _ . . . _ . : _ , . . CENSU4 ~B- ~~RE OEO $~R1Ci ~ 7ti.. . . ra.cr a~nswH CQ!! . _ . ~~ri~: !~i~ . p -Srt~ ~ ~NEWYORKSTATE a,~:l~a~~'~i - ~,'i1 ~ ~ ~ ~ DEPARTMENTOF~HEAL~ ` ~ ~ : . p~ T~ NUMD R y , , , . . e,, _ _ _ t - - • - A . - t. ~ r F . : . ~f CERTIt~I~ATE}~F DEATH . . . . _ r - . y. ' ~ w `~i , ' , / E' T MIOOIE ~ ~ U18T ~ t. SE% ,~A OAtE Of OEATH H r , C! O C . ~ p~7 ~ Fk ~ - r ; . ~ ~ ~^c.~.a f~ . ~ . . . . . ~ 4A'LF . FEMAIE IIdHTit. ..YEM ~ : ~ , ~ 1 r.. . ~ r ~~~~RG1~IRY:T ;."LANQr ~ 'OCT~1 ~'19 8 i25i~ ~'7 4J ~~-y! ~ A6 ~ ' ' ~ UNOER JW ~ ~ lf ii AV < S' OECEISE ~ONN . 6 YEIEMN OF U~S. ~ ~ ~ ~ ~ G ',y . ~ - r ~ ~ M4E~FORCE 1 ~ ~ . ~ . ~~BOC1AldEWRRY z ~ YONiW~ NOUR! 41Ml1TES~ 4pNTH_: OA1fF . ~ . HUYBER , - ' tJ U Q K.~~ , YE~. 1 VE~.bVCCI~I'WANOROATE3 i 4 ~ O ~ ~ , . : ' 1 . ~ SERVICE . ii ~ a c . . - ~ DECo~~ 91 _ ~ 43738 . : r - ~ ~ _ . . . ~ n . _ v ~ ~ ~ _ h _ ° vc~ns _ y • . ~ . ~ _ : r;.. _ - Q ~ N OFOEATI(;" 48• LITY(CNECKONEA D PE tF ) ~~C' OSPIi/~ ROIHEA~NsTRUTION ~ ~NH a ~r~-~ E 1 t A 1 ~~F . 1: l~NE1iHE1t,0AlEAOQEESSI .~rk~~TV tCM KONEI ADIIISSWNOATE . ~ . , , .4ri,i. - ' ...1k+" - ~ ~w°°'- aa6. . , i~~' d.-.w ~ ~ tQ ~ A, ~ . - oW~t. _ EM o ~ d . ~ tis ti~,~af ~Huntingtofi ~~tingtonHospital~~o~ueaoEa~+teoou ~ R ~ ~ . , : St~i'x o~k• yow~~~oF - : IN'~AT;IENT T ~~T+2 ~ - CJ L M , . - _ . . . _ . . . : , Ir ~ V 4-STATEOFa,#R1y :rYy~i~ 1 1 FNn~At~ ~ f~Aq1TAL'8 ATUSICHECaONEI . ~ It:~ URVNWO POUSEpFMIfiE NEWIOENNANEI ~ 4, W ICOUHtNV1ft+OEU!/~l r OU ~RVi , ~ i~"` , ! ' ~ ,`x:~: . x NEVER4MNiE0 ~~~YhOOWEO . ~t„~ . _ . . 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OC E+ ' ~ iC : ~ ' t i~lEO 1 r~ t _ " 'r~ ~`.~~4"' - ~ F ct ` 4`~r~~.. ~~'`'1it.~"' , , ~ `r j~,r~~$ .4, ~ ~ ~ '~r"~. , le:,,.l;,;~'~ . < _ oa a E-~ ~ - . , sv. V ' ` 'w - ~ • k. b BE'~OMP ~ bY. dp_ f y a~~T~`bE`~`~[NPLETE~ B1~~~_~ a v ' as 'CE~IF~fII~fb~FiY~I~i~di~L~1f - ~ C~~iC~NE~ 8R MEDICAL EXAMINER 0~41f - U ~ A;';1 HE~BEST OF 1~(Y tt11 ELM~ ,QE T OCCURNEOA~ TNE , ' A~ON j E EAS~~ Of ~%AYIHAtlpfi,y~~ (~'IVE$T)OAilpll,-: ~ N fq Q . "'T~MEaTEA1f0 E~OUE74 H CAUSES~tAtEO lN~Oi~NWN p~~~/~fN, RREb~~I T~1E,aTE- .OCORONER q ~ ~ ' ~ YONIN pAY 1rG~ ~f ~IWDKACEANOOI~E~'d~~~M1SES~fEO . ~~pM'p~ ~ER'S v ~ E ~ ~ . r~ ~ ~ i i ~ h ~ I~ ~ i~ SIOµtURE ' ~ . ~ MEOiCAEH . Q ~ ~ ! ~ y r ~D .1 1 O ? . ~1 Z ~ ~ ~ ~ W SIONAtUNE . • , TiTIE ~ ~ aE. R ~ 0 fNEOHrS~C~AN ENOEOYHE EEE EO d:L~Lfis 7~LtvE ' 9?RONOUHCQOtlENb '~`HOUw b"f1Ai`ESIAHEO . +1 C: O ~ F ~ YOMfM OA~~ ~I[M ~ VONiH O+?M' ' IfEM . YONiN: W+I YEM YCWtN ~~I" •tG111 ~ VONTX . 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WE t0.6R AS A CONSE E Of. . . . . ~ . . - - . - . ,,a . ~ ` ~ W it~ t . ` ' - ` ; VARt gfAT~OYTN~ElA1[OTOCAgSEdYEN~~~ Nf~ UT~NOtO 2~l? AU . 2M ii ES.WEi1EfINOlN,04C0_.'J~ATHt~M ~ Td~.pp~EpiE~PNEO - t ^ . - ` . ~ dEtEtiMIMNO iHE CAUfE' di . e 4 • ~~,~e r' YE3 ~ MEWCACEIUY~NENf ~JCHS n_a, , ? 1 QtE9 2Qf10 ` ~ fi ~:~5 ' ~ : 1 rES i: No ~ ~5~. rYN~ERMiNfO~~NWNO ~90wtE. F~ ~ ]OC_MµOil~OF-- ~~DOOOESC+U9EH~Ar~NJURYOCCURREO . ~ ~ . INYESI+OAIWN . ~ Yd+iN ~ OA~ ~'tM, . ~ ~ . ~ F~ _ ~ ~ . . ~ 1 . ~ . . . ~ . - 1 . ~ °..:.1 ~ . . . . ~ . ~ . ~ ~ . . ,:y ~ ~ . . ~ ; ~OE 1N3VNYA WORR7 ~~pi pl/KEOi~NlUt1V NOMC , ~~00 i ' tst ~ Trtppv~LlApE.tOWN.GOUNtY.9fAfE1 ~ ~ ~ iACT01W.OffrCE B/OO:E~G , , i ~S fES ~ , ~ ? ~ ~ • ~ . ~ l . , : ~ ' aCOD `0~~~~v !,r,c ' f'.~. a ~ - ~i1~p`'t (ltJ t . , 5t: ~..~~IE t'(±t„: ' s`~.. ~ " -~ACE `v Q ' ~~~K~~ ~ y ~ _ . ~ ~ . . ~ a - _ : • • ~ . . ~ ..3~ . .