Gruensfelder, Anna 1 • ,K511) [ (1/4-17.9
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. -- A VERIFIED TRANSCRIPT FROM'THE
REGISTER OF DEATHS
Otto Richard Martin
Name
Pete of Datil............................................,.Restered No 15Z...........
Ar 8Q. . Years Months Days
Single,*reject Widowed or Divorced.....................lisikrignk .
Name of Husband in)Wife Anna G tue na fe ld q T;
Social Security No 084-268639
eVitet et Race White
If Veteran, Name of War
Ott apation Baker - Vassar Col.l.ege,A. Pougilkep.s.j,,g,A.Y.
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./ Birthplace (State or rOftirti Country) Get-Tne.ny .
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Citizen Oi Mat Cotintry
RicItarlil Otvo
rether's Name
Mother', Maiden Name Camilla Scliell,is *4 .
, Fuel of Death Vassar Bros. Hosp. x Pou,g1titeepOp,,„kl,a,_,„..„
, 'Imam:hate Coon. HImcard ila 1 ttlf.07;.c. J,C7X1
Coup*of
Due to:
Deitth
Dist tos!,:, . Emphysema .- HY:Per fieJ AP.I1............,
i - Oct. 1,77 tg
Tim.Dr.Is Attendance ............"............,,...... ........
till Death . Marob,„V•,..1.9.0..........
ModiadAtteodant.......—.... PY94151g11.c.310PA4Rwsbhoglo.te,-
. V.Y.
Place of Burial. .-..C•elar 111'11 CvteVlatoVWW.c...tig.Aliagb..41..1.1,a ....
Uwdertaltsv P,arme i.e FvgItK.00-7.11MVP.s..T.QMgktiSeAPAS.A•..14.X......----
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I HERBBY SOpaft4LY ATTEST, That this is a true Transcript from the
. 1 Piklic Rigtotor of biaths is kept in the City of Poughttaepole,
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Ontety of Dutthets, State of Ng,/ york, • •
Dated it Pouithiceepsle, N. Y.
the.:..J..3..r..1....."..... . y of Marchi: .... ...... . 14
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(SOO .. -isk4,4, ,
otekt TM) RogIstrs
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