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Home My WebLink About2882 1 uz 3 u,5 b7 .~~n/-~ J~~--- ' Fu ~ ~ A.. , .~,~~c:r _ ~:1~rk Ctrcuit (;outt , i r t. R y C~c~ - Deputy Clerit ~r~ . _ _ I ~ ~ i ~ , YS~ REY lal CERTIFICATE OF DEATN ' STATE OF CONNECTICUT DEPT. OF H6ALTH SERVICES o - ~ ~r,at uar ~ sT~rt s~~t nw~[~ D?TE O~ W1TM IMOn~n O~f. rw1 ~ucF - w~.. n.ao. • c- u.~ woc~ ~ rw wae+~ ~ w. o+n os ou*M ~+a+. o.r. M..n NO~n. Mc Iw~c~M MnM~f f~'~ral ~ June 1 08 . t~Jhite ~ 6 ' ~ 7-1 - 4 o0urtr or ourn iww Os Durn u0sw?n? 011 Ot?~E~ MtrNnOr - Nrr 1r ~w r~ Mrw M~+ar~w Me ~.+wf ¦ iw? ~ rr~ w.r~ oo+~ or+Es wrrr M~arh , Rartford • Aartford r ~ USUaI AEi~DEHCF GtViSi~lEOFMIItHrCw+f ~~wuil c~T¢etios,c,,,+., Y~WaEO.NEVE~W.IU~ED.v1n00wED. lASifoOUbE~~.~ r..~+.w~~.~w wNEAE OEGE~SEC GYO~CEO. IEGALLr y(~~MTED LW£D K pEATM U~ S A , ; ( ~o . rt rd Conn. . . P~.arried ~~N,ichael Re esecz occunAto w ~u~ stcuwTr ww~[~ ilSUAI OGCU~AT~ON K~Ml~r40/ ~Or~ Owy ~ tNSTITUTIQN GIYE A/WW+~UNpI iUMDO~OUS~MESSOAIMDUSTAY AES~oENCE SEcOnE .ors.npwM.w~wd.«wo~ ApY1SS~ON 042-1 G-Gb2k „ Clerical ,.Geor e B. FisherInsurance ~ NES~DEr~CE - Si~7E C01M+ir OwN St~Ef~ ~rr0 M/~~E~ j Connecticut ~art~ord ~~Jethersfiel :o Stillman Rd. i Mi~S DECfASED ~ vEtEilwN+ if rE5 WvE w~~ pq 5~y ~ I Rwc~h m v in1 ' ~ ~ ~ N ~ F~TNEA - MAME i10.ST ?IfppLE US1 tlOTNER - YAIpEN NAYE ill{St YipplE ~T ~ ' i~alter Cwikla :s Jose hine Wilkos ~ ~ w~w~.,:- _ ~ ' K ;~"ichael Re~ es~cz iUNG ADp11E5S ($1r~N y R F O No . Gry a To~n SyN Z~p1 Stillman Rd. L•~ethersfield Connecticut 0610 ?ART ~ OEAtM 1MAf W7iE0 ~r rt~ pwY OM C~ tir lYr Fa W M. ~nA W 1 AN110~MTt WTEMK Kf W[H~ oNSCr u~o ou~n~ , a~ rr~cNrE uu~ ~ a+ ~ ~RTANi INSTRUCTIONS ~ra~ a~ ~ ~ ~o ~u~e CJN1Qf M/. lTATNO ME M ~E.aDCAREFULLY ~"""1O~`~ Q(IETO.OII~SAOpN6EQ(IEKC,EQi ~ ~ ~Ef t_EGIBIY with e Pet- S~ a c k Recerd 1 nk. r~r ¦ otNCw~y~* Cp,o,T,ows: omew;c,,. a a~ra~ eM ~a a w.e p.~n M r.n ~ ~r K corsr r t~ r.ec.,`. ~.e,..e [~i //S7 a.s«Ma ~M.•+~oe.wa~..w r /V ~t~ /~'C s ~ o ~ CEwrlsXi?noN - MrMwu ra+u Oti rw Yawu D~r rw ~uie uu s~+ ~wr ~sw m Ob?ni OCdAMEO ONrNE 0+?T[. NA. to n~E ~Ei? i.e.~.~i°'° ro : T' 7 I 9 84 r~ 3: SOP sT~NO ~`~rm ouE m n~c w+s e.~ ~c~o m~a xinoE~rr ~~v~wr To ca+aTaM ~ro~EO w rr~ a nrt oecEC~rt nioMOU~cEO o~w. ~EN COMPLETED, this ~'M1E" ~a~~'+ ro~rtN o+~r ru~ ~ ~ ~~:~~~id ~e sent to the ~ A"°~"YiO1 IIO » JUly !9 1984 4:OQ! e! vitai statistics in ~`'E~-~~'~'°o""o ~~T~+~ « ~ ri~fin where death S, ~s 1 Wt[1Ri A001~l6 - CE11T1F1E11 WM1 a Rf.O. Ma Ory Q T ~Yp ~o~ ^ f~U~ ~ a.~ ; ; .o EUih~L GREMATION, NENOV~I YETEN~ OA CAf VATppY - N~YE IOG~~ION Gt~ Or Tp~rn ISO~uM % Burial ~~A'ount St. Benedict Eloomfield Connecticut ' OATE Pb~. M r~rl IfUMEMI MOYE - MAYE AIIO ~UIh7t,J Rt~N1 d N ~ Y. N0..4tf P~ OR~. i~~N. ZOI ' ' 1 ~S u 2 4~6: h 1 Av H tf CT 06114 ` .ae C) c U A REA: tO D@ COT• F~E~I pRECTOq OgEM A NA?rE OF EYB~IYEA ~1 t~o0~ ~as ~M~M.yA l~~ Nyy~~ ~ . i;; physician- ~ p i 1 G ~ MK GEATiFIGATF RECE FOR sY ,2 ~ =;~iIs~ED AREA: to be ~ t ~ . •y;..~; : by Funeral director. ~ ~=.~'t,. . '90 FE8 -2 A10 :OG ~ : ~ ~f:` . • ~ 1023055 ~`~~'t;~.``~-~~ _ t F i~:. ~ ~ ` ~ ~ 'i,~'~~' ~ „ , . " : _ ` _ ' - ~ ~ . : ~ I csrti~y th,~t thia ia a true cop~ of the certi!'icete ~ae`•recorded in ' this aftice. ~ Attests~_ ~ , I,B~t. 8egistxar of ^YIT~L STATISTICS" ! ~ Deted s ~U~, 2i 4~~ r! Cit~ of"H?RTFCRD CONN~(,~TICIIT" , ~ ~Ot ROOd Y1thoUt SEAL of tha "H~RTF[~Tl AF.~i.TR 1li~'P4R'17~tF'N~1+~ , , i . 8Gt7K ~i7J Fa,t 2882 ~ - ~ ~ ~ ~5~'.se~ ;~a~~ ~:~~LL __,.,,..'-s~~«x . -A yn.l_~~F~