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EFTA00132684_sub_005 - EFTA00132684_498
DICAL EXAMINER CITY OF NEW YORK edtar.ra. Name of deceased: 1 1- 1ril" C:9° S-2-&1A/ Address: q & 2- I 577 Date and place of birth: fbletori LY-A, /yr- Closest known famil Address: m.E.# M ci L132 //2-64 -3 cram/ 63(2477/ 2..;-.3 Telephone: ell Phone: ( Did the deceased live with ano
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